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.
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