UnitedHealthcare · Example Payload

Interoperability Fhir Bundle Example

Health InsuranceHealthcareFHIRClaimsEligibility

Interoperability Fhir Bundle Example is an example object payload from UnitedHealthcare, with 6 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

resourceTypeidtypetotallinkentry

Example Payload

{
  "resourceType": "Bundle",
  "id": "uhc-bundle-eob-001",
  "type": "searchset",
  "total": 3,
  "link": [
    {
      "relation": "self",
      "url": "https://api.uhc.com/fhir/R4/ExplanationOfBenefit?patient=uhc-patient-987654321&_count=20"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://api.uhc.com/fhir/R4/ExplanationOfBenefit/eob-001",
      "resource": {
        "resourceType": "ExplanationOfBenefit",
        "id": "eob-001",
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/claim-type",
              "code": "professional"
            }
          ]
        },
        "patient": {
          "reference": "Patient/uhc-patient-987654321"
        },
        "billablePeriod": {
          "start": "2026-04-15",
          "end": "2026-04-15"
        },
        "total": [
          {
            "category": {
              "coding": [
                {
                  "code": "submitted"
                }
              ]
            },
            "amount": {
              "value": 150.0,
              "currency": "USD"
            }
          },
          {
            "category": {
              "coding": [
                {
                  "code": "benefit"
                }
              ]
            },
            "amount": {
              "value": 95.5,
              "currency": "USD"
            }
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    }
  ]
}

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