GET
/
change
/
medicalnetwork
/
reports
/
v2
/
{transactionId}
/
835
curl --request GET \
  --url https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/reports/v2/{transactionId}/835 \
  --header 'Authorization: <api-key>'
{
  "meta": {
    "applicationMode": "production",
    "senderId": "BSW",
    "transactionId": "7647d644-9348-4596-a3b4-6830b8b48cc8"
  },
  "transactions": [
    {
      "controlNumber": "112233",
      "detailInfo": [
        {
          "assignedNumber": "1",
          "paymentInfo": [
            {
              "claimPaymentInfo": {
                "claimFilingIndicatorCode": "12",
                "claimFrequencyCode": "1",
                "claimPaymentAmount": "500",
                "claimStatusCode": "1",
                "facilityTypeCode": "11",
                "patientControlNumber": "1112223333",
                "patientResponsibilityAmount": "300",
                "payerClaimControlNumber": "94060555410000",
                "totalClaimChargeAmount": "800"
              },
              "claimSupplementalInformation": {
                "coverageAmount": "800"
              },
              "patientName": {
                "firstName": "JOHN",
                "lastName": "DOE",
                "memberId": "1234567891"
              },
              "serviceLines": [
                {
                  "lineItemControlNumber": "111222333",
                  "serviceAdjustments": [
                    {
                      "adjustmentAmount1": "300",
                      "adjustmentReasonCode1": "1",
                      "adjustmentReason1": "Deductible Amount",
                      "claimAdjustmentGroupCode": "PR",
                      "claimAdjustmentGroupCodeValue": "Patient Responsibility"
                    }
                  ],
                  "serviceDate": "20190301",
                  "servicePaymentInformation": {
                    "adjudicatedProcedureCode": "99211",
                    "lineItemChargeAmount": "800",
                    "lineItemProviderPaymentAmount": "500",
                    "productOrServiceIDQualifier": "HC",
                    "productOrServiceIDQualifierValue": "Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes"
                  },
                  "serviceSupplementalAmounts": {
                    "allowedActual": "800"
                  }
                }
              ]
            },
            {
              "claimPaymentInfo": {
                "claimFilingIndicatorCode": "12",
                "claimFrequencyCode": "1",
                "claimPaymentAmount": "600",
                "claimStatusCode": "1",
                "facilityTypeCode": "11",
                "patientControlNumber": "22255566677",
                "patientResponsibilityAmount": "600",
                "payerClaimControlNumber": "9407779923000",
                "totalClaimChargeAmount": "1200"
              },
              "claimSupplementalInformation": {
                "coverageAmount": "1200"
              },
              "patientName": {
                "firstName": "JANE",
                "lastName": "DOE",
                "memberId": "1234567891"
              },
              "serviceLines": [
                {
                  "serviceAdjustments": [
                    {
                      "adjustmentAmount1": "600",
                      "adjustmentReasonCode1": "1",
                      "adjustmentReason1": "Deductible Amount",
                      "claimAdjustmentGroupCode": "PR",
                      "claimAdjustmentGroupCodeValue": "Patient Responsibility"
                    }
                  ],
                  "serviceDate": "20190310",
                  "servicePaymentInformation": {
                    "adjudicatedProcedureCode": "93555",
                    "lineItemChargeAmount": "1200",
                    "lineItemProviderPaymentAmount": "600",
                    "productOrServiceIDQualifier": "HC",
                    "productOrServiceIDQualifierValue": "Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes"
                  },
                  "serviceSupplementalAmounts": {
                    "allowedActual": "1200"
                  }
                }
              ]
            }
          ]
        }
      ],
      "financialInformation": {
        "checkIssueOrEFTEffectiveDate": "20190316",
        "creditOrDebitFlagCode": "C",
        "payerIdentifier": "000000000",
        "paymentFormatCode": "CCP",
        "paymentMethodCode": "ACH",
        "receiverAccountDetails": {
          "receiverAccountNumber": "144444",
          "receiverAccountNumberQualifier": "DA",
          "receiverDfiIdNumberQualifier": "01",
          "receiverDfiIdentificationNumber": "111333555"
        },
        "senderAccountDetails": {
          "senderAccountNumber": "11111111",
          "senderAccountNumberQualifier": "DA",
          "senderDfiIdNumberQualifier": "01",
          "senderDFIIdentifier": "888999777"
        },
        "totalActualProviderPaymentAmount": "1100",
        "transactionHandlingCode": "I"
      },
      "payee": {
        "federalTaxPayersIdentificationNumber": "777667755",
        "name": "ACME MEDICAL CENTER",
        "npi": "1999999984"
      },
      "payer": {
        "address": {
          "address1": "10 SOUTH AVENUET",
          "city": "NEW YORK",
          "postalCode": "55111",
          "state": "SD"
        },
        "name": "RUSHMORE LIFE",
        "technicalContactInformation": [
          {
            "contactMethods": [
              {
                "phone": "8005550000"
              }
            ],
            "contactName": "JOHN DOE"
          }
        ]
      },
      "paymentAndRemitReassociationDetails": {
        "checkOrEFTTraceNumber": "71700666555",
        "originatingCompanyIdentifier": "1935665544",
        "traceTypeCode": "1"
      },
      "productionDate": "20190314"
    }
  ]
}

This endpoint retrieves processed 835 Electronic Remittance Advice (ERA) transactions from Stedi.

  • Call this endpoint with the transactionId of the 835 ERA you want to retrieve.
  • Stedi returns the ERA in JSON format.

Note that the payer won’t send ERAs for rejected claims. If a claim is rejected in a 277CA claim acknowledgment, there’s no adjudication or payment information to report.

​
Correlate with original claim

Use the following fields to correlate the 835 ERA with the original claim:

  • Entire claim: The original claim’s claimInformation.patientControlNumber is returned as the transactions.detailInfo.paymentInfo.claimPaymentInfo.patientControlNumber in the 835 ERA.
  • Service line: The original claim’s claimInformation.serviceLines.providerControlNumber is returned as the transactions.detailInfo.paymentInfo.serviceLines.lineItemControlNumber in the 835 ERA.

​
Claim status

You cannot reliably determine a claim’s status based on the amount paid in an 835 ERA. There are many instances in which a claim is accepted and the total amount paid is 0 dollars. For example, in Value-Based Care (VBC) scenarios, line item rates are usually 0 dollars, and providers are paid a flat rate per month or for a complete bundle of services.

Instead, you can use the Real-Time Claim Status API to check the claim’s status.

Authorizations

​
Authorization
string
header
required

A Stedi API Key for authentication.

Path Parameters

​
transactionId
string
required

A unique identifier for the processed 835 transaction within Stedi. This ID is included in the transaction processed event, which you can receive automatically through Stedi webhooks. You can also retrieve it through the Poll Transactions endpoint or from the transaction's details page within the Stedi portal.

Response

200
application/json

ConvertReport835 200 response

The response is of type object.