Use Optum Claims with your AI.
Connect your account once and let the AI you already use work with it, without building another integration. Securely submit medical bills, track 837 EDI claims, and process UHG bank remittance advices.
Developed, maintained, and hosted by Vinkius.
MCP VERIFIED · PRODUCTION READY · VINKIUS GUARANTEED
Waiting for input…
Works with modern AI clients that support MCP, including ChatGPT, Claude, Cursor, and more.
Complete set · 5 capabilities
The complete Optum Claims capability set.
These are the exact actions your AI can choose when you ask it to work with Optum Claims.
01-03
3 capabilities in this set.
Part of 5 available through Optum Claims.
- 01
Opt get remittance advice
Downloads the Electronic Remittance Advice (835 ERA) detailing payment breakouts
- 02
Opt check claim status
Check if a submitted bill has been paid, denied, or is pending medical review
- 03
Opt handle denial revision
Resubmits a corrected claim fixing coding errors to overturn a payer denial
04-05
2 capabilities in this set.
Part of 5 available through Optum Claims.
- 04
Opt submit institutional claim
Submits an institutional medical bill (837I) for hospital stays and major facilities
- 05
Opt submit professional claim
Submits a professional medical bill (837P) for doctors and outpatient clinics
Observed, not estimated
910ms average. Fast in production.
Optum Claims is checked daily against the live service.
- Fastest day
- 798ms
- Slowest day
- 1074ms
- 14-day trend
- Improving-26%
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.
https://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcpClaude Desktop
Follow the steps below to connect in seconds.
- 1In Claude Desktop, open Settings → Connectors.
- 2Click “Add custom connector” and paste the connector link above as the remote MCP server URL.
- 3Click Add and start a new chat — Optum Claims capabilities are ready to use.
{
"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
FAQ
Questions Optum Claims owners ask.
- 01
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.
- 02
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.
- 03
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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