UnitedHealthcare · Example Payload

Provider Claim Inquiry Response Example

Health InsuranceHealthcareFHIRClaimsEligibility

Provider Claim Inquiry Response Example is an example object payload from UnitedHealthcare, with 11 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

claimNumberclaimStatusserviceDatebilledAmountallowedAmountpaidAmountpatientResponsibilitypaymentDatecheckNumberdenialReasonCodedenialReasonDescription

Example Payload

Raw ↑ 
{
  "claimNumber": "CLM-2026-001234",
  "claimStatus": "PROCESSED",
  "serviceDate": "2026-04-15",
  "billedAmount": 150.0,
  "allowedAmount": 125.5,
  "paidAmount": 95.5,
  "patientResponsibility": 30.0,
  "paymentDate": "2026-04-28",
  "checkNumber": "EFT-20260428-00123",
  "denialReasonCode": null,
  "denialReasonDescription": null
}