UnitedHealth Group · Example Payload

Optum Fhir Coverage Example

HealthcareHealth InsuranceFHIRClaimsInteroperabilityFortune 100

Optum Fhir Coverage Example is an example object payload from UnitedHealth Group, with 10 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

resourceTypeidstatustypesubscriberIdbeneficiaryrelationshipperiodpayorclass

Example Payload

{
  "resourceType": "Coverage",
  "id": "uh-coverage-001",
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "HMO"
      }
    ]
  },
  "subscriberId": "123456789",
  "beneficiary": {
    "reference": "Patient/uh-patient-123456789"
  },
  "relationship": {
    "coding": [
      {
        "code": "self"
      }
    ]
  },
  "period": {
    "start": "2026-01-01",
    "end": "2026-12-31"
  },
  "payor": [
    {
      "reference": "Organization/uhc-payor",
      "display": "UnitedHealthcare"
    }
  ],
  "class": [
    {
      "type": {
        "coding": [
          {
            "code": "group"
          }
        ]
      },
      "value": "GRP-98765",
      "name": "UHC Choice Plus"
    },
    {
      "type": {
        "coding": [
          {
            "code": "plan"
          }
        ]
      },
      "value": "PLN-CHOICEPLUS-PPO",
      "name": "Choice Plus PPO"
    }
  ]
}

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