List Payers JSON

List Stedi's supported payers in JSON format

GET /payers

You can use this endpoint to retrieve Payer IDs, determine which transactions each payer supports, and check whether transaction enrollment is required for the transaction types you plan to send and receive.

You can also find a searchable list of payers in the Payer Network.

Authorizations

Authorization · Required Header

A Stedi API Key for authentication.

Response

application/json

ListPayerRecords 200 response

items · Array of Objects Required

Payers that Stedi supports for each transaction type. Results are returned in alphabetical order of the Stedi ID.

aliases · items[].aliases · Array of Strings Required

Alternative IDs associated with a payer. If a payer changes their primaryPayerId, aliases allow you to continue sending transactions to the payer using the old ID uninterrupted.

avatarUrl · items[].avatarUrl · String

A URL pointing to an image file (.png, .jpeg, or .jpg) with the payer's logo. This is the same logo Stedi displays in the Payer Network. You can use this property to display payer logos in your system or application.

This property is only returned when a payer logo is available.

coverageTypes · items[].coverageTypes · Array of Strings

A list of insurance coverage types that indicates whether this payer supports transactions for medical coverage, dental coverage, vision coverage, or a combination of these. For example: ["medical"] or ["medical", "dental"].

When this array isn't in the response, it means Stedi hasn't classified the payer's coverage types yet, not that the payer doesn't support any coverage types.

Possible values

medical

dental

vision

displayName · items[].displayName · String Required

The payer's business name, such as Cigna or Aetna. This is the name most commonly used to identify the payer.

employerIdentificationNumbers · items[].employerIdentificationNumbers · Array of Strings

Employer Identification Numbers (EINs) associated with this payer.

enrollment · items[].enrollment · Object

Details about the transaction enrollment process for this payer, if available. This object may not be returned for some payers.

ptanRequired · items[].enrollment.ptanRequired · Boolean

Whether a PTAN (Provider Transaction Access Number) is required for transaction enrollment.

The Provider Transaction Access Number (PTAN) is a Medicare-issued number given to providers upon enrollment with Medicare. This number is usually six digits and is assigned based on the type of service and the location of the provider. Upon enrollment, Medicare Administrating Contracting (MAC) providers should receive their assigned PTAN number in their approval letter.

transactionEnrollmentProcesses · items[].enrollment.transactionEnrollmentProcesses · Object

Enrollment details for specific transaction types.

Stedi only returns this object when information about the enrollment process is available for one or more transaction types. When this object isn't included in the response, it doesn't mean no transaction types require enrollment. Refer to the transactionSupport object for details about which transaction types require enrollment.

claimPayment · items[].enrollment.transactionEnrollmentProcesses.claimPayment · Object

Details about the enrollment process for Electronic Remittance Advice (ERAs) with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.claimPayment.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.claimPayment.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

claimStatusInquiry · items[].enrollment.transactionEnrollmentProcesses.claimStatusInquiry · Object

Details about the enrollment process for real-time claim status requests with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.claimStatusInquiry.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.claimStatusInquiry.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

coordinationOfBenefits · items[].enrollment.transactionEnrollmentProcesses.coordinationOfBenefits · Object

Details about the enrollment process for coordination of benefits (COB) checks with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.coordinationOfBenefits.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.coordinationOfBenefits.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

dentalClaim · items[].enrollment.transactionEnrollmentProcesses.dentalClaim · Object

Details about the enrollment process for dental claim submission with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.dentalClaim.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.dentalClaim.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

eligibilityInquiry · items[].enrollment.transactionEnrollmentProcesses.eligibilityInquiry · Object

Details about the enrollment process for eligibility checks with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.eligibilityInquiry.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.eligibilityInquiry.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

institutionalClaim · items[].enrollment.transactionEnrollmentProcesses.institutionalClaim · Object

Details about the enrollment process for institutional claim submission with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.institutionalClaim.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.institutionalClaim.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

professionalClaim · items[].enrollment.transactionEnrollmentProcesses.professionalClaim · Object

Details about the enrollment process for professional claim submission with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.professionalClaim.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.professionalClaim.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

unsolicitedClaimAttachment · items[].enrollment.transactionEnrollmentProcesses.unsolicitedClaimAttachment · Object

Details about the enrollment process for unsolicited claim attachments with this payer.

timeframe · items[].enrollment.transactionEnrollmentProcesses.unsolicitedClaimAttachment.timeframe · String

Stedi's expected timeframe for completing the transaction enrollment process. INSTANT indicates that the enrollment will be in LIVE status within minutes of submitting the request.

Possible values

INSTANT

HOURS

DAYS

WEEKS

type · items[].enrollment.transactionEnrollmentProcesses.unsolicitedClaimAttachment.type · String

Whether transaction enrollment is single or multi-step.

• ONE_CLICK indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.
• MULTI_STEP indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps.

Possible values

ONE_CLICK

MULTI_STEP

names · items[].names · Array of Strings Required

Alternative names associated with a payer. These additional names help you search for and identify payers using the name most familiar to your organization.

operatingStates · items[].operatingStates · Array of Strings

A list of US state codes, territories, or NATIONAL that indicates the geographic regions where this payer operates. For example: ["CA", "OR"] for a regional payer, or ["NATIONAL"] for a payer that operates throughout the entire United States.

