Optum Claims & Billing Connector for AI agents.
5 live capabilities
Manage medical billing claims and ERA remittances with your AI agent.
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Why people use Optum Claims & Billing
Optum Claims & Billing for Fixing Medical Claim Denials
This Connector lets your agent handle the heavy lifting. It can take a denied claim, identify the error, and use opt_handle_denial_revision to push the correction back to the payer. You get your time back.
What Vinkius changes
You get a way to let your AI handle the tedious paperwork of medical billing and financial tracking.
Use it from Claude, ChatGPT, Cursor or another AI client you already have.
One account · 5,900+ Connectors
- Real-world use case 01
Checking high-volume claim statuses
A billing clerk sees a high volume of Pended claims.
- Real-world use case 02
Automating bank reconciliation
An accountant needs to reconcile the bank.
- Real-world use case 03
Overturning claim denials
A clinic gets a denial for a coding error.
Complete set · 5capabilities
The complete Optum Claims & Billing capability set.
These are the exact actions your AI can choose when you ask it to work with Optum Claims & Billing.
01—03
3 capabilities in this set.
Part of 5 available through Optum Claims & Billing.
- 01 Capability
Opt check claim status
Check if a submitted bill has been paid, denied, or is pending medical review. This gives you real-time updates without manual portal checks.
- 02 Capability
Opt get remittance advice
Downloads the Electronic Remittance Advice (835 ERA) detailing payment breakouts. Use this to quickly reconcile your bank accounts.
- 03 Capability
Opt handle denial revision
Resubmits a corrected claim fixing coding errors to overturn a payer denial. This helps you recover lost revenue by fixing mistakes automatically.
04—05
2 capabilities in this set.
Part of 5 available through Optum Claims & Billing.
- 04 Capability
Opt submit institutional claim
Submits an institutional medical bill (837I) for hospital stays and major facilities. This handles the heavy billing requirements for large centers.
- 05 Capability
Opt submit professional claim
Submits a professional medical bill (837P) for doctors and outpatient clinics. This streamlines the billing process for smaller practices.
Set up in minutes
One URL. Then ask Optum Claims & Billing to work.
Claude and ChatGPT only need the Connector URL. Copy it once, add it in settings, and use Optum Claims & Billing from the conversation.
Choose your client
Live previewAdvanced clients IDE · CLI
Claude · Web + desktop
Connector URL · ready to paste
Streamable HTTPhttps://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp - Step 01
Open Connectors
In Claude Web or Claude Desktop, open Settings and choose Connectors.
- Step 02
Add the URL
Choose Add custom connector, name it Optum Claims & Billing, and paste the URL above.
- Step 03
Turn it on in chat
Select +, open Connectors, and enable Optum Claims & Billing for the conversation.
ChatGPT · Web + desktop
Connector URL · ready to paste
Streamable HTTPhttps://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp - Step 01
Open MCP settings
On desktop, open Settings and MCP servers. On web, open your workspace app or connector settings.
- Step 02
Add the URL
Choose Add server with Streamable HTTP, or create a custom MCP app, then paste the Optum Claims & Billing URL.
- Step 03
Save and start
Save the connection and enable Optum Claims & Billing in your conversation. Desktop may ask you to restart once.
