Payers & enrollment
- Payers
- Transaction enrollment
Eligibility & benefits
- Eligibility checks (270/271)
- Insurance discovery
- Coordination of benefits
Claims processing
- Claim submission (837)
- Attachments (275)
- Claim Acknowledgments (277CA)
- Remittances (835 ERA)
- Real-time claim status (276/277)
EDI platform
- Transaction
- Interchange
- File execution
- Fragments
- Mappings
- Events
835 ERA Report
Retrieve an 835 Electronic Remittance Advice (ERA) in JSON format
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.
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
Visit Correlate 835 ERAs for instructions.
Determine claim status
You can’t 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
A Stedi API Key for authentication.
Path Parameters
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
ConvertReport835 200 response
The response is of type object
.
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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"
}
]
}