Stedi

Stedi Real-time eligibility check API

The Real-time eligibility check API from Stedi — 2 operation(s) for real-time eligibility check.

GitHub OpenAPI
Business capability
Eligibility & Benefits Verification BC-2800.30

Operations 2

Each operation below carries the questions people ask an LLM about it and the instructions they give an agent to run it. Generated by API Evangelist overlay

POST /change/medicalnetwork/eligibility/v3 Check a patient's eligibility in real time · Eligibility check #
Ask an LLM
“How do I verify a patient's insurance coverage and benefits before an appointment?”
“Can I check eligibility for a patient's dependents in the same request?”
Tell an agent
Check eligibility with payer {tradingPartnerServiceId} for subscriber {subscriber} from provider {provider}.
Verify benefits for subscriber {subscriber} and dependents {dependents}.
POST /change/medicalnetwork/eligibility/v3/raw-x12 Check eligibility with raw X12 · Eligibility raw X12 check #
Ask an LLM
“Can I send a 270 eligibility request as raw X12 and get a 271 back?”
“Which endpoint accepts X12 EDI for real-time eligibility?”
Tell an agent
Send this X12 270 eligibility request: {x12}.
Run a raw EDI eligibility check {x12} for patient {externalPatientId}.

Documentation

📖
Documentation
https://www.stedi.com/docs/edi-platform/api-reference
📖
Documentation
https://www.stedi.com/docs
📖
APIReference
https://www.stedi.com/docs/healthcare/api-reference

Specifications

⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/stedi/refs/heads/main/openapi/stedi-real-time-eligibility-check-api-openapi.yml

Other Resources

🔗
Overlay
https://raw.githubusercontent.com/api-evangelist/stedi/refs/heads/main/overlays/stedi-real-time-eligibility-check-overlay.yaml

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OpenAPI Specification

stedi-real-time-eligibility-check-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  contact:
    email: healthcare@stedi.com
  license:
    name: Proprietary
    url: https://stedi.com
  title: Stedi Healthcare Real-time eligibility check API
  version: '2024-04-01'
servers:
- description: Production
  url: https://healthcare.us.stedi.com/2024-04-01
- description: Production (2026-06-01)
  url: https://healthcare.us.stedi.com/2026-06-01
security:
- httpApiKeyAuth: []
tags:


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# Full source: https://raw.githubusercontent.com/api-evangelist/stedi/refs/heads/main/openapi/stedi-real-time-eligibility-check-api-openapi.yml