UnitedHealthcare · Example Payload

Provider Benefit Check Response Example

Health InsuranceHealthcareFHIRClaimsEligibility

Provider Benefit Check Response 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

coveredBenefitauthorizationRequiredreferralRequiredestimatedPatientResponsibilityestimatedPlanPaymentcostSharingDetails

Example Payload

Raw ↑ 
{
  "coveredBenefit": true,
  "authorizationRequired": false,
  "referralRequired": false,
  "estimatedPatientResponsibility": 30.0,
  "estimatedPlanPayment": 120.0,
  "costSharingDetails": {
    "copay": 30.0,
    "coinsurance": 0.0,
    "deductibleApplies": false
  }
}