UnitedHealthcare Claim Inquiry Request

Request for claim status inquiry

Health InsuranceHealthcareFHIRClaimsEligibility

Properties

Name	Type	Description
claimNumber	string	UHC claim number
npi	string	Provider NPI
memberId	string	Member ID
dateOfServiceFrom	string	Service date range start
dateOfServiceTo	string	Service date range end

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealthcare/refs/heads/main/json-schema/provider-claim-inquiry-request-schema.json",
  "title": "UnitedHealthcare Claim Inquiry Request",
  "description": "Request for claim status inquiry",
  "type": "object",
  "properties": {
    "claimNumber": {
      "type": "string",
      "description": "UHC claim number"
    },
    "npi": {
      "type": "string",
      "description": "Provider NPI"
    },
    "memberId": {
      "type": "string",
      "description": "Member ID"
    },
    "dateOfServiceFrom": {
      "type": "string",
      "format": "date",
      "description": "Service date range start"
    },
    "dateOfServiceTo": {
      "type": "string",
      "format": "date",
      "description": "Service date range end"
    }
  }
}

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