Change Healthcare

Change Healthcare Medical Network API

JSON-over-REST front end to the HIPAA X12 EDI transaction set — 270/271 eligibility, 276/277 claim status, 837P/837I claim submission and validation, 835/277 claims responses and reports, 278 prior authorization and referrals, claim attachments, and the payer list. OAuth 2.0 client credentials against apip/auth/v2/token, one-hour bearer tokens, versioning carried in the URL path.

GitHub

Documentation

📖
Documentation
https://developer.optum.com/eligibilityandclaims/docs
📖
APIReference
https://developer.optum.com/eligibilityandclaims/reference/api-overview
📖
GettingStarted
https://developer.optum.com/eligibilityandclaims/docs/get-started-with-optum-api

Other Resources

🔗
SignUp
https://developer.optum.com/eligibilityandclaims/docs/create-a-sandbox-account
🔗
ChangeLog
https://developer.optum.com/eligibilityandclaims/docs/eligibility-release-notes
🔗
Postman
https://www.postman.com/changehealthcare-cdp-dev/workspace/change-healthcare-medical-network-apis/overview
🔗
Lifecycle
https://raw.githubusercontent.com/api-evangelist/change-healthcare/refs/heads/main/lifecycle/change-healthcare-lifecycle.yml
🔗
Conformance
https://raw.githubusercontent.com/api-evangelist/change-healthcare/refs/heads/main/conformance/change-healthcare-conformance.yml
🔗
APIsJSON
https://raw.githubusercontent.com/api-evangelist/change-healthcare/refs/heads/main/apis.yml

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