The Remittances API from Stedi — 2 operation(s) for remittances.
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openapi: 3.2.0
info:
contact:
email: healthcare@stedi.com
license:
name: Proprietary
url: https://stedi.com
title: Stedi Healthcare Remittances 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:
- name: Remittances
paths:
/change/medicalnetwork/reports/v2/{transactionId}/835:
get:
description: Retrieve an 835 Electronic Remittance Advice (ERA) in JSON format
operationId: ConvertReport835
parameters:
- description: A unique identifier for the processed 835 transaction within Stedi. This ID is included in the transaction processed event, which you can receive automatically through Stedi [webhooks](https://www.stedi.com/docs/healthcare/configure-webhooks). You can also retrieve it through the [Poll Transactions endpoint](https://www.stedi.com/docs/healthcare/api-reference/get-poll-transactions).
examples:
ConvertReport835_example1:
description: ''
summary: Retrieve 835 ERA
value: d567c2ae-f073-4725-8b8c-06c473b738a6
in: path
name: transactionId
required: true
schema:
description: A unique identifier for the processed 835 transaction within Stedi. This ID is included in the transaction processed event, which you can receive automatically through Stedi [webhooks](https://www.stedi.com/docs/healthcare/configure-webhooks). You can also retrieve it through the [Poll Transactions endpoint](https://www.stedi.com/docs/healthcare/api-reference/get-poll-transactions).
maxLength: 36
minLength: 36
pattern: ^[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}$
type: string
responses:
'200':
content:
application/json:
examples:
ConvertReport835_example1:
description: ''
summary: Retrieve 835 ERA
value:
meta:
applicationMode: production
senderId: BSW
transactionId: 7647d644-9348-4596-a3b4-6830b8b48cc8
transactions:
- controlNumber: '112233'
detailInfo:
- assignedNumber: '1'
paymentInfo:
- claimPaymentInfo:
claimFilingIndicatorCode: '12'
claimFrequencyCode: '1'
claimPaymentAmount: '500'
claimStatusCode: '1'
facilityTypeCode: '11'
patientControlNumber: '1112223333'
patientResponsibilityAmount: '300'
payerClaimControlNumber: '94060555410000'
totalClaimChargeAmount: '800'
claimSupplementalInformation:
coverageAmount: '800'
patientName:
firstName: JOHN
lastName: DOE
memberId: '1234567891'
serviceLines:
- lineItemControlNumber: '111222333'
serviceAdjustments:
- adjustmentAmount1: '300'
adjustmentReason1: Deductible Amount
adjustmentReasonCode1: '1'
claimAdjustmentGroupCode: PR
claimAdjustmentGroupCodeValue: Patient Responsibility
serviceDate: '20190301'
servicePaymentInformation:
adjudicatedProcedureCode: '99211'
lineItemChargeAmount: '800'
lineItemProviderPaymentAmount: '500'
productOrServiceIDQualifier: HC
productOrServiceIDQualifierValue: Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes
serviceSupplementalAmounts:
allowedActual: '800'
- claimPaymentInfo:
claimFilingIndicatorCode: '12'
claimFrequencyCode: '1'
claimPaymentAmount: '600'
claimStatusCode: '1'
facilityTypeCode: '11'
patientControlNumber: '22255566677'
patientResponsibilityAmount: '600'
payerClaimControlNumber: '9407779923000'
totalClaimChargeAmount: '1200'
claimSupplementalInformation:
coverageAmount: '1200'
patientName:
firstName: JANE
lastName: DOE
memberId: '1234567891'
serviceLines:
- serviceAdjustments:
- adjustmentAmount1: '600'
adjustmentReason1: Deductible Amount
adjustmentReasonCode1: '1'
claimAdjustmentGroupCode: PR
claimAdjustmentGroupCodeValue: Patient Responsibility
serviceDate: '20190310'
servicePaymentInformation:
adjudicatedProcedureCode: '93555'
lineItemChargeAmount: '1200'
lineItemProviderPaymentAmount: '600'
