UnitedHealthcare · Schema

UnitedHealthcare Claim Inquiry Response

Claim status inquiry response with payment details

Health InsuranceHealthcareFHIRClaimsEligibility

Properties

Name Type Description
claimNumber string UHC claim number
claimStatus string Claim status
serviceDate string Date of service
billedAmount number Total billed charges
allowedAmount number Allowed amount
paidAmount number Amount paid
patientResponsibility number Patient responsibility
paymentDate string Payment date
checkNumber string Check or EFT trace number
denialReasonCode string Denial reason code
denialReasonDescription string Denial reason description
View JSON Schema on GitHub

JSON Schema

provider-claim-inquiry-response-schema.json Raw ↑
{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealthcare/refs/heads/main/json-schema/provider-claim-inquiry-response-schema.json",
  "title": "UnitedHealthcare Claim Inquiry Response",
  "description": "Claim status inquiry response with payment details",
  "type": "object",
  "properties": {
    "claimNumber": {
      "type": "string",
      "description": "UHC claim number"
    },
    "claimStatus": {
      "type": "string",
      "enum": [
        "RECEIVED",
        "IN_PROCESS",
        "PROCESSED",
        "DENIED",
        "ADJUSTED",
        "REVERSED"
      ],
      "description": "Claim status"
    },
    "serviceDate": {
      "type": "string",
      "format": "date",
      "description": "Date of service"
    },
    "billedAmount": {
      "type": "number",
      "description": "Total billed charges"
    },
    "allowedAmount": {
      "type": "number",
      "description": "Allowed amount"
    },
    "paidAmount": {
      "type": "number",
      "description": "Amount paid"
    },
    "patientResponsibility": {
      "type": "number",
      "description": "Patient responsibility"
    },
    "paymentDate": {
      "type": "string",
      "format": "date",
      "description": "Payment date"
    },
    "checkNumber": {
      "type": "string",
      "description": "Check or EFT trace number"
    },
    "denialReasonCode": {
      "type": "string",
      "description": "Denial reason code"
    },
    "denialReasonDescription": {
      "type": "string",
      "description": "Denial reason description"
    }
  }
}

Work with this as data

Every JSON Schema here is available over the APIs.io API and to AI agents over MCP.

MCP server

One button, every client — Claude, Cursor, VS Code and the rest.

https://apis.io/mcp

Tools for schemas

4 MCP tools reach this
  • find_json_schemasBrowse and filter every JSON Schema in the catalog.
  • apis_io_searchSTART HERE — APIs, providers and tags for one query, each with its total.
  • resolveTurn a domain, URL or GitHub org into the provider it belongs to.
  • find_cohortsEvery scored population of providers in the catalog.
All 92 tools

Call it yourself

curl for this page
This JSON Schema
curl "https://apis.io/api/v1/json-schemas/provider-claim-inquiry-response"
All schemas
curl "https://apis.io/api/v1/json-schemas?limit=25"

Discovery needs no key. Ratings and market analysis are Pro.

Get an API key

Free tier, no email required.

A second provider on the same verified email joins the account you already have.