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

> You can now submit dental claims as paper claims, send 275 claim attachments with them, and track each claim's print status and PDF proof in the Stedi portal.

Published Sep 9, 2026

Product: Claims

We're releasing several major improvements that introduce first-class support for [paper claim submissions](https://www.stedi.com/docs/healthcare/submit-paper-claims). You can now:

- Submit [dental claims](https://www.stedi.com/docs/healthcare/submit-dental-claims) (ADA dental claim form) as paper claims.
- Send [275 claim attachments](https://www.stedi.com/docs/healthcare/submit-claim-attachments) with paper claims.
- Track a paper claim's print status in the Stedi portal's [claims view](https://www.stedi.com/docs/healthcare/claims-view).
- View a PDF proof of the printed claim package in the Stedi portal.

With paper claims, Stedi prints and mails the claim to any payer for you. You submit them through the same [Stedi APIs](https://www.stedi.com/docs/healthcare/intro-to-claim-submission#api-claim-submission), [SFTP](https://www.stedi.com/docs/healthcare/intro-to-claim-submission#sftp-claim-submission), and [Stedi portal UIs](https://www.stedi.com/docs/healthcare/submit-professional-claims-ui) you use for electronic claims.

Previously, paper claims covered only [professional](https://www.stedi.com/docs/healthcare/submit-professional-claims) (CMS-1500) and [institutional](https://www.stedi.com/docs/healthcare/submit-institutional-claims) (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.

**Watch the 2026 Stedi Keynote announcement:**

[Introducing improvements for paper claims - 2026 Stedi Keynote](https://www.youtube.com/watch?v=ZVN9B9WL4fQ)

## Submit dental paper claims

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

- [JSON API](https://www.stedi.com/docs/healthcare/api-reference/post-healthcare-dental-claims)
- [Raw X12 API](https://www.stedi.com/docs/healthcare/api-reference/post-healthcare-dental-claims-raw-x12)
- [SFTP](https://www.stedi.com/docs/healthcare/submit-claims-sftp-connection)
- [X12 upload](https://www.stedi.com/docs/healthcare/submit-dental-claims-ui#x12-edi-upload) in the Stedi portal

## Attachments for paper claims

You can now submit [unsolicited 275 claim attachments](https://www.stedi.com/docs/healthcare/submit-claim-attachments) as PDFs for paper claims using Stedi's [claim form UI](https://www.stedi.com/docs/healthcare/submit-claim-attachments#claim-form-ui) (professional claims only), [JSON API](https://www.stedi.com/docs/healthcare/submit-claim-attachments#json-apis), or [SFTP](https://www.stedi.com/docs/healthcare/submit-claim-attachments#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.

## Track paper claims

The Stedi portal's [claims view](https://www.stedi.com/docs/healthcare/claims-view) now follows each paper claim through print and mail. The claim's timeline adds a row for each print stage, newest first.

Print stages in a paper claim's timeline in the Stedi portal

| **Print status** | **What it means**                                             |
| ---------------- | ------------------------------------------------------------- |
| Staged           | Stedi accepted the claim for mailing.                         |
| Queued           | Stedi's print-and-mail partner queued the claim for printing. |
| Printed          | The partner printed the claim form and any attachments.       |
| Mailed           | The partner mailed the claim package to the payer.            |
| Failed           | The claim wasn't mailed. The timeline row shows the reason.   |

The claims list shows the same status as an icon in the **Status** column. You can also filter the list by print status.

Print status icons in the Stedi portal's claims list

### 277CA claim acknowledgments

A paper claim ends in one of two stages. Stedi returns a [277CA claim acknowledgment](https://www.stedi.com/docs/healthcare/claim-responses-overview) for each one:

| **Stage** | **What it means**                                                    |
| --------- | -------------------------------------------------------------------- |
| Mailed    | The claim package was mailed to the payer.                           |
| Failed    | The payer address failed validation, so Stedi didn't mail the claim. |

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

### Download PDF proofs

Every printed paper claim now has a PDF of the claim package, including the printed form and any attachment pages. The **Printed** row in the claim's timeline holds the file.

PDF proof of a printed paper claim

## 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.

| **Claim type**                       | **Service lines per page** |
| ------------------------------------ | -------------------------- |
| Professional claim (CMS-1500 form)   | Up to 6                    |
| Institutional claim (UB-04 form)     | Up to 22                   |
| Dental claim (ADA dental claim form) | Up to 10                   |

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

See [stedi.com/pricing](https://www.stedi.com/pricing) for per-page rates.

For more details, see our [announcement blog](https://www.stedi.com/blog/paper-claims-now-support-dental-claims-attachments-and-delivery-tracking).