productOrServiceIDQualifier: HC
productOrServiceIDQualifierValue: Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes
serviceSupplementalAmounts:
allowedActual: '1200'
financialInformation:
checkIssueOrEFTEffectiveDate: '20190316'
creditOrDebitFlagCode: C
payerIdentifier: '000000000'
paymentFormatCode: CCP
paymentMethodCode: ACH
receiverAccountDetails:
receiverAccountNumber: '144444'
receiverAccountNumberQualifier: DA
receiverDfiIdNumberQualifier: '01'
receiverDfiIdentificationNumber: '111333555'
senderAccountDetails:
senderAccountNumber: '11111111'
senderAccountNumberQualifier: DA
senderDFIIdentifier: '888999777'
senderDfiIdNumberQualifier: '01'
totalActualProviderPaymentAmount: '1100'
transactionHandlingCode: I
payee:
federalTaxPayersIdentificationNumber: '777667755'
name: ACME MEDICAL CENTER
npi: '1999999984'
payer:
address:
address1: 10 SOUTH AVENUET
city: NEW YORK
postalCode: '55111'
state: SD
name: RUSHMORE LIFE
technicalContactInformation:
- contactMethods:
- phone: '8005550000'
contactName: JOHN DOE
paymentAndRemitReassociationDetails:
checkOrEFTTraceNumber: '71700666555'
originatingCompanyIdentifier: '1935665544'
traceTypeCode: '1'
productionDate: '20190314'
schema:
$ref: '#/components/schemas/ConvertReport835ResponseContent'
description: ConvertReport835 200 response
'400':
content:
application/json:
schema:
$ref: '#/components/schemas/ValidationExceptionResponseContent'
description: ValidationException 400 response
'403':
content:
application/json:
schema:
$ref: '#/components/schemas/AccessDeniedExceptionResponseContent'
description: AccessDeniedException 403 response
'404':
content:
application/json:
schema:
$ref: '#/components/schemas/ResourceNotFoundExceptionResponseContent'
description: ResourceNotFoundException 404 response
'429':
content:
application/json:
schema:
$ref: '#/components/schemas/ThrottlingExceptionResponseContent'
description: ThrottlingException 429 response
'500':
content:
application/json:
schema:
$ref: '#/components/schemas/InternalFailureExceptionResponseContent'
description: InternalFailureException 500 response
'503':
content:
application/json:
schema:
$ref: '#/components/schemas/ServiceUnavailableExceptionResponseContent'
description: ServiceUnavailableException 503 response
'504':
content:
application/json:
schema:
$ref: '#/components/schemas/GatewayTimeoutExceptionResponseContent'
description: GatewayTimeoutException 504 response
tags:
- Remittances
/electronic-remittance-advice/{transactionId}/pdf:
get:
description: Retrieve the generated PDF of an 835 Electronic Remittance Advice (ERA).
operationId: GetElectronicRemittanceAdvicePdf
parameters:
- description: A unique identifier for the Electronic Remittance Advice (ERA) within Stedi. This ID is included in the transaction processed event for the ERA, which you can receive automatically through Stedi [webhooks](https://www.stedi.com/docs/healthcare/configure-webhooks). You can also retrieve this ID through the [Poll Transactions endpoint](https://www.stedi.com/docs/healthcare/api-reference/get-poll-transactions).
examples:
GetElectronicRemittanceAdvicePdf_example1:
description: ''
summary: Retrieve PDF
value: b12a1241-3312-a3dc-aed2-1a30ca50cd63
in: path
name: transactionId
required: true
schema:
description: A unique identifier for the Electronic Remittance Advice (ERA) within Stedi. This ID is included in the transaction processed event for the ERA, which you can receive automatically through Stedi [webhooks](https://www.stedi.com/docs/healthcare/configure-webhooks). You can also retrieve this ID through the [Poll Transactions endpoint](https://www.stedi.com/docs/healthcare/api-reference/get-poll-transactions).
