Test ERAs now support professional claims without an NPI
Stedi's test claims workflow now returns a test Electronic Remittance Advice (ERA) for professional claims without the billing provider’s National Provider Identifier (NPI).
The test claims workflow lets you submit a test claim to the Stedi Test Payer and get a test ERA in response. You can use the workflow to do end-to-end validation and build integration tests.
Atypical providers – providers without an NPI – sometimes submit professional claims using a commercial number or location number.
Previously, the test claims workflow required the billing provider’s NPI in the submitted claim to generate and return a test ERA. Now, the test ERA uses the billing provider's tax ID instead.
Submitting the test claim
To generate a test ERA without the billing provider’s NPI, include the billing provider’s tax ID and a state license number when submitting the test professional claim to the Stedi Test Payer.
| Field | 837P Claims Submission JSON API field | X12 element |
|---|---|---|
| Tax ID | billing.employerId | REF02 of Loop 2010AA (Billing Provider Name), where REF01 = ”EI” (Employer's Identification Number) |
| State license number | billing.stateLicenseNumber | REF02 of Loop 2010AA (Billing Provider Name), where REF01 = ”0B” (State License Number) |
Receiving the test ERA
The test ERA identifies the payee by tax ID and returns the state license number from the original claim.
| Field | 835 ERA Report API field | X12 element |
|---|---|---|
| Tax ID | payee.federalTaxPayersIdentificationNumber | N104 of Loop 1000B (Payee Identification), where N103 = ”FI” (Federal Tax ID) |
| State license number | transactions[].payee.stateLicenseNumber | REF02 of Loop 1000B (Payee Identification), where REF01 = ”0B” (State License Number) |
For example, an ERA retrieved using the 835 ERA Report endpoint:
{
"transactions": [
{
"payee": {
"name": "Test Provider",
"taxId": "123456789", // Billing provider's tax ID
"stateLicenseNumber": "LIC987654", // Billing provider's state license, if submitted
...
},
...
}
]
}
For more information, see our Test claims workflow docs.