Optum EligibilityをChatGPT、Claude、Geminiに接続

• 01 / 03費用を算出する
• 02 / 03事前承認の確認方法
• 03 / 03保険の確認方法

最速日

697ms

最遅日

1026ms

14日間の傾向

遅延傾向+11%

Optum Eligibility Connector

準備完了です。MCPクライアントを選択し、セットアップ手順に従ってください。

コネクタリンクhttps://edge.vinkius.com/vk_preview_WsUZxAOLzbTCsiYdB8nApOBV8aBRy8zhlYZscTLa/mcpコピー

Claude Desktop

以下の手順で数秒で接続できます。

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 Eligibility capabilities are ready to use.

設定 · claude_desktop_config.jsonコピー

{
  "mcpServers": {
    "optum-eligibility-mcp": {
      "url": "https://edge.vinkius.com/vk_preview_WsUZxAOLzbTCsiYdB8nApOBV8aBRy8zhlYZscTLa/mcp"
    }
  }
}

• Claude
• ChatGPT
• Cursor
• VS Code
• Windsurf
• Claude Code
• JetBrains
• Cline

各クライアントの手順ガイドはこちらです。 接続方法

Claude向けのガイド付きセットアップ？ Optum EligibilityをClaudeや他のAIに設定する

このConnectorが対応するすべてのAIクライアントを見る ↑

• 01

  病院受付スタッフ

  患者の来院時に、保険の有効性を即座に確認して受付をスムーズに進めたい方。

• 02

  クリニックマネージャー

  保険確認のワークフローを自動化し、事務コストの削減と請求漏れ防止を目指す管理職。

• 03

  ヘルスケアITインテグレーター

  既存の医療システムに、Optumの強力なAPI機能を統合したい技術者。

• 01

  Is this MCP HIPAA compliant?

  The MCP is engineered for front-desk operations, handling only PHI demographics and status. It is designed to exclude financial or claim mutations to maintain security.

• 02

  How do I set up my credentials?

  You use the OAuth protocol to authorize your institutional CLIENT_ID within the runtime module.

• 03

  Can I use this with Claude or Cursor?

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

• 04

  Does this capability allow me to change insurance claims?

  No, the architecture is strictly for reading demographics and status. It does not allow for financial or claim mutations.

• 05

  What kind of insurance data can I get?

  You can get active coverage status, deductible amounts, out-of-pocket maximums, and provider network information.

• 06

  Can this Optum Server submit medical claims or process remittances automatically?

  Absolutely strictly not. Per rigorous Least Privilege modeling common to US Healthcare operations, Front-Desk tasks (Eligibility) are decoupled natively from Back-Office operations. For submitting medical claims, integrate the optum-claims-mcp array safely.

• 07

  How does the agent handle HIPAA compliance for patient data?

  The MCP server transmits data directly via secure Optum APIs over TLS. No PHI (Protected Health Information) is cached locally, ensuring full compliance with HIPAA regulations.

• 08

  Can I check out-of-network benefits?

  Yes. The eligibility payload returns detailed tiered benefits including deductibles and coinsurance for out-of-network services based on the specific policy details.

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