GET
/
change
/
medicalnetwork
/
reports
/
v2
/
{transactionId}
/
835
cURL
curl --request GET \
  --url https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/reports/v2/{transactionId}/835 \
  --header 'Authorization: <api-key>'
{
  "meta": {
    "applicationMode": "production",
    "senderId": "BSW",
    "transactionId": "7647d644-9348-4596-a3b4-6830b8b48cc8"
  },
  "transactions": [
    {
      "controlNumber": "112233",
      "detailInfo": [
        {
          "assignedNumber": "1",
          "paymentInfo": [
            {
              "claimPaymentInfo": {
                "claimFilingIndicatorCode": "12",
                "claimFrequencyCode": "1",
                "claimPaymentAmount": "500",
                "claimStatusCode": "1",
                "facilityTypeCode": "11",
                "patientControlNumber": "1112223333",
                "patientResponsibilityAmount": "300",
                "payerClaimControlNumber": "94060555410000",
                "totalClaimChargeAmount": "800"
              },
              "claimSupplementalInformation": {
                "coverageAmount": "800"
              },
              "patientName": {
                "firstName": "JOHN",
                "lastName": "DOE",
                "memberId": "1234567891"
              },
              "serviceLines": [
                {
                  "lineItemControlNumber": "111222333",
                  "serviceAdjustments": [
                    {
                      "adjustmentAmount1": "300",
                      "adjustmentReasonCode1": "1",
                      "adjustmentReason1": "Deductible Amount",
                      "claimAdjustmentGroupCode": "PR",
                      "claimAdjustmentGroupCodeValue": "Patient Responsibility"
                    }
                  ],
                  "serviceDate": "20190301",
                  "servicePaymentInformation": {
                    "adjudicatedProcedureCode": "99211",
                    "lineItemChargeAmount": "800",
                    "lineItemProviderPaymentAmount": "500",
                    "productOrServiceIDQualifier": "HC",
                    "productOrServiceIDQualifierValue": "Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes"
                  },
                  "serviceSupplementalAmounts": {
                    "allowedActual": "800"
                  }
                }
              ]
            },
            {
              "claimPaymentInfo": {
                "claimFilingIndicatorCode": "12",
                "claimFrequencyCode": "1",
                "claimPaymentAmount": "600",
                "claimStatusCode": "1",
                "facilityTypeCode": "11",
                "patientControlNumber": "22255566677",
                "patientResponsibilityAmount": "600",
                "payerClaimControlNumber": "9407779923000",
                "totalClaimChargeAmount": "1200"
              },
              "claimSupplementalInformation": {
                "coverageAmount": "1200"
              },
              "patientName": {
                "firstName": "JANE",
                "lastName": "DOE",
                "memberId": "1234567891"
              },
              "serviceLines": [
                {
                  "serviceAdjustments": [
                    {
                      "adjustmentAmount1": "600",
                      "adjustmentReasonCode1": "1",
                      "adjustmentReason1": "Deductible Amount",
                      "claimAdjustmentGroupCode": "PR",
                      "claimAdjustmentGroupCodeValue": "Patient Responsibility"
                    }
                  ],
                  "serviceDate": "20190310",
                  "servicePaymentInformation": {
                    "adjudicatedProcedureCode": "93555",
                    "lineItemChargeAmount": "1200",
                    "lineItemProviderPaymentAmount": "600",
                    "productOrServiceIDQualifier": "HC",
                    "productOrServiceIDQualifierValue": "Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes"
                  },
                  "serviceSupplementalAmounts": {
                    "allowedActual": "1200"
                  }
                }
              ]
            }
          ]
        }
      ],
      "financialInformation": {
        "checkIssueOrEFTEffectiveDate": "20190316",
        "creditOrDebitFlagCode": "C",
        "payerIdentifier": "000000000",
        "paymentFormatCode": "CCP",
        "paymentMethodCode": "ACH",
        "receiverAccountDetails": {
          "receiverAccountNumber": "144444",
          "receiverAccountNumberQualifier": "DA",
          "receiverDfiIdNumberQualifier": "01",
          "receiverDfiIdentificationNumber": "111333555"
        },
        "senderAccountDetails": {
          "senderAccountNumber": "11111111",
          "senderAccountNumberQualifier": "DA",
          "senderDfiIdNumberQualifier": "01",
          "senderDFIIdentifier": "888999777"
        },
        "totalActualProviderPaymentAmount": "1100",
        "transactionHandlingCode": "I"
      },
      "payee": {
        "federalTaxPayersIdentificationNumber": "777667755",
        "name": "ACME MEDICAL CENTER",
        "npi": "1999999984"
      },
      "payer": {
        "address": {
          "address1": "10 SOUTH AVENUET",
          "city": "NEW YORK",
          "postalCode": "55111",
          "state": "SD"
        },
        "name": "RUSHMORE LIFE",
        "technicalContactInformation": [
          {
            "contactMethods": [
              {
                "phone": "8005550000"
              }
            ],
            "contactName": "JOHN DOE"
          }
        ]
      },
      "paymentAndRemitReassociationDetails": {
        "checkOrEFTTraceNumber": "71700666555",
        "originatingCompanyIdentifier": "1935665544",
        "traceTypeCode": "1"
      },
      "productionDate": "20190314"
    }
  ]
}
The 835 Electronic Remittance Advice (ERA) contains details about payments for specific services and explanations for any adjustments or denials. This endpoint retrieves processed 835 ERA transactions from Stedi.
  1. Call this endpoint with the transactionId of the 835 ERA you want to retrieve. You can retrieve the transaction ID through webhooks or through Stedi’s API. Learn more
  2. The endpoint returns the 835 ERA in JSON format.
Note that the payer won’t send 835 ERAs for rejected claims. If a claim is rejected in a 277CA claim acknowledgment, there’s no adjudication or payment information to report.
Visit Correlate 835 ERA to learn how to match 835 ERAs to the original claim.

​
Claim status

You can’t reliably determine a claim’s status based on the amount paid in an 835 ERA. There are many instances in which a claim is accepted and the total amount paid is 0 dollars. For example, in Value-Based Care (VBC) scenarios, line item rates are usually 0 dollars, and providers are paid a flat rate per month or for a complete bundle of services. Use the Real-Time Claim Status API to check the claim’s status instead.

Authorizations

​
Authorization
string
header
required

A Stedi API Key for authentication.

Path Parameters

​
transactionId
string
required

A unique identifier for the processed 835 transaction within Stedi. This ID is included in the transaction processed event, which you can receive automatically through Stedi webhooks. You can also retrieve it through the Poll Transactions endpoint or from the transaction's details page within the Stedi portal.

Response

ConvertReport835 200 response

Transaction response structure for claim payment advice.