Introducing

Stedi Healthcare

Stedi Healthcare

Stedi Healthcare

The only API-first clearinghouse for claims and real-time eligibility checks, powered by the Stedi EDI platform.

The only API-first clearinghouse for claims and real-time eligibility checks, powered by the Stedi EDI platform.

The only API-first clearinghouse for claims and real-time eligibility checks, powered by the Stedi EDI platform.

Eligibility Check API

Eligibility Check API

Eligibility Check API

Check patient eligibility with a single endpoint.

checkEligibility.js

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

fetch(
  "https://core.us.stedi.com/2023-08-01/change/medicalnetwork/eligibility/v3",
  {
    controlNumber: "123456789",
    tradingPartnerServiceId: "CIGNA",
    provider: { organizationName: "Doctors LLC", npi: "7921017274" },
    subscriber: {
      firstName: "John",
      lastName: "Doe",
      dateOfBirth: "19870521",
      memberId: "0000000000",
    },
    encounter: {
      dateOfService: "20240322",
      serviceTypeCodes: ["30"],
    },
  }
).then((response) => response.json())

Claims API

Claims API

Claims API

Create and submit claims for reimbursement from payers

submitClaim.js

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

fetch(
  "https://core.us.stedi.com/2023-08-01/change/medicalnetwork/professionalclaims/v3/submission",
  {
    controlNumber: "123456789",
    tradingPartnerServiceId: "6400",
    submitter: {
      organizationName: "Doctors LLC",
      contactInformation: { name: "Doctors LLC", phoneNumber: "5552221212" },
    },
    receiver: {},
    subscriber: {},
    providers: [],
    claimInformation: {
      serviceLines: [{}]
    },
  }
).then((response) => response.json());

Claims Status

Check the status of an existing claim, in real time

Coming soon

getClaimStatus.js

1

2

3

4

5

6

7

8

10

11

12

13

14

15

16

17

18

19

20

fetch(
  "https://core.us.stedi.com/2023-08-01/change/medicalnetwork/claimstatus/v2",
  {
    controlNumber: "000000001",
    tradingPartnerServiceId: "UHC",
    providers: [{ organizationName: "Doctors LLC", npi: "7921017274", providerType: "BillingProvider" }],
    subscriber: {
      memberId: "0000000000",
      firstName: "Jane",
      lastName: "Doe",
      dateOfBirth: "19891002",
    },
    encounter: {
      beginningDateOfService: "20240322",
      endDateOfService: "20240322",
      trackingNumber: "ABCD",
    },
  }
).then((response) => response.json());

Secure & reliable.

HIPAA-eligible

Process healthcare data with confidence.

SOC II compliant

We're SOC 2 type 1 and 2 compliant. Access reports and learn more at trust.stedi.com.

99.9% uptime

Critical infrastructure for critical services. Read our SLAs, or view our status page.

Multi-region support

We route traffic to multiple cloud regions to avoid single points of failure.

Multi-factor authentication

Ensure that only authenticated users can access critical APIs and data.

Role-based access

Let operational staff view data and redrive transactions without risking config changes.

FAQs

Why should I use Stedi’s APIs over using another provider or clearinghouse?

What payers are supported?

Can you accept payer IDs in the Change Healthcare (CHC) format?

Do you support other CHC and PokitDok APIs and X12 EDI transaction types?

How does Stedi keep data secure?

Why should I use Stedi’s APIs over using another provider or clearinghouse?

What payers are supported?

Can you accept payer IDs in the Change Healthcare (CHC) format?

Do you support other CHC and PokitDok APIs and X12 EDI transaction types?

How does Stedi keep data secure?

Why should I use Stedi’s APIs over using another provider or clearinghouse?

What payers are supported?

Can you accept payer IDs in the Change Healthcare (CHC) format?

Do you support other CHC and PokitDok APIs and X12 EDI transaction types?

How does Stedi keep data secure?

BLOG POST

Stedi's drop-in replacements for critical Change Healthcare APIs

The prolonged Change Healthcare outage due to a cyberattack...

Get started

Contact us for a demo and a sandbox account to try out. Evaluate Stedi for free for as long as you need.

BLOG POST

Stedi's drop-in replacements for critical Change Healthcare APIs

The prolonged Change Healthcare outage due to a cyberattack...

Get started

Contact us for a demo and a sandbox account to try out. Evaluate Stedi for free for as long as you need.

BLOG POST

Stedi's drop-in replacements for critical Change Healthcare APIs

The prolonged Change Healthcare outage due to a cyberattack...

Get started

Contact us for a demo and a sandbox account to try out. Evaluate Stedi for free for as long as you need.

Backed by

228 Park Ave S, PMB 58460, New York, NY 10003, USA

Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Backed by

228 Park Ave S, PMB 58460, New York, NY 10003, USA

Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Backed by

228 Park Ave S, PMB 58460, New York, NY 10003, USA

Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.