UnitedHealthcare · Schema

UnitedHealthcare Claim Inquiry Request

Request for claim status inquiry

Health InsuranceHealthcareFHIRClaimsEligibility

Properties

Name Type Description
claimNumber string UHC claim number
npi string Provider NPI
memberId string Member ID
dateOfServiceFrom string Service date range start
dateOfServiceTo string Service date range end
View JSON Schema on GitHub

JSON Schema

provider-claim-inquiry-request-schema.json Raw ↑
{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealthcare/refs/heads/main/json-schema/provider-claim-inquiry-request-schema.json",
  "title": "UnitedHealthcare Claim Inquiry Request",
  "description": "Request for claim status inquiry",
  "type": "object",
  "properties": {
    "claimNumber": {
      "type": "string",
      "description": "UHC claim number"
    },
    "npi": {
      "type": "string",
      "description": "Provider NPI"
    },
    "memberId": {
      "type": "string",
      "description": "Member ID"
    },
    "dateOfServiceFrom": {
      "type": "string",
      "format": "date",
      "description": "Service date range start"
    },
    "dateOfServiceTo": {
      "type": "string",
      "format": "date",
      "description": "Service date range end"
    }
  }
}