Cursor · IDE configuration
Advanced setup
{
"mcpServers": {
"optum-claims-billing": {
"url": "https://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp"
}
}
}- Step 01
Open MCP Settings
Press Cmd+Shift+P (macOS) or Ctrl+Shift+P (Windows/Linux) → search "MCP Settings"
- Step 02
Add the server config
Paste the JSON configuration above into the mcp.json file that opens
- Step 03
Save the file
Cursor will automatically detect the new Connector
- Step 04
Start using Optum Claims & Billing
Open Agent mode in chat and ask: "Using Optum Claims & Billing, help me...". 5 tools available
VS Code Copilot · IDE configuration
Advanced setup
{
"mcpServers": {
"optum-claims-billing": {
"url": "https://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp"
}
}
}- Step 01
Create MCP config
Create a .vscode/mcp.json file in your project root
- Step 02
Add the server config
Paste the JSON configuration above
- Step 03
Enable Agent mode
Open GitHub Copilot Chat and switch to Agent mode using the dropdown
- Step 04
Start using Optum Claims & Billing
Ask Copilot: "Using Optum Claims & Billing, help me...". 5 tools available
Windsurf · IDE configuration
Advanced setup
{
"mcpServers": {
"optum-claims-billing": {
"url": "https://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp"
}
}
}- Step 01
Open MCP Settings
Go to Settings → MCP Configuration or press Cmd+Shift+P and search "MCP"
- Step 02
Add the server
Paste the JSON configuration above into mcp_config.json
- Step 03
Save and reload
Windsurf will detect the new server automatically
- Step 04
Start using Optum Claims & Billing
Open Cascade and ask: "Using Optum Claims & Billing, help me...". 5 tools available
Cline · IDE configuration
Advanced setup
{
"mcpServers": {
"optum-claims-billing": {
"url": "https://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp"
}
}
}- Step 01
Open Cline MCP Settings
Click the Connectors icon in the Cline sidebar panel
- Step 02
Add remote server
Click "Add Connector" and paste the configuration above
- Step 03
Enable the server
Toggle the server switch to ON
- Step 04
Start using Optum Claims & Billing
Ask Cline: "Using Optum Claims & Billing, help me...". 5 tools available
Claude Code · Terminal command
Advanced setup
claude mcp add optum-claims-billing --transport http "https://edge.vinkius.com/vk_preview_e4xPqwMzSwiBQ7KWDfZCZMaVrl034AScFZetyfpc/mcp"- Step 01
Install Claude Code
Run npm install -g @anthropic-ai/claude-code if not already installed
- Step 02
Add the Connector
Run the command above in your terminal
- Step 03
Verify the connection
Run claude mcp to list connected servers, or type /mcp inside a session
- Step 04
Start using Optum Claims & Billing
Ask Claude: "Using Optum Claims & Billing, show me...". 5 tools are ready
Where the request belongs
Work Optum Claims can move forward.
Hospital billing managers drowning in paper claims, FinTech operators building healthcare payment rails, and medical accounting agencies that need to automate bank reconciliations.
Billing Coordinator
Uses the Connector to check dozens of claim statuses in seconds instead of calling payers.
Medical Accountant
Pulls 835 ERA remittances to match bank deposits with hospital bills automatically.
FinTech Developer
Integrates these capabilities to build automated payment tracking for healthcare providers.
Build the capability set
Add more capabilities.
Each Connector adds new actions and data without changing how you work.
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Spendesk
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Guidewire ClaimCenter
Manage insurance claims via ClaimCenter. track claim status, monitor exposures, and manage activities directly from any AI agent.
DrChrono
Manage healthcare workflows via DrChrono. handle patient records, schedule appointments, and access clinical notes directly from your AI agent.
Bring your own AI
Change the model, client or framework. Keep Optum Claims connected.
-
Claude -
ChatGPT -
Gemini -
Cursor -
VS Code -
Windsurf -
ZCode -
Cline -
Zed -
Continue -
Kiro -
Roo Code -
Zencoder -
Goose -
Void -
Augment Code -
Amp -
Qodo -
Tabnine -
Pieces -
Sourcegraph Cody -
JetBrains -
Warp -
Amazon Q -
Antigravity -
BoltAI -
Raycast -
Jan -
LM Studio -
AnythingLLM -
Open WebUI -
Msty -
Cherry Studio -
LibreChat -
TypingMind -
Chorus -
5ire -
n8n -
LangChain -
LlamaIndex -
CrewAI -
Vercel AI SDK
Before you connect
Questions about Optum Claims.
The practical details behind the request, access and result.
What medical claims can the Optum Claims & Billing MCP handle?
It supports both 837P for professional services and 837I for institutional hospital stays.
Can this Connector help me with UnitedHealthcare billing?
Yes, it is specifically designed to interact with UnitedHealthcare for claim submission and status tracking.
How does the Optum Claims & Billing MCP handle claim denials?
It uses the opt_handle_denial_revision capability to resubmit corrected claims that were previously rejected.
Can I use this for my clinic's front-desk scheduling?
No, this is a back-office capability for billing and finance. It does not handle clinical workflows like scheduling or patient check-ins.
Does the Optum Claims & Billing MCP support ERA remittance advice?
Yes, it can download 835 ERA files to help you reconcile payments with your bank records.
Is it safe to use this for hospital financial data?
The Connector uses the OAuth protocol to ensure your financial credentials and payloads stay secure.
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.
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.
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.
One connection away
Give your agent a direct line to Optum Claims.
Connect Optum Claims once. Keep it beside 5,900+ managed Connectors when the next task needs more.
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