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API Reference
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    Eligibility & benefits
    • Overview
    • Eligibility checks
    • Insurance discovery checks
    • Determine patient benefits
    • Coordination of benefits
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    • Overview
    • Submit claims
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    • Check claim status
    • Get and correlate acknowledgments and ERAs
    • Configure webhooks
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    The Stedi clearinghouse

    Automate transactions with APIs that support thousands of payers

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    Eligibility & benefits

    Reliably determine eligibility and coordination of benefits, even when patients can’t provide accurate insurance information.

    Send eligibility checks

    Submit 270/271 eligibility checks through the Stedi portal or API in either JSON or X12 EDI.

    Check coordination of benefits

    Identify coverage overlap and determine payer responsibility for claims (primacy).

    Find patient coverage

    Find active health plans using the patient’s demographic data.

    API Docs

    Full reference for our Eligibility, Coordination of Benefits, and Insurance Discovery APIs.

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    Claims processing

    Submit 837P (professional), 837I (institutional), and 837D (dental) claims and 276/277 real-time claim status checks in both JSON and X12 EDI.

    Submit claims

    Send claims to payers through the API, an SFTP connection, or the Stedi portal.

    Retrieve claim responses

    Retrieve processed 277CA claim acknowledgments and 835 ERAs from Stedi.

    Check claim status

    Determine the processing status of existing claims in real time.

    API Docs

    Full reference for our Claims, Claim Status, and Reports (277CA and ERA) APIs.

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