maxLength: 36
minLength: 36
pattern: ^[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}$
type: string
- description: If false, the generated PDF will not include the Stedi logo in the footer. The default is true.
in: query
name: logo
schema:
description: If false, the generated PDF will not include the Stedi logo in the footer. The default is true.
type: boolean
responses:
'200':
content:
application/pdf:
examples:
GetElectronicRemittanceAdvicePdf_example1:
description: ''
summary: Retrieve PDF
value: '%PDF-1.3
1 0 obj<< ...'
schema:
$ref: '#/components/schemas/GetElectronicRemittanceAdvicePdfOutputPayload'
description: GetElectronicRemittanceAdvicePdf 200 response
'400':
content:
application/json:
schema:
$ref: '#/components/schemas/ValidationExceptionResponseContent'
description: ValidationException 400 response
'403':
content:
application/json:
schema:
$ref: '#/components/schemas/AccessDeniedExceptionResponseContent'
description: AccessDeniedException 403 response
'404':
content:
application/json:
schema:
$ref: '#/components/schemas/ResourceNotFoundExceptionResponseContent'
description: ResourceNotFoundException 404 response
'429':
content:
application/json:
schema:
$ref: '#/components/schemas/ThrottlingExceptionResponseContent'
description: ThrottlingException 429 response
'500':
content:
application/json:
schema:
$ref: '#/components/schemas/InternalFailureExceptionResponseContent'
description: InternalFailureException 500 response
'503':
content:
application/json:
schema:
$ref: '#/components/schemas/ServiceUnavailableExceptionResponseContent'
description: ServiceUnavailableException 503 response
'504':
content:
application/json:
schema:
$ref: '#/components/schemas/GatewayTimeoutExceptionResponseContent'
description: GatewayTimeoutException 504 response
tags:
- Remittances
components:
schemas:
Meta:
description: Metadata that helps Stedi track and debug the response.
properties:
applicationMode:
description: Whether this is a test or production ERA.
type: string
senderId:
description: An identifier for the most recent sender of the ERA. This is usually not the original sender, so this value is unlikely to be a payer ID. When Stedi processes and delivers ERAs through the clearinghouse, this value is always `STEDI`.
type: string
traceId:
description: Not currently used.
type: string
transactionId:
description: The Stedi transaction identifier.
maxLength: 36
minLength: 36
pattern: ^[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}$
type: string
type: object
PaymentInfoClaimSupplementalInformation:
description: Additional information about the claim payment. All values are expressed as decimals.
properties:
coverageAmount:
description: The total covered charges. This is the sum of the original submitted provider charges that are considered for payment under the health plan. This excludes charges considered not covered, but includes reductions to payments of covered services, such as patient deductibles.
type: string
discountAmount:
description: This is the Prompt Pay Discount Amount.
type: string
federalMedicareOrMedicaidPaymentMandateCategory1:
description: Federal Medicare or Medicaid Payment Mandate - Category 1.
type: string
federalMedicareOrMedicaidPaymentMandateCategory2:
description: Federal Medicare or Medicaid Payment Mandate - Category 2.
type: string
federalMedicareOrMedicaidPaymentMandateCategory3:
description: Federal Medicare or Medicaid Payment Mandate - Category 3.
type: string
federalMedicareOrMedicaidPaymentMandateCategory4:
description: Federal Medicare or Medicaid Payment Mandate - Category 4.
type: string
federalMedicareOrMedicaidPaymentMandateCategory5:
description: Federal Medicare or Medicaid Payment Mandate - Category 5.
type: string
interest:
description: The interest amount.
type: string
negativeLedgerBalance:
description: The negative ledger balance. Only used by Medicare Part A and Medicare Part B.
type: string
patientAmountPaid:
description: The amount the patient has already paid.
type: string
perDayLimit:
description: The per day limit.
type: string
tax:
description: The total taxes.
type: string
totalClaimBeforeTaxes:
description: The total claim amount before taxes.
type: string
type: object
PaymentFormatCode:
description: Identifies the specific electronic payment format used for ACH transactions. These formats determine the structure and content of the electronic payment message.
