Optum Claims & Billing MCP Server
Securely submit medical bills, track 837 EDI claims, and process UHG bank remittance advices.
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Optum Claims MCP Server: mira tu AI Agent en acción
Capacidades integradas (5)
opt_check_claim_status
Check if a submitted bill has been paid, denied, or is pending medical review
opt_get_remittance_advice
Downloads the Electronic Remittance Advice (835 ERA) detailing payment breakouts
opt_handle_denial_revision
Resubmits a corrected claim fixing coding errors to overturn a payer denial
opt_submit_institutional_claim
Submits an institutional medical bill (837I) for hospital stays and major facilities
opt_submit_professional_claim
Submits a professional medical bill (837P) for doctors and outpatient clinics
Lo que este conector desbloquea
What you can do
Take complete proxy control over your hospital Back-Office, accelerating financial throughput securely with Optum Healthcare APIs:
- Submit Medical Claims: Safely construct X12 837P (Professional) or 837I (Institutional) payloads dispatching bills directly to UnitedHealthcare for payment.
- Check Claim Sent Status: Automatically intercept Pended, Denied, or Approved medical bills utilizing the EDI 276/277 framework natively.
- Extract ERA Remittances: Reconcile your banking accounts effortlessly by downloading Electronic Remittance Advices (ERA 835) securely.
How it works
1. High Security & Compliance: Engineered entirely to handle Back-Office finances (Claims and Billing). This architecture deliberately excludes Patient Front-Desk actions protecting clinical workflows.
2. Engage OAuth Protocol: Insert substituting your financial CLIENT_ID securely within the runtime module to authorize payloads.
3. Deploy: Offload overwhelming billing disputes using AI.
Who is this for?
Specifically built for Hospital Billing Departments, FinTech Operators, and Medical Accounting Agencies.
Preguntas frecuentes
Dale a tus agentes de IA el poder de Optum Claims
Accede a Optum Claims y a más de 2.000 servidores MCP — listos para que tus agentes los usen, ahora mismo. Sin código pegamento. Sin integraciones personalizadas. Solo conecta el Vinkius AI Gateway y deja que tus agentes trabajen.
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