Stedi · Example Payload
Stedi Enrollment Examples
EDIElectronic Data InterchangeHealthcareClearinghouseX12ClaimsEligibilityHIPAARevenue Cycle ManagementB2B Integration
Stedi Enrollment Examples is an example object payload from Stedi, with 18 top-level fields. It illustrates the shape of data this provider's APIs accept or return.
Top-level fields
CreateEnrollmentDocumentDownload_response_200ListEnrollments_response_200CreateEnrollment_requestCreateEnrollment_response_200ExportEnrollmentsCsv_response_200GetEnrollment_response_200UpdateEnrollment_requestUpdateEnrollment_response_200CreateEnrollmentDocumentUpload_requestCreateEnrollmentDocumentUpload_response_200ListProviders_response_200CreateProvider_requestCreateProvider_response_200GetProvider_response_200UpdateProvider_requestUpdateProvider_response_200UpdateTaskPost_requestUpdateTaskPost_response_200
Example Payload
{
"CreateEnrollmentDocumentDownload_response_200": {
"documentId": "doc-123e4567-e89b-12d3-a456-426614174000",
"downloadUrl": "https://s3.amazonaws.com/enrollment-documents/doc-123e4567-e89b-12d3-a456-426614174000/provider-license.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=..."
},
"ListEnrollments_response_200": {
"items": [
{
"aggregationPreference": {
"taxId": "123456789"
},
"createdAt": "2025-04-01T12:00:00Z",
"documents": [
{
"createdAt": "2025-04-01T12:00:00Z",
"enrollmentId": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"id": "dc6665a5-7b97-4agh-8c74-a00a336c2989",
"name": "pdf-agreement.pdf",
"status": "UPLOADED",
"updatedAt": "2025-04-02T12:00:00Z"
}
],
"history": [
{
"changedAt": "2025-04-15T09:00:00Z",
"changedBy": "user@example.com",
"newStatus": "DRAFT",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2025-04-15T09:05:00Z",
"changedBy": "user@example.com",
"newStatus": "STEDI_ACTION_REQUIRED",
"previousStatus": "DRAFT",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2025-04-20T14:30:00Z",
"changedBy": "system",
"newStatus": "PROVIDER_ACTION_REQUIRED",
"previousStatus": "STEDI_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2025-05-02T12:00:00Z",
"changedBy": "system",
"newStatus": "PROVISIONING",
"previousStatus": "PROVIDER_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2025-05-10T15:30:00Z",
"changedBy": "system",
"newStatus": "LIVE",
"previousStatus": "PROVISIONING",
"type": "STATUS_CHANGE"
}
],
"id": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"lastEraReceivedAt": "2025-05-02T12:00:00Z",
"payer": {
"name": "UnitedHealthcare",
"stediPayerId": "KMQTZ",
"submittedPayerIdOrAlias": "87726"
},
"provider": {
"id": "db6665c5-7b97-4af9-8c68-a00a336c2998",
"name": "Test Medical Provider",
"npi": "1234567890",
"taxId": "123456789",
"taxIdType": "EIN"
},
"requestedEffectiveDate": "20250415",
"source": "API",
"status": "LIVE",
"statusLastUpdatedAt": "2025-05-01T12:00:00Z",
"tasks": [
{
"definition": {
"followInstructions": {
"instructions": "Please follow these instructions: <URL>."
