GET
/
change
/
medicalnetwork
/
reports
/
v2
/
{transactionId}
/
835
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"
    }
  ]
}

This endpoint retrieves processed Electronic Remittance Advice (835 ERA) transactions from payers.

  • Call this endpoint with the transactionId of the 835 ERA you want to retrieve.
  • Stedi returns the payer’s 835 ERA in JSON format.

​
Correlate with original claim

Use the following fields to correlate the 835 ERA with the original claim:

  • Entire claim: The original claim’s claimInformation.patientControlNumber is returned as the transactions.detailInfo.paymentInfo.claimPaymentInfo.patientControlNumber in the 835 ERA.
  • Service line: The original claim’s claimInformation.serviceLines.providerControlNumber is returned as the transactions.detailInfo.paymentInfo.serviceLines.lineItemControlNumber in the 835 ERA.

​
Claim status

You cannot 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.

Instead, you can use the Claim Status API to check the status of a claim in real-time.

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

200
application/json
ConvertReport835 200 response

The response is of type object.