Paper claims now support dental claims, attachments, and delivery tracking

We're releasing several major improvements that introduce first-class support for paper claim submissions. You can now:

• Submit dental claims (ADA dental claim form) as paper claims.
• Send 275 claim attachments with paper claims.
• Track a paper claim's print status in the Stedi portal's claims view.
• View a PDF proof of the printed claim package in the Stedi portal.

You'll also receive electronic 277CA claim acknowledgments when a paper claim is mailed or when address validation fails.

With paper claims, Stedi prints and mails the claim to any payer for you. You submit them through the same Stedi APIs, SFTP, and Stedi portal UIs you use for electronic claims.

Previously, paper claims covered only professional (CMS-1500) and institutional (UB-04) claims. Attachments weren't supported. You got one 277CA claim acknowledgment when Stedi forwarded the claim for printing. Nothing told you whether the claim reached the mail.

Now you can follow a paper claim from submission to mailbox, and show a payer a PDF proof of exactly what was sent.

Watch the 2026 Stedi Keynote announcement:

Submit dental paper claims

You can now submit dental claims as paper claims using the following methods:

• JSON API
• Raw X12 API
• SFTP
• X12 upload in the Stedi portal

How to submit a paper claim

To submit a paper claim:

1. Set the receiver ID – the ID for the entity receiving the transaction – to PAPER ("Print and Mail – All Payers"). If you're using the Stedi portal UI's CMS-1500 Claim Form, select By mail under Send instead.
2. Set the payer ID, payer name, and payer address to those of the payer you'd like to mail the claim to.
3. Fill out the rest of the claim as usual. For example, using the JSON Dental Claims Submission API endpoint:

curl --request POST \
  --url "https://healthcare.us.stedi.com/2024-04-01/dental-claims/submission" \
  --header "Authorization: <api_key>" \
  --header "Content-Type: application/json" \
  --data '{
  "receiver": {
    "receiverId": "PAPER",  // Tells Stedi to print and mail the claim
    "organizationName": "CIGNA"  // The actual payer name
  },
  "tradingPartnerName": "CIGNA Dental Claims",  // Mail-to name on the envelope
  "tradingPartnerServiceId": "62308",  // Destination payer ID
  "payerAddress": {
    "address1": "123 Example Street",
    "address2": "STE 100",
    "city": "Mountain View",
    "state": "CA",
    "postalCode": "940433706"
  },
  ... // remaining claim data
}'

Attachments for paper claims

Payers sometimes require attachments, such as X-rays or treatment plans, to approve claims for specific services. Workers' comp, auto, and liability claims are common examples.

You can now submit unsolicited 275 claim attachments as images or PDFs for paper claims using Stedi's claim form UI (professional claims only), JSON API, or SFTP – the same way you would for an electronic claim.

Stedi pairs the claim with the attachment, prints both, and mails them to the payer together.

For instructions and workflow details, see our claim attachment docs.

Note: Stedi's Raw X12 Claim Submission API endpoints don't support attachments for paper claims. If you're using SFTP, the claim and attachment must be submitted in the same interchange.

Track paper claims

The Stedi portal's claims view now follows each paper claim through print and mail.

The claim's timeline adds a row for each print stage, newest first.

The claim's latest print status also appears in the Print status row of the claim sidebar.

The claims list shows the same status as an icon in the Status column. Open the Status filter to narrow the list to one print status, such as Failed.

277CA claim acknowledgments

A paper claim ends in one of two stages. Stedi returns a 277CA claim acknowledgment for each one:

The earlier print stages don't produce a 277CA. You track those in the claims view.

You can get notifications of these 277CA claim acknowledgments the same way you do others: webhooks, SFTP, or the Stedi portal's claims view.

Download PDF proofs

Every printed paper claim now has a PDF of the claim package. The PDF includes the printed form and any attachment pages.

The Printed row in the claim's timeline holds the file. Click Download to save it.

The claim submission page offers the same file under Download printed claim.

To fit the printed form, Stedi standardizes addresses and reformats some fields. The printed claim can differ slightly from the data you submitted. The submission page shows a note when this happens.

Availability and pricing

Paper claims are available on all Stedi production accounts.

Stedi charges for paper claims per page printed and mailed. The page count depends on the claim type, its service line count, and any attachments.

A claim spills onto additional pages when its service lines exceed what one form holds. Attachment pages count the same way.

For example, a professional claim with 4 service lines and a 3-page PDF attachment prints as 4 pages: one for the claim form, three for the attachment. That's one first page and three additional pages.

See stedi.com/pricing for per-page rates.

Get started

To get started with Stedi, sign up for a free sandbox account. It takes less than two minutes. No credit card is required.

When you're ready to submit real claims (including paper claims), upgrade to production on our pay-as-you-go plan. There are no monthly minimums or setup fees. You only pay for the transactions you use.