enum:
- CCP
- CTX
type: string
ClaimPaymentAdviceServiceLinesRenderingProviderInformation:
description: Identifiers for the provider who rendered this service.
properties:
blueCrossProviderNumber:
description: The rendering provider's Blue Cross Provider Number.
type: string
blueShieldProviderNumber:
description: The rendering provider's Blue Shield Provider Number.
type: string
champusIdentificationNumber:
description: The rendering provider's CHAMPUS Identification Number.
type: string
facilityIdNumber:
description: The rendering provider's Facility ID Number.
type: string
federalTaxpayerIdentificationNumber:
description: The rendering provider's Federal Taxpayer Identification Number.
type: string
medicaidProviderNumber:
description: The rendering provider's Medicaid Provider Number.
type: string
medicareProviderNumber:
description: The rendering provider's Medicare Provider Number.
type: string
nationalCouncilForPrescriptionDrugProgramPharmacyNumber:
description: The rendering provider's National Council for Prescription Drug Programs Pharmacy Number.
type: string
npi:
description: The rendering provider's National Provider Identifier (NPI).
pattern: ^\d{10}$
type: string
providerCommercialNumber:
description: The Provider Commercial Number.
type: string
providerUPINNumber:
description: Deprecated; replaced by NPI in 2007.
type: string
ssn:
description: The rendering provider's Social Security Number (SSN).
pattern: ^\d{9}$
type: string
stateLicenseNumber:
description: The rendering provider's State License Number.
type: string
type: object
SenderAccountDetails:
description: Financial institution account details for the payment sender.
properties:
senderAccountNumber:
description: The account number for the company originating the payment.
type: string
senderAccountNumberQualifier:
$ref: '#/components/schemas/AccountNumberQualifier'
description: The code identifying the type of account the payment is being made from. Can be `DA` - Demand Deposit.
senderDFIIdentifier:
description: The identifier specified by the `senderDfiIdNumberQualifier`.
type: string
senderDfiIdNumberQualifier:
$ref: '#/components/schemas/DfiIdNumberQualifier'
description: The code identifying the type of identification number of the Depository Financial Institution (DFI). Can be either `01` - ABA Transit Routing Number Including Check Digits (9 digits) or `04` - Canadian Bank Branch Institution Number.
type: object
ClaimPaymentAdviceResponse:
description: The complete claim payment advice response from the payer.
properties:
controlNumber:
description: The control number the payer provided in the claim payment response. This is used to identify the transaction.
type: string
detailInfo:
description: Detailed information about claims in this payment advice.
items:
$ref: '#/components/schemas/DetailInfo'
type: array
financialInformation:
$ref: '#/components/schemas/ClaimPaymentAdviceResponseFinancialInformation'
description: Financial information about the payment including amounts and account details.
foreignCurrency:
description: The standard ISO code for the country whose currency is being used for payments. If this is not present, the currency is US dollars.
type: string
payee:
$ref: '#/components/schemas/Payee'
description: Information about the payee receiving the payment.
payer:
$ref: '#/components/schemas/ClaimPaymentAdvicePayer'
description: Information about the payer making the payment.
paymentAndRemitReassociationDetails:
$ref: '#/components/schemas/ClaimPaymentAdviceResponsePaymentAndRemitReassociationDetails'
description: Payment and remittance reassociation details for transaction tracking.
productionDate:
description: The end date for the adjudication production cycle for claims included in this ERA.
pattern: ^\d{4}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])$
type: string
providerAdjustments:
description: 'Provider-level adjustment information for debit or credit transactions such as: accelerated payments, cost report settlements for a fiscal year, and timeliness report penalties unrelated to a specific claim or service. These adjustments can either decrease the payment (a positive number) or increase the payment (a negative number).'
items:
$ref: '#/components/schemas/ProviderAdjustments'
type: array
receiverIdentifier:
description: The business identification information for the entity initially receiving the transaction. This is typically included when the receiver of the transaction is not the payee, such as a clearinghouse or billing service.
