UnitedHealthcare · JSON Structure

Provider Claim Pre Check Response Structure

Claim pre-check validation result with errors and estimated payment

Type: object Properties: 0
Health InsuranceHealthcareFHIRClaimsEligibility

UnitedHealthcare Claim Pre-Check Response 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-pre-check-response-structure.json",
  "name": "UnitedHealthcare Claim Pre-Check Response",
  "type": "object",
  "description": "Claim pre-check validation result with errors and estimated payment",
  "fields": [
    {
      "name": "validationStatus",
      "type": "string",
      "description": "Validation status",
      "enum": [
        "VALID",
        "ERRORS",
        "WARNINGS"
      ]
    },
    {
      "name": "errors",
      "type": "array",
      "description": "Validation errors",
      "items": {
        "type": "object"
      }
    },
    {
      "name": "warnings",
      "type": "array",
      "description": "Validation warnings",
      "items": {
        "type": "object"
      }
    },
    {
      "name": "estimatedPayment",
      "type": "decimal",
      "description": "Estimated payment if valid"
    }
  ]
}