Introducing paper claim submissions
You can now submit paper claims through Stedi.
Some payers don't accept electronic claims. Payers may also require paper claims for workers’ compensation, automobile, or liability-related claims.
Until now, you had to print and mail those paper claims yourself. That meant running a separate manual process outside your electronic claims workflow.
With paper claim submission, you submit through the same workflows as electronic claims: API, SFTP, or the Stedi portal. Stedi prints the claim and mails it to the payer for you.
Supported claim types
You can submit two claim types for printing and mailing:
| Claim type | Submission methods |
|---|---|
| Professional claim (CMS-1500 paper form) | API: JSON API, Raw X12 API SFTP: 837P X12 EDI Stedi portal UI: CMS-1500 Claim Form or X12 upload |
| Institutional claim (UB-04 paper form) | API: JSON API, Raw X12 API SFTP: 837I X12 EDI Stedi portal UI: X12 upload |
How paper claims work
To submit a paper claim:
-
Set the receiver ID – the ID for the entity receiving the transaction – to
PAPER("Print and Mail – All Payers"). If using the Stedi portal UI's CMS-1500 Claim Form, select By mail under Send instead. -
Set the payer ID, payer name, and payer address to the payer you’d like to mail the claim to.
-
Fill out the rest of the claim as usual.
Transaction enrollment isn't required for paper claims.
For more detailed examples and instructions, see our documentation.
Pricing and availability
Paper claim submission is available on all Stedi production accounts.
Stedi charges for paper claims based on the number of printed and mailed pages. The number of pages varies based on the claim’s type and service line count:
| Claim type | Service lines per page |
|---|---|
| Professional claim (CMS-1500 form) | Up to 6 |
| Institutional claim (UB-04 form) | Up to 22 |
A claim spills onto additional pages when its service lines exceed what one form holds. For example, a professional claim (CMS-1500 form) with 10 service lines requires 2 pages.
See stedi.com/pricing for per-page pricing.
Learn more
For more details, see our announcement blog and documentation.