When this array isn't in the response, it means Stedi hasn't classified the payer's operating states yet.

Possible values

AL

AK

AZ

AR

CA

parentPayerGroupId · items[].parentPayerGroupId · String

The payer's parent payer group entity. This is metadata Stedi uses internally. It doesn't necessarily relate to the payer's enrollment process or other capabilities.

primaryPayerId · items[].primaryPayerId · String Required

The most commonly used ID for a payer. This value often corresponds to the name the payer uses internally and provides to patients on member ID cards.

stediId · items[].stediId · String Required

A unique ID that Stedi assigned to this payer and uses internally for routing requests. This ID will not change even if the primaryPayerId is updated.

transactionSupport · items[].transactionSupport · Object Required

Whether the following transaction types are supported: 270 eligibility checks, 276 claim status requests, 837 professional claims, and 835 ERAs (claim payments). If the value is ENROLLMENT_REQUIRED, Stedi supports the transaction type, but you must enroll with the payer first.

claimPayment · items[].transactionSupport.claimPayment · String Required

Whether you can receive 835 Electronic Remittance Advice (ERA) transactions from this payer.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

claimStatus · items[].transactionSupport.claimStatus · String Required

Whether you can send 276 claim status requests to this payer.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

claimSubmission · items[].transactionSupport.claimSubmission · String Required Deprecated

Whether you can send 837 professional claims to this payer. This shape is deprecated since 2024-11-13: This claimSubmission property is deprecated and will be removed in a future release. Instead, use the professionalClaimSubmission property.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

coordinationOfBenefits · items[].transactionSupport.coordinationOfBenefits · String Required

Coordination of Benefits (COB) support.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

dentalClaimSubmission · items[].transactionSupport.dentalClaimSubmission · String Required

Whether you can send 837p dental claims to this payer.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

eligibilityCheck · items[].transactionSupport.eligibilityCheck · String Required

Whether you can send 270 eligibility checks to this payer.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

institutionalClaimSubmission · items[].transactionSupport.institutionalClaimSubmission · String Required

Whether you can send 837i institutional claims to this payer.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

professionalClaimSubmission · items[].transactionSupport.professionalClaimSubmission · String Required

Whether you can send 837p professional claims to this payer.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

unsolicitedClaimAttachment · items[].transactionSupport.unsolicitedClaimAttachment · String Required

Whether you can send unsolicited claim attachments to this payer.

Possible values

SUPPORTED

NOT_SUPPORTED

ENROLLMENT_REQUIRED

urls · items[].urls · Object

URLs associated with this payer, such as their website. This object is only returned when URL information is available for the payer.

website · items[].urls.website · String

The payer's website URL.

Request

curl --request GET \
  --url "https://healthcare.us.stedi.com/2024-04-01/payers" \
  --header "Authorization: <api_key>"

Response

{
  "items": [
    {
      "aliases": [
        "10048",
        "1406",
        "5501",
        "84980",
        "CB900",
        "DX900",
        "G84980",
        "SB900",
        "TXBCBS",
        "TXBLS"
      ],
      "avatarUrl": "https://prod-payer-avatars.payers.us.stedi.com/QDTRP/avatar.png?v=1762425540481",
      "coverageTypes": [
        "dental",
        "medical",
        "vision"
      ],
      "displayName": "Blue Cross Blue Shield of Texas",
      "enrollment": {
        "ptanRequired": false,
        "transactionEnrollmentProcesses": {
          "claimPayment": {
            "timeframe": "WEEKS",
            "type": "ONE_CLICK"
          }
        }
      },
      "names": [
        "Blue Cross Blue Shield Texas Medicaid STAR CHIP",
        "Blue Cross Blue Shield Texas Medicaid STAR Children's Health Insurance Program",
        "Blue Cross Blue Shield of Texas",
        "Bryan Independent School",
        "Federal Employee Program Texas (FEP)",
        "Health Maintenance Organization Blue",
        "Health Maintenance Organization Blue Texas",
        "Healthcare Benefits",
        "Rio Grande",
        "Walmart (BlueCard Carriers)"
      ],
      "operatingStates": [
        "CT",
        "IL",
        "NM",
        "TX",
        "UT"
      ],
      "parentPayerGroupId": "DKCAG",
      "primaryPayerId": "84980",
      "stediId": "QDTRP",
      "transactionSupport": {
        "claimPayment": "ENROLLMENT_REQUIRED",
        "claimStatus": "SUPPORTED",
        "claimSubmission": "SUPPORTED",
        "coordinationOfBenefits": "SUPPORTED",
        "dentalClaimSubmission": "SUPPORTED",
        "eligibilityCheck": "SUPPORTED",
        "institutionalClaimSubmission": "SUPPORTED",
        "professionalClaimSubmission": "SUPPORTED",
        "unsolicitedClaimAttachment": "NOT_SUPPORTED"
      },
      "urls": {
        "website": "https://www.bcbstx.com"
      }
    }
  ]
}