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Introducing


STEDI HEALTHCARE

The only API-first clearinghouse for claims and real-time eligibility checks,
powered by the Stedi EDI platform.

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ELIGIBILITY CHECK API

Check patient eligibility with a single endpoint.

 * Replaces Change Healthcare’s Eligibility Check API

 * EDI X12 270/271 interactions

 * 900+ supported payers (download list)



Read the docs

checkEligibility.js



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fetch(
  "https://core.us.stedi.com/2023-08-01/change/medicalnetwork/eligibility/v3",
  {
    controlNumber: "123456789",
    tradingPartnerServiceId: "CIGNA",
    provider: { organizationName: "Doctors LLC", npi: "7921017274" },
    subscriber: {
      firstName: "John",
      lastName: "Doe",
      dateOfBirth: "19870521",
      memberId: "0000000000",
    },
    encounter: {
      dateOfService: "20240322",
      serviceTypeCodes: ["30"],
    },
  }
).then((response) => response.json())


CLAIMS API

Create and submit claims for reimbursement from payers

 * Replaces Change Healthcare’s Professional Claims API

 * EDI X12 835/837P interactions

 * Thousands of supported payers (download list)



Read the docs

submitClaim.js



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fetch(
  "https://core.us.stedi.com/2023-08-01/change/medicalnetwork/professionalclaims/v3/submission",
  {
    controlNumber: "123456789",
    tradingPartnerServiceId: "6400",
    submitter: {
      organizationName: "Doctors LLC",
      contactInformation: { name: "Doctors LLC", phoneNumber: "5552221212" },
    },
    receiver: {},
    subscriber: {},
    providers: [],
    claimInformation: {
      serviceLines: [{}]
    },
  }
).then((response) => response.json());


CLAIMS STATUS

Check the status of an existing claim, in real time

 * Replaces Change Healthcare’s Claims Status API

 * EDI X12 276/277 interactions

Coming soon

getClaimStatus.js



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fetch(
  "https://core.us.stedi.com/2023-08-01/change/medicalnetwork/claimstatus/v2",
  {
    controlNumber: "000000001",
    tradingPartnerServiceId: "UHC",
    providers: [{ organizationName: "Doctors LLC", npi: "7921017274", providerType: "BillingProvider" }],
    subscriber: {
      memberId: "0000000000",
      firstName: "Jane",
      lastName: "Doe",
      dateOfBirth: "19891002",
    },
    encounter: {
      beginningDateOfService: "20240322",
      endDateOfService: "20240322",
      trackingNumber: "ABCD",
    },
  }
).then((response) => response.json());

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SECURE & RELIABLE.

HIPAA-ELIGIBLE

PROCESS HEALTHCARE DATA WITH CONFIDENCE.

SOC II COMPLIANT

WE'RE SOC 2 TYPE 1 AND 2 COMPLIANT. ACCESS REPORTS AND LEARN MORE AT
TRUST.STEDI.COM.

99.9% UPTIME

CRITICAL INFRASTRUCTURE FOR CRITICAL SERVICES. READ OUR SLAS, OR VIEW OUR STATUS
PAGE.

MULTI-REGION SUPPORT

WE ROUTE TRAFFIC TO MULTIPLE CLOUD REGIONS TO AVOID SINGLE POINTS OF FAILURE.

MULTI-FACTOR AUTHENTICATION

ENSURE THAT ONLY AUTHENTICATED USERS CAN ACCESS CRITICAL APIS AND DATA.

ROLE-BASED ACCESS

LET OPERATIONAL STAFF VIEW DATA AND REDRIVE TRANSACTIONS WITHOUT RISKING CONFIG
CHANGES.

FAQs


WHY SHOULD I USE STEDI’S APIS OVER USING ANOTHER PROVIDER OR CLEARINGHOUSE?


WHAT PAYERS ARE SUPPORTED?


CAN YOU ACCEPT PAYER IDS IN THE CHANGE HEALTHCARE (CHC) FORMAT?


DO YOU SUPPORT OTHER CHC AND POKITDOK APIS AND X12 EDI TRANSACTION TYPES?


HOW DOES STEDI KEEP DATA SECURE?

Learn more on our docs

BLOG POST

Stedi's drop-in replacements for critical Change Healthcare APIs

The prolonged Change Healthcare outage due to a cyberattack...

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Contact us for a demo and a sandbox account to try out. Evaluate Stedi for free
for as long as you need.

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Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of
third parties listed on our site are trademarks of their respective owners
(including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its
products and services are not endorsed by, sponsored by, or affiliated with
these third parties. Our use of these names, logos, and brands is for
identification purposes only, and does not imply any such endorsement,
sponsorship, or affiliation.