type: string
versionIdentification:
description: The version number of the adjudication system that generated the claim payments.
type: string
type: object
PayeeRemittanceDeliveryMethod:
description: The method by which the remittance advice is delivered. This is used when the remittance is separate from the payment.
properties:
email:
description: The email address.
type: string
ftp:
description: Information for file transfer deliveries, such as SFTP, FTP, or FTPS.
type: string
name:
description: The name of the third party processor, if required, that would be the first recipient of the remittance.
type: string
onLine:
description: The web address of the online portal for secure hosted or other electronic delivery. The URL is typically provided without the scheme and separator. For example, `stedi.com`.
type: string
type: object
DetailInfo:
description: Information about the claim or service line.
properties:
assignedNumber:
description: A unique ID assigned to identify this set of claim information within the response.
type: string
paymentInfo:
description: Information relevant to the claim and claim payment, including the subscriber, providers, and service lines. Note that the amount paid may not match the claim amount, even when the claim was not denied. This can happen for several reasons, including adjustments and corrected balances due from other claims.
items:
$ref: '#/components/schemas/PaymentInfo'
type: array
providerSummaryInformation:
$ref: '#/components/schemas/ProviderSummaryInformation'
description: Summary information about the provider.
providerSupplementalSummaryInformation:
$ref: '#/components/schemas/ProviderSupplementalSummaryInformation'
description: Supplemental summary information about the provider.
type: object
ClaimPaymentAdviceServiceLines:
description: Information about specific service lines in the claim payment advice.
properties:
healthCareCheckRemarkCodes:
description: Healthcare check remark codes for this service.
items:
$ref: '#/components/schemas/HealthCareCheckRemarkCodes'
type: array
healthCarePolicyIdentification:
description: Healthcare policy identification for this service.
items:
$ref: '#/components/schemas/HealthCarePolicyIdentification'
type: array
lineItemControlNumber:
description: The `providerControlNumber` submitted in the original claim to identify the service line.
type: string
renderingProviderInformation:
$ref: '#/components/schemas/ClaimPaymentAdviceServiceLinesRenderingProviderInformation'
description: Information about the provider who rendered this service.
serviceAdjustments:
description: Adjustments applied to this service line.
items:
$ref: '#/components/schemas/ClaimAdjustments'
type: array
serviceDate:
description: The date the service was rendered. Used for single-day services.
pattern: ^\d{4}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])$
type: string
serviceEndDate:
description: The date the service ended. Used for multi-day services.
pattern: ^\d{4}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])$
type: string
serviceIdentification:
$ref: '#/components/schemas/ClaimPaymentAdviceServiceLinesServiceIdentification'
description: Service identification details.
servicePaymentInformation:
$ref: '#/components/schemas/ClaimPaymentAdviceServiceLinesServicePaymentInformation'
description: Payment information for this service line.
serviceStartDate:
description: The date the service began. Used for multi-day services.
pattern: ^\d{4}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])$
type: string
serviceSupplementalAmounts:
$ref: '#/components/schemas/ClaimPaymentAdviceServiceLinesServiceSupplementalAmounts'
description: Supplemental amount information for this service.
serviceSupplementalQuantities:
$ref: '#/components/schemas/ClaimPaymentAdviceServiceLinesServiceSupplementalQuantities'
description: Supplemental quantity information for this service.
type: object
GetElectronicRemittanceAdvicePdfOutputPayload:
contentEncoding: byte
description: 'A binary blob containing the Electronic Remittance Advice (ERA) PDF. You MUST send the ''accept: application/pdf'' header to get back the pdf content. Otherwise, the response will be base64-encoded and you must first decode it. To render the PDF, you must save the output to a file with a `.pdf` extension.'
type: string
ReceiverAccountDetails:
description: Financial institution account details for the payment receiver.
properties:
receiverAccountNumber:
description: The provider's account number.
