UnitedHealthcare · Schema

UnitedHealthcare Claim Pre-Check Response

Claim pre-check validation result with errors and estimated payment

Health InsuranceHealthcareFHIRClaimsEligibility

Properties

Name Type Description
validationStatus string Validation status
errors array Validation errors
warnings array Validation warnings
estimatedPayment number Estimated payment if valid
View JSON Schema on GitHub

JSON Schema

provider-claim-pre-check-response-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-pre-check-response-schema.json",
  "title": "UnitedHealthcare Claim Pre-Check Response",
  "description": "Claim pre-check validation result with errors and estimated payment",
  "type": "object",
  "properties": {
    "validationStatus": {
      "type": "string",
      "enum": [
        "VALID",
        "ERRORS",
        "WARNINGS"
      ],
      "description": "Validation status"
    },
    "errors": {
      "type": "array",
      "description": "Validation errors",
      "items": {
        "type": "object",
        "properties": {
          "code": {
            "type": "string"
          },
          "message": {
            "type": "string"
          }
        }
      }
    },
    "warnings": {
      "type": "array",
      "description": "Validation warnings",
      "items": {
        "type": "object",
        "properties": {
          "code": {
            "type": "string"
          },
          "message": {
            "type": "string"
          }
        }
      }
    },
    "estimatedPayment": {
      "type": "number",
      "description": "Estimated payment if valid"
    }
  }
}