Send mock requests to the Eligibility Check endpoint

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 code 30 is 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

test request for Aetna
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "60054", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "dateOfBirth": "20040404",
        "memberId": "AETNA12345"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Ambetter

test request for Ambetter
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "68069", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "John",
        "lastName": "Doe",
        "dateOfBirth": "19940404",
        "memberId": "AMBETTER123"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Anthem Blue Cross Blue Shield of CA

test request for Anthem BCBSCA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "040", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "John",
        "lastName": "Doe",
        "dateOfBirth": "19750101",
        "memberId": "BCBSCA123456"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Blue Cross and Blue Shield of Texas

test request for BCBSTX
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "G84980", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "dateOfBirth": "20100101",
        "memberId": "BCBSTX123456"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Cigna

test request for CIGNA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"123456789",
    "tradingPartnerServiceId": "62308", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0123456789"
    },
    "subscriber": {
        "firstName": "James",
        "lastName": "Jones",
        "dateOfBirth": "19910202",
        "memberId": "23456789100"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

test request for CIGNA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"123456789",
    "tradingPartnerServiceId": "62308", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0123456789"
    },
    "subscriber": {
        "firstName": "Rolando",
        "lastName": "Arrojo",
        "dateOfBirth": "19710102",
        "memberId": "5643296"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

test request for CIGNA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"123456789",
    "tradingPartnerServiceId": "62308", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0123456789"
    },
    "subscriber": {
        "firstName": "Rod",
        "lastName": "Beck",
        "dateOfBirth": "19720203",
        "memberId": "R5TJR4HR4H"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

test request for CIGNA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"123456789",
    "tradingPartnerServiceId": "62308", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0123456789"
    },
    "subscriber": {
        "firstName": "David",
        "lastName": "Cone",
        "dateOfBirth": "19730304",
        "memberId": "5642296"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

test request for CIGNA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"123456789",
    "tradingPartnerServiceId": "62308", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0123456789"
    },
    "subscriber": {
        "firstName": "Frank",
        "lastName": "Castillo",
        "dateOfBirth": "19750405",
        "memberId": "FTRJRG3254"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

test request for CIGNA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"123456789",
    "tradingPartnerServiceId": "62308", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0123456789"
    },
    "subscriber": {
        "firstName": "Casey",
        "lastName": "Fossum",
        "dateOfBirth": "19760506",
        "memberId": "5641296"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

test request for CIGNA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"123456789",
    "tradingPartnerServiceId": "62308", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0123456789"
    },
    "subscriber": {
        "firstName": "Rich",
        "lastName": "Garces",
        "dateOfBirth": "19770607",
        "memberId": "DHW5445"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Humana

test request for Humana
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "61101", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "dateOfBirth": "19750505",
        "memberId": "HUMANA123"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Kaiser Permanente Northern California

test request for Kaiser Permanente
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "KSRCN", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "dateOfBirth": "20020202",
        "memberId": "KAISER123456"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

National Centers for Medicare & Medicaid Services (CMS)

test request for CMS
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "CMS", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "dateOfBirth": "19550505",
        "memberId": "CMS12345678"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Oscar Health

test request for Oscar Health
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "OSCAR", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "memberId": "OSCAR123456"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

UnitedHealthcare

test request for UHC
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "87726", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "dateOfBirth": "19710101",
        "memberId": "UHC123456"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Medical - Inactive coverage

UnitedHealthcare

request for UHC
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"112233445",
    "tradingPartnerServiceId": "87726", 
    "provider": {
        "organizationName": "Provider Name",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jane",
        "lastName": "Doe",
        "dateOfBirth": "19710101",
        "memberId": "UHCINACTIVE"
    },
    "encounter": {
        "serviceTypeCodes": ["30"]
    }
}'

Dental

Request notes:

encounter: Only service type code 35 is 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

test request for Ameritas
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"164867197",
    "tradingPartnerServiceId": "100925", 
    "provider": {
        "firstName": "Plaque",
        "lastName": "Penguin",
        "npi": "1282565121"
    },
    "subscriber": {
        "firstName": "Falcon",
        "lastName": "Dent",
        "dateOfBirth": "19850607",
        "memberId": "007007007"
    },
    "encounter": {
        "serviceTypeCodes": ["35"]
    }
}'

Anthem Blue Cross Blue Shield of CA

test request for BCBSCA
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"592233731",
    "tradingPartnerServiceId": "84103", 
    "provider": {
        "organizationName": "One",
        "npi": "1481480079"
    },
    "subscriber": {
        "firstName": "Aardvark",
        "lastName": "Dent",
        "dateOfBirth": "19701212",
        "memberId": "987654321"
    },
    "encounter": {
        "serviceTypeCodes": ["35"]
    }
}'

Cigna

test request for Cigna
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"590491431",
    "tradingPartnerServiceId": "59-1031071", 
    "provider": {
        "organizationName": "One",
        "npi": "0001112223"
    },
    "subscriber": {
        "firstName": "Jaguar",
        "lastName": "Dent",
        "dateOfBirth": "19960505",
        "memberId": "U3141592653"
    },
    "encounter": {
        "serviceTypeCodes": ["35"]
    }
}'

Metlife

test request for Metlife
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"590555808",
    "tradingPartnerServiceId": "101256", 
    "provider": {
        "organizationName": "One",
        "npi": "1231231239"
    },
    "subscriber": {
        "firstName": "Elephant",
        "lastName": "Dent",
        "dateOfBirth": "19840229",
        "memberId": "88877788"
    },
    "encounter": {
        "serviceTypeCodes": ["35"]
    }
}'

UnitedHealthcare

test request for UnitedHealthcare
curl --request POST \
  --url 'https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/eligibility/v3' \
  --header 'Authorization: Key {api_key}' \
  --header 'stedi-test: true' \
  --header 'Content-Type: application/json' \
  --data '{
    "controlNumber":"143153149",
    "tradingPartnerServiceId": "52133", 
    "provider": {
        "organizationName": "One",
        "npi": "1487885067"
    },
    "subscriber": {
        "firstName": "Beaver",
        "lastName": "Dent",
        "dateOfBirth": "19690628",
        "memberId": "404404404"
    },
    "encounter": {
        "serviceTypeCodes": ["35"]
    }
}'

Healthcare

EDI platform

​Medical - Active coverage

​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

​Ameritas

​Anthem Blue Cross Blue Shield of CA

​Cigna

​Metlife

​UnitedHealthcare

Medical - Active coverage

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

Ameritas

Anthem Blue Cross Blue Shield of CA

Cigna

Metlife

UnitedHealthcare