Search Payers

Search for payers by name, ID, or alias.

GET/payers/search

This endpoint queries the Payer Network. It's especially useful when you want to embed dynamic payer search capabilities into your system or application.

  1. Call this endpoint with your desired search criteria. You can search by the payer's name, payer ID, or payer ID aliases. You can also filter the results by supported transaction types.
  2. The endpoint returns information about matching payers, including their possible names, their primary payer ID, payer ID aliases, and supported transaction types.

The search supports fuzzy matching, which means that the results contain an array of exact (if available) and close matches.

Results

When you specify multiple transaction filters, they are combined with AND logic, meaning payers must satisfy all specified transaction criteria to be included in results.

Stedi weights results based on text match relevance and additional factors, such as payer size, market share, and transaction volume in order to present the most likely matches first. Stedi also accounts for potential misspellings (a search for CEGNA still returns CIGNA) and transposed letters (a search for ICGNA still returns CIGNA) when searching the payer database.

Examples

This page contains two examples of search results:

  • Basic Search: The SearchPayers_example1 response shows the results of a basic search for the query string "Blue Cross". The URL for this request is https://healthcare.us.stedi.com/2024-04-01/payers/search?query=Blue%20Cross.
  • Complex Search: The SearchPayers_example2 response shows the results of a more advanced search that includes a query string for "Blue Cross", plus additional query parameters that filter for payers supporting eligibility checks and real-time claim status. The URL for this request is https://healthcare.us.stedi.com/2024-04-01/payers/search?query=Blue%20Cross&eligibilityCheck=SUPPORTED&claimStatus=SUPPORTED. In the stats object, the summary counts of payers matching the search criteria are fewer than the summary counts for the basic search. This is because the advanced search only returns payers that support both eligibility checks and claim status, while the basic search returns all payers, regardless of the transaction types they support.

Both examples are truncated for brevity to show only one payer matching the results (Blue Cross Blue Shield of Michigan).

Authorizationstringrequiredheader

A Stedi API Key for authentication.

Query Parameters

pageSizenumber

The maximum number of elements to return in a page. If not specified, the default is 20.

  • Range: ≥ 10 and ≤ 100
pageTokenstring

An opaque token returned by a previous call to this endpoint in the nextPageToken property. You can use it to request the next page of results. If not specified, Stedi returns the first page of results.

  • Required string length: 1 - 1024
querystring

The query Stedi will use to search the Payer Network database. You can supply a payer's name, ID, or alias. The query is case-insensitive, and fuzzy matching is supported. For example, cig, 62308, and SX071 all return Cigna in the results. If not provided, the other search options are used to conduct the search.

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER

Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy all criteria).

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
EITHER
coverageTypesarray<string>

Filter for matching payers that support transactions for all of the specified coverage types. For example, setting this array to ["medical", "dental"] returns only payers who provide both medical and dental coverage.

The results also exclude payers without coverage type classifications in Stedi's database.

Possible values
medical
dental

Response

application/json

SearchPayers 200 response

itemsarray<object>required

Matching payers sorted by relevance. Each payer record includes a score starting at 0 that indicates how relevant it is to the search query. Higher scores indicate a more relevant match.

Array item

Shows which properties in the payer record match the search query. This information helps you understand why Stedi returned this payer and which parts of the payer record matched the search terms. It's also especially useful for debugging search queries and building user interfaces that display matching text.

  • Matching text is wrapped in <b> HTML tags for highlighting.
  • This object only contains properties with matching text. For example, if none of the payer's aliases matched the search query, this object will not include the aliases property.
Show attributes

The parts of the payer's aliases that match the search query. Each alias that contains matching text is included as a separate entry, with matching portions wrapped in <b> tags. For example, searching for XYZ might return: [<b>XYZ</b>123, ABC<b>XYZ</b>].

The part of the payer's display name that matched the search query. For example, searching for Blue might return: Blue Cross <b>Blue</b> Shield.

The parts of the payer's other names that match the search query. Each name that contains matching text is included as a separate entry, with matching portions wrapped in <b> tags. For example, searching for Health might return: [Community <b>Health</b> Plan, <b>Health</b> Partners].

The part of the primary payer ID that matched the search query. For example, if you search for '12345', the results for a payer with primary payer ID 12345ABC would return: <b>12345</b>ABC.

