Introducing SFTP-based claims submission

Stedi’s APIs allow you to submit claims programmatically and get notified through webhooks when payers return claim statuses and remittances. These APIs are a great fit for developers who prefer an API integration, especially those who don’t want to deal with the complexities of EDI.

However, many existing claims processing workflows use SFTP to submit claims and fetch payer responses. That’s why we’re excited to announce that fully managed SFTP-based claims submission is now available for all Stedi payers that accept claims. With SFTP connectivity, developers and revenue cycle teams can submit claims through Stedi and fetch claim status and remittances without rebuilding their existing architecture.

Submit claims through fully managed SFTP

We recommend using SFTP-based claims submission when you have an existing system that generates and ingests X12 EDI files via SFTP (if your system sends X12 EDI files via API, we support that too). With SFTP connectivity, you can send X12 EDI claims through Stedi and retrieve X12 EDI 277 Claim Acknowledgments and 835 Electronic Remittance Advice (ERAs) without an API integration.

Here’s how SFTP claims processing works:

1. Create both test and production SFTP users on your account's Healthcare page. 

2. Connect to Stedi's server and drop compliant X12 EDI claims into the to-stedi directory. 

3. Stedi automatically validates the claim data. If there are no errors, Stedi routes production claims to payers and test claims to our test clearinghouse. 

4. Stedi places claim responses – X12 277s and ERAs – into the from-stedi directory. 

5. Retrieve these files from Stedi’s SFTP server at your preferred cadence.  

You can also configure Stedi webhooks to send claim processing events to your API endpoint. This allows you to monitor for processing issues, confirm successful claim submissions, and get notified when new payer responses are available.

Visit the Submit claims through SFTP documentation for complete details.

Monitor and debug your claims pipeline in the Stedi UI

You can review all of the claims and claim responses flowing through your SFTP connection on the Files and Transactions pages in Stedi. Each transaction page highlights the key information about the claim, such as the insured’s name, member ID, and line items. Stedi also displays a linked list of related transactions, so you can easily move between the original claim and any responses.

These UI tools allow you to track your entire claim pipeline, review claim submissions, quickly diagnose errors, and more.

Start processing claims with Stedi today

With SFTP claims processing, you can send claims and retrieve payer responses through Stedi in minutes. 

Contact us to learn more about how Stedi can help automate and streamline claims processing for your business.