type: string
receiverAccountNumberQualifier:
$ref: '#/components/schemas/AccountNumberQualifier'
description: The code identifying the type of account. Can be either `DA` - Demand Deposit or `SA` - Savings.
receiverDfiIdNumberQualifier:
$ref: '#/components/schemas/DfiIdNumberQualifier'
description: The code identifying the type of identification number of the Depository Financial Institution (DFI). Can be either `01` - ABA Transit Routing Number Including Check Digits (9 digits) or `04` - Canadian Bank Branch Institution Number.
receiverDfiIdentificationNumber:
description: The identification number specified in `receiverDfiIdNumberQualifier`.
type: string
type: object
AccessDeniedExceptionResponseContent:
description: The server response for authorization failure.
properties:
code:
description: Error classification code
type: string
message:
description: Human-readable error message
type: string
required:
- message
type: object
PaymentInfoInpatientAdjudication:
description: Information about the adjudication of inpatient claims.
properties:
claimDRGAmount:
description: The Diagnosis Related Group (DRG) amount.
type: string
claimDisproportionateShareAmount:
description: The Disproportionate Share amount.
type: string
claimIndirectTeachingAmount:
description: The indirect teaching amount.
type: string
claimMSPPassThroughAmount:
description: The Medicare Secondary Payer (MSP) pass-through amount.
type: string
claimPPSCapitalAmount:
description: The total Prospective Payment System (PPS) capital amount.
type: string
claimPPSCapitalOutlierAmount:
description: The Prospective Payment System (PPS) Capital Outlier amount.
type: string
claimPaymentRemarkCode1:
description: The [Claim Payment Remark Code](https://x12.org/codes/remittance-advice-remark-codes).
type: string
claimPaymentRemarkCode2:
description: A [Claim Payment Remark Code](https://x12.org/codes/remittance-advice-remark-codes).
type: string
claimPaymentRemarkCode3:
description: A [Claim Payment Remark Code](https://x12.org/codes/remittance-advice-remark-codes).
type: string
claimPaymentRemarkCode4:
description: A [Claim Payment Remark Code](https://x12.org/codes/remittance-advice-remark-codes).
type: string
claimPaymentRemarkCode5:
description: A [Claim Payment Remark Code](https://x12.org/codes/remittance-advice-remark-codes).
type: string
costReportDayCount:
description: The number of cost report days.
type: string
coveredDaysOrVisitsCount:
description: The number of days or visits covered by the health plan.
type: string
lifetimePsychiatricDaysCount:
description: The number of psychiatric days for the patient's lifetime.
type: string
nonPayableProfessionalComponentAmount:
description: The professional component amount billed but not payable.
type: string
oldCapitalAmount:
description: The old capital amount.
type: string
ppsCapitalDSHDRGAmount:
description: The Prospective Payment System (PPS) capital, disproportionate share, hospital Diagnosis Related Group (DRG) amount.
type: string
ppsCapitalExceptionAmount:
description: The capital exception amount.
type: string
ppsCapitalFSPDRGAmount:
description: The Prospective Payment System (PPS) capital, federal specific portion, Diagnosis Related Group (DRG) amount.
type: string
ppsCapitalHSPDRGAmount:
description: The Prospective Payment System (PPS) capital, hospital specific portion, Diagnosis Related Group (DRG), amount.
type: string
ppsCapitalIMEAmount:
description: The Prospective Payment System (PPS) capital indirect medical education claim amount.
type: string
ppsOperatingFederalSpecificDRGAmount:
description: The federal specific Diagnosis Related Group (DRG) amount.
type: string
ppsOperatingHospitalSpecificDRGAmount:
description: The hospital specific Diagnosis Related Group (DRG) Amount.
type: string
ppsOperatingOutlierAmount:
description: The Prospective Payment System (PPS) Operating Outlier amount, expressed as a decimal.
type: string
type: object
HealthCarePolicyIdentification:
descrip
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# Full source: https://raw.githubusercontent.com/api-evangelist/stedi/refs/heads/main/openapi/stedi-remittances-api-openapi.yml