The part of the payer's Stedi payer ID that matched the search query. Stedi payer IDs only support exact substring matching (no prefix or fuzzy matching). For example, if you search for KRP, the results for a payer with Stedi payer ID 'KRPCH' would be: <b>KRP</b>CH.

items[].payerobjectrequired

A payer record matching the search query.

Show attributes
items[].payer.aliasesarray<string>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.

A list of insurance coverage types that indicates whether this payer supports transactions for medical coverage, dental coverage, or both. 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

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

Employer Identification Numbers (EINs) associated with this payer.

Information about the transaction enrollment process for this payer.

Show attributes

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.

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.

Show attributes

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

Show attributes

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

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

Show attributes

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

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

Show attributes

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

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

Show attributes

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

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

Show attributes

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

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

Show attributes

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

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

Show attributes

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

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

Show attributes

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
items[].payer.namesarray<string>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.

The parent payer group entity this payer belongs to. This is for metadata purposes and doesn't necessarily relate to the payer's enrollment process or other capabilities.

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.

items[].payer.stediIdstringrequired

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.

Whether the following transaction types are supported: 270 eligibility checks, 276/277 claim status requests, 837 claims (professional, dental, institutional), 835 ERAs (claim payments), 275 unsolicited claim attachments, and coordination of benefits checks.

If the value is ENROLLMENT_REQUIRED, Stedi supports the transaction type, but you must enroll with the payer first.

Show attributes

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

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED

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

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED

Coordination of Benefits (COB) support.

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED

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

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED

Whether you can send 270 eligibility checks to this payer.

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED

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

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED

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

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED

Whether you can send unsolicited claim attachments to this payer.

Possible values
SUPPORTED
NOT_SUPPORTED
ENROLLMENT_REQUIRED
items[].scorenumberrequired

A relevance score indicating how well this payer matched the search query. Higher scores are better matches. The minimum score is 0.

  • Format: double

Token for pagination to retrieve the next page of results; null if there are no more results

  • Required string length: 1 - 1024
statsobjectrequired

Statistics about the search results, including the total number of payers matching the search query and the number of payers supported per transaction type.

Show attributes
stats.totalnumberrequired

Total number of payers matching the search query.

stats.transactionSupportobjectrequireddeprecated

Number of matching payers supported per transaction type.

The categories for each transaction type are mutually exclusive. For example, to calculate the total number of payers that support eligibility checks, regardless of whether enrollment is required, you must add the supported and enrollmentRequired counts together.

DEPRECATED This shape is deprecated since 2025-06-24: Use the transactionSupportCounts property instead.

Show attributes

Number of matching payers that support 835 Electronic Remittance Advices (ERAs).

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers that support 276/277 real-time claim status.

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers that support 270/271 coordination of benefits (COB) checks.

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers that support 837D dental claims.

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers that support 270/271 eligibility checks.

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers that support 837I institutional claims.

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers that support 837P professional claims.

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers that support 275 unsolicited claim attachments.

Show attributes

Number of matching payers that require transaction enrollment for this transaction type.

Number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type.

Number of matching payers for each supported transaction type.

To get the total number of payers that support each transaction type, with additional detail on whether enrollment is required, use supported.total instead.

Show attributes

Number of matching payers that support 835 Electronic Remittance Advices (ERAs).

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).

Number of matching payers that support 276/277 real-time claim status.

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).

Number of matching payers that support 270/271 coordination of benefits (COB) checks.

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).

Number of matching payers that support 837D dental claims.

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).

Number of matching payers that support 270/271 eligibility checks.

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).

Number of matching payers that support 837I institutional claims.

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).

Number of matching payers that support 837P professional claims.

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).

Number of matching payers that support 275 unsolicited claim attachments.

Show attributes

Number of matching payers that don't support this transaction type.

Show attributes

Total number of matching payers that don't support this transaction type.

Number of matching payers that support this transaction type, broken down by enrollment requirements.

Show attributes

Number of matching payers that support this transaction type and don't require transaction enrollment.

Number of matching payers that support this transaction type and require transaction enrollment.

Total number of matching payers that support this transaction type (enrollmentRequired + enrollmentNotRequired).