Introducing the Stedi Agent

Now available in Stedi's Eligibility Manager, the Stedi Agent brings AI-powered automation to healthcare clearinghouse workflows, beginning with eligibility check recovery.

Most failed eligibility checks are recoverable. Common causes include mismatched patient details, an incorrect payer ID, or a temporary outage on the payer’s side. In most cases, these errors have clear, automatable recovery steps.

Now, the Stedi Agent can run those steps for you.

In Eligibility Manager, each eligibility check and any related retries are grouped under a search. If a check fails with a known recoverable error, a Resolve with Stedi Agent option appears next to the related search. The agent runs in Debug view, where you can watch it work – step by step, in real time.

How it works

The Resolve with Stedi Agent option only appears where the agent can currently help. We’re starting with the most common errors and expanding coverage based on what works in practice.

When you start the agent, it examines the eligibility search’s failed checks and works through recovery strategies based on the error type. For example, for mismatched patient details, it might try different combinations of patient data or adjust name formats.

The agent can make API calls to the Real-Time Eligibility Check JSON and Search Payers endpoints.  

Each check it runs is added to the same eligibility search and appears in real time in the Debug view. The agent only uses data from the eligibility search it's running on.

Security

The Stedi Agent is hosted on Stedi's HIPAA-compliant infrastructure, which runs completely on AWS. The agent uses Stedi's existing security model, including role-based access control (RBAC) and support for multi-factor authentication (MFA). You must have the Operator role or above to use the agent.

The agent only accesses data from the eligibility search it's working on. It can’t access data from other searches, customers, or systems.

Pricing

The Stedi Agent is available on all Stedi accounts at no additional cost beyond those for additional eligibility checks.

As with our APIs, there’s no charge for non-billable requests. See Billing for eligibility checks.

Try it out

The Stedi Agent is available now. Look for the Resolve with Stedi Agent option next to failed eligibility checks.

If you’re not a Stedi customer, request a trial. Most teams are up and running in less than a day.