Eligibility mock requests
When you submit the following requests to the Eligibility Check endpoint, Stedi returns mock benefits data from the specified payer you can use for testing. You need a Stedi API key for authentication, and you must set the stedi-test header to true.
Mock requests are free for testing purposes and won’t incur any charges in your Stedi account.
Medical - Active coverage
Request notes:
encounter: Only service type code30is supported.provider: You can use any organization name and any NPI, as long as it passes check digit validation. To generate a dummy NPI, you can use this free tool.subscriber: You must use the exact values in the test request. Other birthdates, first names, last names, and member IDs return errors.
Aetna
Ambetter
Anthem Blue Cross Blue Shield of CA
Blue Cross and Blue Shield of Texas
Cigna
Humana
Kaiser Permanente Northern California
National Centers for Medicare & Medicaid Services (CMS)
Oscar Health
UnitedHealthcare
Medical - Inactive coverage
UnitedHealthcare
Dental
Request notes:
encounter: Only service type code35is supported.provider: You can use any organization name and any NPI, as long as it passes check digit validation. To generate a dummy NPI, you can use this free tool.subscriber: You must use the exact values in the test request. Other birthdates, first names, last names, and member IDs return errors.
Ameritas
Anthem Blue Cross Blue Shield of CA
Cigna
Metlife
UnitedHealthcare
Common AAA errors
The following requests return mock data for the most common Payer AAA errors. Visit Eligibility troubleshooting for a complete list of AAA error codes, other common eligibility check issues, and recommended resolution steps.
42 - Unable to respond at current time
The following example request returns a 42 AAA error code, indicating that the payer is unable to respond at the current time. This is typically a temporary issue with the payer’s system, but it can also be an extended outage or the payer throttling your requests.
43 - Invalid/Missing Provider Identification
The following example request returns a 43 AAA error code. This error can occur if provider’s NPI is not registered with the payer, the provider’s NPI is not registered correctly with the payer, or the payer requires an agreement.
72 - Invalid/Missing Subscriber/Insured ID
The following example request returns a 72 AAA error code. This error can occur if the subscriber member ID was incorrect in the request, the request does not meet the payer’s requirements for the subscriber ID, or there is another unidentified error in the request data.
73 - Invalid/Missing Subscriber/Insured Name
The following example request returns a 73 AAA error code. This error can occur if an incorrect subscriber name was submitted, the subscriber name was missing, the subscriber name was spelled incorrectly, or the request doesn’t meet the payer’s requirements for the subscriber’s name.
75 - Subscriber/Insured Not Found
The following example request returns a 75 AAA error code. This error occurs when the payer can’t find the subscriber in their database. You should verify the subscriber details and try sending different combinations of firstName, lastName, dateOfBirth, and memberId. Note that not all search combinations are supported by all payers.
79 - Invalid Participant Identification
The following example request returns a 79 AAA error code. This error occurs when there is a problem connecting with the payer. You should contact Stedi support for assistance.
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