Healthcare
- Payers
- Transaction enrollment
- Eligibility checks
- Coordination of benefits
- Claim submission
- Claim status
- Remittances
EDI platform
- Transaction
- Interchange
- File execution
- Fragments
- Mappings
- Events
List Payers
curl --request GET \
--url https://healthcare.us.stedi.com/2024-04-01/payers \
--header 'Authorization: <api-key>'{
"items": [
{
"stediId": "UPICO",
"displayName": "Blue Cross Blue Shield of North Carolina",
"primaryPayerId": "BCSNC",
"aliases": [
"1411",
"560894904",
"61473",
"7472",
"7814",
"BCBS-NC",
"BCSNC",
"NCBCBS",
"NCPNHP"
],
"names": [
"Blue Cross Blue Shield North Carolina"
],
"transactionSupport": {
"eligibilityCheck": "SUPPORTED",
"claimStatus": "SUPPORTED",
"claimSubmission": "SUPPORTED",
"professionalClaimSubmission": "SUPPORTED",
"institutionalClaimSubmission": "SUPPORTED",
"claimPayment": "ENROLLMENT_REQUIRED",
"coordinationOfBenefits": "SUPPORTED"
}
}
]
}This endpoint lists all of the payers Stedi supports for eligibility checks and claims processing. You can use it to retrieve Payer IDs and to determine which payers require enrollment before you can send transactions.
You can also find a searchable list of payers in the Payer Network.
Authorizations
A Stedi API Key for authentication.
Response
Payers that Stedi supports for eligibility checks, claim submission, claim status, and claim payment (ERAs). Results are returned in alphabetical order of the Stedi ID.
A unique ID that Stedi assigned to this payer and uses internally for routing requests. This ID will not change even if the primaryPayerId is updated.
The payer's business name, such as Cigna or Aetna. This is the name most commonly used to identify the payer.
The most commonly used ID for a payer. This value often corresponds to the name the payer uses internally and provides to patients on member ID cards.
Alternative IDs associated with a payer. If a payer changes their primaryPayerId, aliases allow you to continue sending transactions to the payer using the old ID uninterrupted.
Alternative names associated with a payer. These additional names help you search for and identify payers using the name most familiar to your organization.
Whether the following transaction types are supported: 270 eligibility checks, 276 claim status requests, 837 professional claims, and 835 ERAs (claim payments). If the value is ENROLLMENT_REQUIRED, Stedi supports the transaction type, but you must enroll with the payer first.
Whether you can send 270 eligibility checks to this payer.
SUPPORTED, NOT_SUPPORTED, ENROLLMENT_REQUIRED Whether you can send 276 claim status requests to this payer.
SUPPORTED, NOT_SUPPORTED, ENROLLMENT_REQUIRED Whether you can send 837 professional claims to this payer.
This shape is deprecated since 2024-11-13: This claimSubmission property is deprecated and will be removed in a future release. Instead, use the professionalClaimSubmission property.
SUPPORTED, NOT_SUPPORTED, ENROLLMENT_REQUIRED Whether you can send 837p professional claims to this payer.
SUPPORTED, NOT_SUPPORTED, ENROLLMENT_REQUIRED Whether you can send 837i institutional claims to this payer.
SUPPORTED, NOT_SUPPORTED, ENROLLMENT_REQUIRED Whether you can receive 835 Electronic Remittance Advice (ERA) transactions from this payer.
SUPPORTED, NOT_SUPPORTED, ENROLLMENT_REQUIRED Coordination of Benefits (COB) support.
SUPPORTED, NOT_SUPPORTED, ENROLLMENT_REQUIRED Was this page helpful?
curl --request GET \
--url https://healthcare.us.stedi.com/2024-04-01/payers \
--header 'Authorization: <api-key>'{
"items": [
{
"stediId": "UPICO",
"displayName": "Blue Cross Blue Shield of North Carolina",
"primaryPayerId": "BCSNC",
"aliases": [
"1411",
"560894904",
"61473",
"7472",
"7814",
"BCBS-NC",
"BCSNC",
"NCBCBS",
"NCPNHP"
],
"names": [
"Blue Cross Blue Shield North Carolina"
],
"transactionSupport": {
"eligibilityCheck": "SUPPORTED",
"claimStatus": "SUPPORTED",
"claimSubmission": "SUPPORTED",
"professionalClaimSubmission": "SUPPORTED",
"institutionalClaimSubmission": "SUPPORTED",
"claimPayment": "ENROLLMENT_REQUIRED",
"coordinationOfBenefits": "SUPPORTED"
}
}
]
}