Optum

Optum Real (Medical) API

Optum Real point-of-care APIs on the oihub gateway: pre-service eligibility, claim pre-check, claim actions, claim inquiry, patient benefit check, document search, auth referral submission, plus HL7 FHIR R4 Da Vinci implementations — Prior Authorization Support (PAS $submit/$inquire/$submit-attachment), Documentation Templates and Rules (DTR questionnaire package and adaptive $next-question), Coverage Requirements Discovery over CDS Hooks, and Provider Access with $bulk-member-match and $davinci-data-export.

GitHub OpenAPI

Operations 1

POST /oihub/patient/auth/referral/v1 Auth referral submission #

Documentation

📖
APIReference
https://developer.optum.com/optumreal-medical/reference/overview-optum-real-api

Specifications

⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-auth-referral-submission-api-openapi.yml
⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-benefit-check-api-openapi.yml
⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-claim-actions-api-openapi.yml
⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-claim-inquiry-api-openapi.yml
⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-document-search-api-openapi.yml

Other Resources

🔗
ChangeLog
https://developer.optum.com/optumreal-medical/reference/real-api-release-notes
🔗
APIsJSON
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/apis.yml

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OpenAPI Specification

optum-auth-referral-submission-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  description: The GraphQL Auth Referral Submission API allows users to search for providers, submit referrals, search referrals, and search prior authorizations using GraphQL queries and mutations.
  title: Auth Referral Submission API
  version: 1.0.0
servers:
- url: https://sandbox-apigw.optum.com
tags:


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# Full source: https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-auth-referral-submission-api-openapi.yml