Stedi · Example Payload

Stedi Claims Examples

EDIElectronic Data InterchangeHealthcareClearinghouseX12ClaimsEligibilityHIPAARevenue Cycle ManagementB2B Integration

Stedi Claims Examples is an example object payload from Stedi, with 4 top-level fields. It illustrates the shape of data this provider's APIs accept or return.

Top-level fields

CreateClaimAttachmentFile_requestCreateClaimAttachmentFile_response_201SubmitClaimAttachmentRawX12_requestSubmitClaimAttachmentRawX12_response_200

Example Payload

Raw ↑ 
{
  "CreateClaimAttachmentFile_request": {
    "contentType": "application/pdf"
  },
  "CreateClaimAttachmentFile_response_201": {
    "attachmentId": "d3b3e3e3-3e3e-3e3e-3e3e-3e3e3e3e3e3e",
    "uploadUrl": "https://s3.amazonaws.com/bucket/key"
  },
  "SubmitClaimAttachmentRawX12_request": {
    "x12": "ISA*00*          *00*          *ZZ*STEDI          *ZZ*CIGNA          *250227*2140*^*00501*000000001*0*T*>~GS*PI*STEDI*CIGNA*20250227*214016*1*X*005010X210~ST*275*1001*005010X210~BGN*11*0001*20060915~NM1*PR*2*CIGNA*****XV*62308~NM1*41*2*XYZ SERVICES*****46*1999999976~NM1*1P*2*THE HOSPITAL*****XX*3999000B01~NX1*1P~N3*123 Main~N4*Miami*FL*11111~NM1*QC*1*DOE*JOHN*J***MI*987654320~REF*EJ*DOE123~REF*EA*AAAAA12345~DTP*472*D8*20060812~LX*1~TRN*2*1822634840~STC*R4>18626-2>>LOI~DTP*368*D8*20060915~CAT*AE*TX~EFI*05~BIN*8*U3RlZGk=~SE*20*1001~GE*1*1~IEA*1*000000001~"
  },
  "SubmitClaimAttachmentRawX12_response_200": {
    "claimAttachmentReference": {
      "correlationId": "att-123456",
      "patientControlNumber": "PCN123456",
      "timeOfResponse": "2025-03-07T12:34:56Z"
    },
    "meta": {
      "traceId": "4d2b3c4e-1111-4222-b333-5a6f7e8d9a00"
    },
    "tradingPartnerServiceId": "PAYER123"
  }
}

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