For AI agents and agentic workflows
The only healthcare clearinghouse built for AI agents
Legacy clearinghouses aren’t designed for software or AI. Many of their features aren’t available over an API, so agents can’t use them.
Stedi is the only headless clearinghouse. Virtually every feature is available over our API. Your agents can run eligibility, claims, and remits from start to finish.
- JSON APIs for eligibility, claims, ERAs, transaction enrollment, and more
- TypeScript and Python SDKs built for Claude Code and Codex
- MCP server for building custom agents that run eligibility checks
- Test mode lets coding agents run mock eligibility checks and claims
APIs for every transaction
APIs for eligibility, claims, ERAs, transaction enrollment, and more
Your AI agents can use our API to check coverage, submit claims, track each claim to payment, and enroll providers – without a portal or a phone call.
Build agents, apps, internal tools, or scripts on Stedi to automate your RCM workflows.
Eligibility checks
Use our Real-Time Eligibility Check API to get coverage and benefits in 1-3 seconds, without payer portals or phone calls. Send up to 10,000 checks in one batch API call.
Insurance discovery
Find active coverage from a patient’s name, date of birth, state, and ZIP code with our Insurance Discovery API. Stedi insurance discovery finds active coverage for 3-4x more accounts than legacy vendors.
Claims and remits
Submit electronic and paper claims to thousands of payers. Our CMS-1500 API mirrors the paper form box for box, so agents already know the fields. Get ERAs automatically through webhooks.
Real-time claim status
Check any claim’s status in seconds with our Real-Time Claim Status API. Stedi sends the request to the payer and returns the response in the same call. Agents can check a claim’s status before they call the payer.
Claim lifecycle tracking
Stedi matches each acknowledgment and ERA to its claim, including resubmissions, so nobody matches patient control numbers by hand. The Claims Lifecycle API returns each claim’s status, paid amounts, and full history.
Transaction enrollment
Enroll every provider for ERAs and other transactions with our Enrollments API. For the 1,500+ payers that support one-click enrollment, you submit the request and Stedi does the rest.
Real-time support
APIs for agents.
Support for humans.
Every customer gets a dedicated Slack or Microsoft Teams channel, plus email support. Our average response time is under 10 minutes during business hours.
We don’t use chatbots or AI agents to answer support requests. Every response comes from a real human.
Read why we do support that doesn’t scaleBuild with AI
Tools for building agentic workflows
Build agents on our APIs, connect them through our MCP server, or let Stedi Agent work in the Stedi portal for your team.
MCP server
Connect your agents to Stedi in minutes. The Stedi MCP server gives agents eligibility checks and payer search, with built-in guidance for common errors. It works with Claude, ChatGPT, and other AI platforms.
SDKs
Install the Stedi SDKs for TypeScript and Python from npm and PyPI. They’re generated from Stedi’s own API models, so they stay in sync with our APIs. Coding agents write more reliable integrations with them.
AI-ready docs
Point Claude Code, Codex, or Cursor at our docs. Every page is available as Markdown. We also publish llms.txt, llms-full.txt, and OpenAPI specs for every API.
Test mode
Use a test API key to run mock eligibility checks and claims, with test acknowledgments and ERAs. You don’t need PHI.
Event destinations
Get real-time events when an ERA arrives or a transaction enrollment goes live. Stedi signs every event and retries failed deliveries. Your agents can act on changes without polling.
Stedi Agent
Stedi Agent is the Stedi portal’s built-in AI assistant. It recovers failed eligibility checks and finds missing coverage with Agentic Discovery. It also reads payer IDs from photos of member ID cards.
How it works
It’s easy and free to get started.
Create a free sandbox account.
It takes less than two minutes to sign up. No credit card is required. You get test API keys right away.
Build with your coding agent.
Point Claude Code, Codex, or Cursor at our AI-ready docs, SDKs, and OpenAPI specs. Test mode lets the agent run mock eligibility checks with no real patient data.
Go live on pay-as-you-go.
Upgrade to production when you’re ready. There are no monthly minimums or setup fees. You only pay for the transactions you use. See our pricing.
Who’s already on Stedi
Stedi is the country’s fastest-growing clearinghouse.
Substrate’s claim status agents use Stedi’s APIs to check claims in seconds. Their claim status success rate went from around 20% to over 60%.
Read the case study
CombineHealth’s AI agents have an 85% claim automation rate, with 64% fewer denials overall.
Read the case study
EliseAI’s voice agents verify insurance on Stedi while the patient is on the phone. 99% of checks return a response before the call ends.
Read the case study
For more case studies and quotes, see our Customers page.
For other Stedi customers, see our Platform Partners directory.
Why AI companies build on Stedi
Enterprise coverage, uptime, and security.
Payer coverage
Stedi connects to virtually every U.S. healthcare payer – 3,500+, including Medicare and state Medicaid payers.
Uptime
Stedi runs entirely on AWS’s cloud-based, multi-region infrastructure. We have a 99.9% uptime SLA.
Industry-leading security
HITRUST r2 certified, SOC 2 Type II compliant, and HIPAA compliant. Every account includes multi-factor authentication (MFA) and role-based access controls.
For migration details, see our Switch to Stedi guide.
For transaction rates, see our Pricing page – or contact us for custom pricing.
Let’s talk.
Tell us what your agents do and the volumes you expect. We’ll show you how Stedi fits.
“Stedi gives us everything we need to build the comprehensive agentic billing workflows we want to deliver to our partners.”
– Ishan BalakrishnanCo-founder of Cair Health