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Connect Optum Claims Billing to ChatGPT, Claude and Gemini

Set it up once and it works in ChatGPT, Claude, Cursor, and any other client you love. It all runs safely in the background, so you can relax and focus on what really matters. Automate hospital back-office financial workflows with your agent.

Ask AI about this Connector

Developed, maintained, and hosted by Vinkius.

MCP VERIFIED · PRODUCTION READY · VINKIUS GUARANTEED

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Works with modern AI clients that support MCP, including ChatGPT, Claude, Cursor, and more.

ChatGPTClaudeCursorPerplexityGeminiMicrosoft CopilotRaycastMeta AI

Your AI does the work. We keep it safe and sound.

No other AI tool gives you this. Your workflow runs in the client you already love, your account stays protected, and you decide what the agent can and cannot do. It is the whole reason to make the switch.

Each Connector lives inside our infrastructure, the same place where your workflow runs. The three things below are already part of it, working quietly in the background so you never have to think about them. Nothing to add, nothing to set up, nothing to worry about.

A futuristic MCP client docking bay
V8 Isolate01

Each Connector runs inside its own sealed environment.

Each Connector runs inside its own sealed V8 runtime — no access to your files, your system, or other servers. A Connector never sees past its own request.

Kill Switch02

One switch stops every agent. Instantly.

One action deactivates every Connector, revokes every token, and ends every session at once. AI Governance keeps the record.

FinOps per User03

Spending limits that pause instead of surprise.

Every user keeps their own connections and credentials, isolated from everyone else. Anything that would cross your spending limit is held for your approval, not billed.

Three controls, built into the layer your AI connects through.

Curated set · 5 capabilities

We ship only the actions that matter.

Capability set01 / 02

01-03

3 capabilities in this set.

Part of 5 available through Optum Claims.

  1. 01

    Opt get remittance advice

    This capability downloads 835 ERA files. It provides the specific payment breakouts needed for account reconciliation.

  2. 02

    Opt check claim status

    This capability queries the 276/277 framework. It tells you if a bill is paid, denied, or pending review.

  3. 03

    Opt handle denial revision

    This capability manages claim corrections. It resubmits fixed claims to overturn payer denials caused by coding errors.

Capability set02 / 02

04-05

2 capabilities in this set.

Part of 5 available through Optum Claims.

  1. 04

    Opt submit institutional claim

    This capability handles 837I payloads. It submits medical bills for hospital stays and large facilities.

  2. 05

    Opt submit professional claim

    This capability processes 837P payloads. It sends medical bills for doctors and outpatient clinics.

Real work

What teams actually run

01

Automated Claim Submission

An outpatient clinic uses the agent to send 837P bills immediately after a patient visit.

02

Denial Recovery

A billing department uses the agent to identify denied claims and resubmit them with corrected codes.

03

Payment Reconciliation

An accounting agency uses the agent to pull 835 files to match incoming payments to patient accounts.

04

Claim Monitoring

A hospital uses the agent to track the status of large institutional claims to predict cash flow.

Automate a task

Put Optum Claims to work on one thing.

Step-by-step automations your AI runs through this Connector: the workflow, the prompts to start with, and the exact capabilities behind each move.

One connector, every AI

Optum Claims works with the most popular AI clients.

These are the most popular clients, each with a step-by-step guide: one link, set up once, with governance and visibility built in. And because everything runs on the MCP standard, the same connection also works in any other compatible client — nothing to rebuild.

ClaudeClaudeChatGPTChatGPTGeminiGeminiPerplexityPerplexityGrokGrokMicrosoft CopilotMicrosoft CopilotCursorCursorVS CodeVS CodeWindsurfWindsurfJetBrainsJetBrainsClineClineLangChainLangChainVercel AI SDKVercel AI SDKLovableLovableZ.aiZ.aiRaycastRaycastQwen CodeQwen CodeKimi CodeKimi CodeLe ChatLe Chat

Building your own app? The connector is yours to use.

You don't need a client to put Optum Claims to work: the same hosted connection plugs into your own applications and agent code, with the same governance on every request. Build with it, chat with it — one connection for both.

Observed, not estimated

871ms average. Fast in production.

Optum Claims is checked daily against the live service.

Daily averagePeak 966ms
Oct 3Today
Fastest day
744ms
Slowest day
966ms
14-day trend
Stable+4%

Connect your client

One URL. Every client.

Activate the Connector, copy your link, and paste it into the client you already use. 5 capabilities arrive ready to run.

Preview access · not provider authentication

The vk_preview_* token belongs to Vinkius preview infrastructure. It lets Claude discover and display the capabilities of Optum Claims, so you can see the experience inside your AI.

It does not authenticate your account with Optum Claims. Actions requiring credentials or live account data may not run until you activate the Connector and authorize the service.

Optum Claims Connector

You're all set. Choose your MCP client and follow the setup instructions.

Connector linkhttps://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp

Claude Desktop

Follow the steps below to connect in seconds.

  1. 1In Claude Desktop, open Settings → Connectors.
  2. 2Click “Add custom connector” and paste the connector link above as the remote MCP server URL.
  3. 3Click Add and start a new chat — Optum Claims capabilities are ready to use.
Configuration · claude_desktop_config.jsonCopy
{
  "mcpServers": {
    "optum-claims-billing-mcp": {
      "url": "https://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp"
    }
  }
}
  • Claude
  • ChatGPT
  • Cursor
  • VS Code
  • Windsurf
  • Claude Code
  • JetBrains
  • Cline

Step-by-step instructions for each client are in the guide. How to connect

Guided setup for Claude? Set up Optum Claims in Claude and other AIs

See all the AI clients this connector works with ↑

Who it's for

Built for the work Optum Claims owners hand off.

This MCP is designed for organizations managing high-volume medical billing and healthcare financial data.

  • 01

    Hospital Billing Departments

    Staff who hand off claim submission and status tracking to their agent.

  • 02

    Medical Accounting Agencies

    Users who use the agent to reconcile ERA remittances and manage denials.

  • 03

    FinTech Operators

    Developers building automated financial capabilities for the healthcare sector.

FAQ

Questions Optum Claims owners ask.

  • 01

    What kind of medical claims can this MCP submit?

    It supports both 837P professional claims for doctors and 837I institutional claims for hospitals.

  • 02

    How does the MCP handle claim denials?

    The agent can check the status of a denied claim and use the revision capability to resubmit a corrected version.

  • 03

    Is this MCP secure for financial data?

    Yes, it uses OAuth protocol and is specifically engineered for back-office financial tasks, excluding clinical front-desk actions.

  • 04

    Can I use this with Claude or Cursor?

    Yes, you can connect this MCP to any MCP-compatible client including Claude, Cursor, and Windsurf.

  • 05

    What is an ERA 835?

    An ERA 835 is an Electronic Remittance Advice that provides a detailed breakdown of payments for reconciliation.

  • 06

    Can this Optum Server check a patient's insurance card status?

    No. In adherence to US Healthcare segregation architecture (Least Privilege), Claims processing is totally decoupled from Eligibility. For front-desk validations, install the optum-eligibility-mcp array safely.

  • 07

    Is this system capable of sending secondary claims crossing over from Medicare?

    Yes. The X12 837 payload infrastructure fully supports coordination of benefits (COB) logic required to submit clean secondary claims dynamically.

  • 08

    How fast are ERA (835) remittances processed by the engine?

    ERAs are fetched in real-time as they become available on Optum Clearinghouse networks, expediting auto-posting to your financial ledgers.

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