Claims processing

Submit healthcare claims, send attachments, check claim status, and receive electronic remittances using developer-friendly APIs

99213 - Outpatient visit

$109.20

3 units

Payer: Cigna
Provider: Smiths Associates

Jane S Doe
U1234567890

May 14th

Services rendered

May 16th

Claim created

May 22nd

Claim accepted

May 22nd

Paid

99213 - Outpatient visit

$109.20

3 units

Payer: Cigna
Provider: Smiths Associates

Jane S Doe
U1234567890

May 14th

Services rendered

May 16th

Claim created

May 22nd

Claim accepted

May 22nd

Paid

Automate claim submission

Reduce administrative work and avoid unnecessary delays. Our library of edits and repairs mean fewer payer rejections.

Track outstanding claims

Keep patients and providers informed with real-time claim status updates.

Streamline issue resolution

Quickly identify and address underpayments, denials, and disputes.

Ingest ERAs

Automatically ingest electronic remittances to reconcile payments faster.

“Stedi's 835 ERA transaction enhancements have been a game-changer for our workflow. It's made our payment processing smoother and more efficient – especially as we scale up."

— Alisha Foster

Operations at Sunbound

“Stedi's 835 ERA transaction enhancements have been a game-changer for our workflow. It's made our payment processing smoother and more efficient – especially as we scale up."

— Alisha Foster

Operations at Sunbound

“Stedi's 835 ERA transaction enhancements have been a game-changer for our workflow. It's made our payment processing smoother and more efficient – especially as we scale up."

— Alisha Foster

Operations at Sunbound

How it works

Integrate with a modern, developer-friendly API

Claim submission

Submit Professional (837P), Dental (837D), and Institutional (837I) claims to thousands of payers. Stedi creates a HIPAA-compliant transaction, applies enhanced edits, and sends it to the right payer.

Claim submitted

97530 - Therapeutic exercises

submitClaim.js

fetch(
"https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/professionalclaims/v3/submission",
  {
    controlNumber: "123456789",
    tradingPartnerServiceId: "6400",
    submitter: {
      organizationName: "Doctors LLC",
      contactInformation: 
        { 
          name: "Doctors LLC", 
          phoneNumber: "5552221212" 
        },
    },
    receiver: 
      {
        organizationName: "Cigna"
      },
    subscriber: {},
    providers: [],
    claimInformation: {
      serviceLines: [{}]
    },
  }
).then((response) => response.json());

Claim declined

36415 - Routine venipuncture

getClaimStatus.js

fetch(
"https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/claimstatus/v2",
  {
    controlNumber: "000000001",
    tradingPartnerServiceId: "UHC",
    encounter: {
      beginningDateOfService: "20240322",
      endDateOfService: "20240322",
      trackingNumber: "1234AAA",
    },
    providers:[
      { 
        providerType: "BillingProvider",
        organizationName: "Doctors LLC", 
        npi: "1234567890",
      }
    ],
    subscriber: {
      memberId: "0000000000",
      firstName: "Jane",
      lastName: "Doe",
      dateOfBirth: "19891002",
    },
    
  }
).then((response) => response.json());

Real-time claim status

Check any claim’s status in seconds with our JSON-based Claim Status API or the Stedi portal.

Electronic remittance advice (ERAs)

Receive ERAs automatically through Stedi webhooks or periodically poll for new transactions.

Use the Stedi portal or our API to get your ERAs as PDFs. Use the PDFs to post remittances by hand or keep a physical copy of your ERAs.

Payment sent

835 - Electronic remittance advice

electronicRemittanceAdvice.json

{	
  "transactions": [
	{
	  "controlNumber": "1003",
	  "productionDate": "20240324",
	  "receiverIdentifier": "55555500",
	  "financialInformation": {
	    "transactionHandlingCode": "I",
	    "totalActualProviderPaymentAmount": "109.2",
	    "creditOrDebitFlagCode": "C",
	    "paymentMethodCode": "ACH",
	    "paymentFormatCode": "CCP",
	    "payerIdentifier": "1111666666",
	    "checkIssueOrEFTEffectiveDate": "20240327",
           "senderAccountDetails": {},
	    "receiverAccountDetails": {}
	  },
	  "payer": {},
	  "payee": {},
	  "detailInfo": [],
      }
   ],
   "meta": {}
}

PDF attachment

275 - Unsolicited claim attachment

getClaimStatus.js

fetch("https://claims.us.stedi.com/2025-03-07/claim-attachments/submission", {
  body: JSON.stringify({
    usageIndicator: "T",
    relatedExecutionId: "9b491769-052e-4738-93d6-e0b5f6d83f53",
    claimInformation: {
      serviceLines: [
        {
          providerAttachmentControlNumber: "ATTACH123",
          attachmentDetails: {
            attachmentId: "4a1b2c3d-4567-89ab-cdef-1234567890ab"
          }
        }
      ]
    }
  })
},
method: "POST",
headers: {
  "Authorization": "<api-key>",
  "Content-Type": "application/json"
})
.then((response) => response.json())

Claim attachments

Programmatically upload PDFs and images to Stedi. Then send 275 claim attachments for 837P, 837D, and 837I claims.

PDF attachment

275 - Unsolicited claim attachment

getClaimStatus.js

fetch("https://claims.us.stedi.com/2025-03-07/claim-attachments/submission", {
  body: JSON.stringify({
    usageIndicator: "T",
    relatedExecutionId: "9b491769-052e-4738-93d6-e0b5f6d83f53",
    claimInformation: {
      serviceLines: [
        {
          providerAttachmentControlNumber: "ATTACH123",
          attachmentDetails: {
            attachmentId: "4a1b2c3d-4567-89ab-cdef-1234567890ab"
          }
        }
      ]
    }
  })
},
method: "POST",
headers: {
  "Authorization": "<api-key>",
  "Content-Type": "application/json"
})
.then((response) => response.json())

Claim attachments

Programmatically upload PDFs and images to Stedi. Then send 275 claim attachments for 837P, 837D, and 837I claims.

Manual claim submission

Test integrations and review claims in a familiar format

Submit professional claims through a digital version of the CMS-1500 claim form. Download auto-generated CMS-1500 PDFs through
the Stedi portal or API.

“We submitted claims three days after signing, and the support is excellent in quality and timeliness of response. For example, Stedi's team—including their CEO—regularly resolves our engineers’ issues within minutes. This used to take months or just never happen at all with our previous vendor.”

— Craig Micon

Head of Product at Pair Team

Case study

— Craig Micon

Head of Product at Pair Team

Case study

— Craig Micon

Head of Product at Pair Team

Case study

— Craig Micon

Head of Product at Pair Team

Case study

Connect to thousands of payers

Our growing set of payers provide broad, reliable connectivity.

Browse our network

Automatic failover

Stedi dynamically routes traffic to the most reliable connection, eliminating single points of failure, providing redundant connections.

Start processing claims today

Book a demo

(332) 378-5040

228 Park Ave S
Ste 58460
New York, NY 10003

Get updates on what’s new at Stedi

Backed by

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.

Service Terms

Privacy Notice

Manage Privacy Choices

(332) 378-5040

228 Park Ave S
Ste 58460
New York, NY 10003