API claims processing
You can submit most claim types and real-time claim status requests to Stedi APIs in either JSON or X12 EDI format. We recommend this approach when you want to submit claims and real-time claim status requests programmatically without dealing with the complexities of the X12 EDI format.1
Submit claims and claim status requests to Stedi.
Stedi supports sending the following transactions to payers:
- 837P professional claim | JSON API | X12 EDI API
- 837I institutional claim | JSON API
- 837D dental claim | JSON API | X12 EDI API
- 276/277 real-time claim status | JSON API | X12 EDI API
2
Stedi delivers requests to the payer.
Stedi routes requests to the payer. Stedi receives payer responses in X12 EDI and transforms them into JSON to make them easier to ingest into your business systems.
3
Receive payer responses from Stedi.
- Stedi returns synchronous claim status responses from the payer in real time.
- You can either poll or listen for event-driven webhooks to discover new 277CA claim acknowledgments and 835 Electronic Remittance Advice (ERAs). Then, you can use Stedi APIs to retrieve these responses in JSON format.
SFTP claims processing
We recommend Stedi SFTP when you have an existing system that generates X12 EDI files, and you want to send them through Stedi without completing an API integration.1
Create SFTP users.
You can create both test and production SFTP users. Test users can only send claims to Stedi’s test clearinghouse, which helps ensure you never accidentally send test claims to payers while you’re getting up and running.
2
Drop claims onto Stedi's SFTP server.
Connect to Stedi’s server and drop compliant X12 EDI professional, institutional, or dental claim files into the
to-stedi
directory.3
Stedi processes the claim.
Stedi automatically validates the claim data and routes your claims to the test or production clearinghouse.
4
Retrieve claim responses from the SFTP server.
Stedi places claim responses - 277CA claim acknowledgments and 835 ERAs - into the
from-stedi
directory in X12 EDI format. You can retrieve these responses from the directory at your preferred cadence.