Pair Team uses Stedi to replace critical Change Healthcare APIs for claim submission
Healthcare
Pair Team is a rapidly growing healthcare technology startup that helps connect underserved communities to high-quality care. They partner with shelters, pantries, and other nonprofits to launch telemedicine clinics onsite to engage a hard-to-reach Medicaid and Duals population. Through these partners, they help vulnerable patients overcome barriers to care and get convenient access to the right physical, mental, and social support services. All these services are funded by Medicaid, allowing patients to receive comprehensive, life-changing care for free.
Challenge
On February 21st, 2024, Change Healthcare (CHC)—the nation’s largest healthcare clearinghouse for claims processing—suffered an unprecedented cyber-attack that brought down its entire system, including all healthcare APIs. The outage prevented Pair Team from submitting 837 insurance claims to Medicaid, which they rely on to receive payment for their services. When it became clear that CHC’s APIs wouldn’t be back online for weeks or months, the team began urgently looking for an alternative.
Pair Team manages claim processing in-house, so they needed an API-first solution that their product engineers could easily implement. They didn’t want to spend months building out support for the underlying X12 EDI format. They also wanted a platform designed to be secure, reliable, and scalable over time.
“After our first call, I expected the quality of Stedi's technical team to be much stronger than alternative solutions,” says Craig Micon, Head of Product at Pair Team. “There was no `vendor speak`—from the start. We had clear, honest conversations about how to solve our problem. The engineering roadmap was clearly articulated in weeks instead of years. And we liked that Stedi is building out redundant payer connections to enable failover in case of future outages.”
On February 21st, 2024, Change Healthcare (CHC)—the nation’s largest healthcare clearinghouse for claims processing—suffered an unprecedented cyber-attack that brought down its entire system, including all healthcare APIs. The outage prevented Pair Team from submitting 837 insurance claims to Medicaid, which they rely on to receive payment for their services. When it became clear that CHC’s APIs wouldn’t be back online for weeks or months, the team began urgently looking for an alternative.
Pair Team manages claim processing in-house, so they needed an API-first solution that their product engineers could easily implement. They didn’t want to spend months building out support for the underlying X12 EDI format. They also wanted a platform designed to be secure, reliable, and scalable over time.
“After our first call, I expected the quality of Stedi's technical team to be much stronger than alternative solutions,” says Craig Micon, Head of Product at Pair Team. “There was no `vendor speak`—from the start. We had clear, honest conversations about how to solve our problem. The engineering roadmap was clearly articulated in weeks instead of years. And we liked that Stedi is building out redundant payer connections to enable failover in case of future outages.”
Solution
Pair Team chose Stedi as their platform for claims processing and was able to get back online within days.
Stedi’s Professional Claims APIs allow Pair Team to submit claims in CHC’s exact JSON request format, allowing their developers to migrate without code changes. Stedi converts those requests into X12 EDI and submits the transactions to payers. Finally, Stedi processes 277 Claim Status and 835 Electronic Remittance Advice (ERA) transactions, transforms them to CHC’s Reports API JSON format, and automatically delivers them to Pair Team through webhooks.
Craig says the team continues to be impressed with Stedi’s speed and dedication to helping customers.
“We submitted claims three days after signing, and the support is excellent in quality and timeliness of response. For example, Stedi's team regularly resolves our engineers’ issues within minutes. This used to take months or just never happen at all with our previous vendor.”
Pair Team chose Stedi as their platform for claims processing and was able to get back online within days.
Stedi’s Professional Claims APIs allow Pair Team to submit claims in CHC’s exact JSON request format, allowing their developers to migrate without code changes. Stedi converts those requests into X12 EDI and submits the transactions to payers. Finally, Stedi processes 277 Claim Status and 835 Electronic Remittance Advice (ERA) transactions, transforms them to CHC’s Reports API JSON format, and automatically delivers them to Pair Team through webhooks.
Craig says the team continues to be impressed with Stedi’s speed and dedication to helping customers.
“We submitted claims three days after signing, and the support is excellent in quality and timeliness of response. For example, Stedi's team regularly resolves our engineers’ issues within minutes. This used to take months or just never happen at all with our previous vendor.”
Results
Pair Team has now fully migrated to Stedi and processed their entire backlog of healthcare claims.
“The thing I like most about Stedi is that claims processing is now solved, allowing us to put 100% of our time and energy toward building our core use cases,” says Craig. “In the future, we plan to use Stedi to build more features related to eligibility, and we’re really happy to have a solution that can grow with us as we continue expanding our footprint.”
Pair Team has now fully migrated to Stedi and processed their entire backlog of healthcare claims.
“The thing I like most about Stedi is that claims processing is now solved, allowing us to put 100% of our time and energy toward building our core use cases,” says Craig. “In the future, we plan to use Stedi to build more features related to eligibility, and we’re really happy to have a solution that can grow with us as we continue expanding our footprint.”
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Backed by
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.
Backed by
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.