UnitedHealthcare · JSON Structure

Provider Claim Inquiry Request Structure

Request for claim status inquiry

Type: object Properties: 0
Health InsuranceHealthcareFHIRClaimsEligibility

UnitedHealthcare Claim Inquiry Request is a JSON Structure definition published by UnitedHealthcare. It conforms to the https://json-structure.org/meta/core/v0/# meta-schema.

Meta-schema: https://json-structure.org/meta/core/v0/#

JSON Structure

Raw ↑ 
{
  "$schema": "https://json-structure.org/meta/core/v0/#",
  "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealthcare/refs/heads/main/json-structure/provider-claim-inquiry-request-structure.json",
  "name": "UnitedHealthcare Claim Inquiry Request",
  "type": "object",
  "description": "Request for claim status inquiry",
  "fields": [
    {
      "name": "claimNumber",
      "type": "string",
      "description": "UHC claim number"
    },
    {
      "name": "npi",
      "type": "string",
      "description": "Provider NPI"
    },
    {
      "name": "memberId",
      "type": "string",
      "description": "Member ID"
    },
    {
      "name": "dateOfServiceFrom",
      "type": "date",
      "description": "Service date range start"
    },
    {
      "name": "dateOfServiceTo",
      "type": "date",
      "description": "Service date range end"
    }
  ]
}