}
},
"id": "ac6665a5-7b97-4agh-8c74-a00a336c2989",
"isComplete": true,
"rank": 0,
"responsibleParty": "PROVIDER"
}
],
"transactions": {
"claimPayment": {
"enroll": true
}
},
"updatedAt": "2025-05-01T12:00:00Z"
},
{
"createdAt": "2025-04-20T08:15:00Z",
"documents": [
{
"createdAt": "2026-11-08T12:00:00Z",
"enrollmentId": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"id": "dc6665a5-7b97-4agh-8c74-a00a336c2989",
"name": "pdf-agreement.pdf",
"status": "UPLOADED",
"updatedAt": "2026-11-08T12:05:00Z"
}
],
"history": [
{
"changedAt": "2026-11-07T05:31:56Z",
"changedBy": "user@example.com",
"newStatus": "DRAFT",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-07T05:31:56Z",
"changedBy": "user@example.com",
"newStatus": "STEDI_ACTION_REQUIRED",
"previousStatus": "DRAFT",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-07T06:15:22Z",
"changedBy": "system",
"newStatus": "PROVIDER_ACTION_REQUIRED",
"previousStatus": "STEDI_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-08T06:15:22Z",
"changedBy": "system",
"newStatus": "STEDI_ACTION_REQUIRED",
"previousStatus": "PROVIDER_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-10T06:15:22Z",
"changedBy": "system",
"newStatus": "PROVIDER_ACTION_REQUIRED",
"previousStatus": "STEDI_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
}
],
"id": "e9a8b7c6-d5f4-3e2d-1c0b-a9876543210f",
"payer": {
"name": "Aetna",
"stediPayerId": "AETNA",
"submittedPayerIdOrAlias": "60054"
},
"provider": {
"id": "a1b2c3d4-e5f6-7890-abcd-ef1234567890",
"name": "Test Medical Provider",
"npi": "9876543210",
"taxId": "987654321",
"taxIdType": "EIN"
},
"reason": "Waiting for provider action",
"requestedEffectiveDate": "20250801",
"source": "API",
"status": "PROVIDER_ACTION_REQUIRED",
"statusLastUpdatedAt": "2025-04-22T14:45:00Z",
"submittedAt": "2025-04-20T08:20:00Z",
"tasks": [
{
"definition": {
"followInstructions": {
"instructions": "Log in to your Authority's portal and request clearinghouse access for Stedi."
}
},
"id": "f8e7d6c5-b4a3-9281-7654-321098765432",
"isComplete": false,
"rank": 1,
"responsibleParty": "PROVIDER"
},
{
"completedAt": "2026-11-08T06:14:22Z",
"definition": {
"provideFilledPdf": {
"instructions": "Please download the PDF, fill it out, and upload the completed version to this enrollment request."
}
},
"id": "019ce833-b234-75f1-9599-0f14ba643709",
"isComplete": true,
"rank": 0,
"responseData": {
"pdfUpload": {
"documentId": "dc6665a5-7b97-4agh-8c74-a00a336c2989",
"fileName": "pdf-agreement.pdf"
}
},
"responsibleParty": "PROVIDER"
}
],
"transactions": {
"eligibilityCheck": {
"enroll": true
}
},
"updatedAt": "2025-04-25T10:30:00Z"
}
],
"nextPageToken": "945ff6de213d3ef481d028065d4c12fb996a166a3a90ef98564318decfae50ce4b36d74b7e9d9bafa6e1d169",
"totalCount": 42
},
"CreateEnrollment_request": {
"aggregationPreference": {
"taxId": "123456789"
},
"payer": {
"idOrAlias": "87726"
},
"primaryContact": {
"city": "A City",
"email": "test@example.com",
"firstName": "John",
"lastName": "Doe",
"phone": "5551234567",
"state": "MD",
"streetAddress1": "123 Some Str.",
"zipCode": "20814"
},
"provider": {
"id": "db6665c5-7b97-4af9-8c68-a00a336c2998"
},
"requestedEffectiveDate": "20240301",
"status": "STEDI_ACTION_REQUIRED",
"transactions": {
"claimPayment": {
"enroll": true
}
},
"userEmail": "test@example.com"
},
"CreateEnrollment_response_200": {
"aggregationPreference": {
"taxId": "123456789"
},
"createdAt": "2023-11-07T05:31:56Z",
"history": [
{
"changedAt": "2023-11-07T05:31:56Z",
"changedBy": "test@example.com",
"newStatus": "DRAFT",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2023-11-07T05:31:56Z",
"changedBy": "test@example.com",
"newStatus": "STEDI_ACTION_REQUIRED",
"previousStatus": "DRAFT",
"type": "STATUS_CHANGE"
}
],
"id": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"payer": {
"name": "UnitedHealthcare",
"stediPayerId": "KMQTZ",
"submittedPayerIdOrAlias": "87726"
},
"primaryContact": {
"city": "A City",
"email": "test@example.com",
"firstName": "John",
"lastName": "Doe",
"phone": "5551234567",
"state": "MD",
"streetAddress1": "123 Some Str.",
"zipCode": "20814"
},
"provider": {
"id": "db6665c5-7b97-4af9-8c68-a00a336c2998",
"name": "Test Medical Provider",
"npi": "1234567890",
"taxId": "123456789",
"taxIdType": "EIN"
},
"requestedEffectiveDate": "20240301",
"source": "API",
"status": "STEDI_ACTION_REQUIRED",
"statusLastUpdatedAt": "2023-11-07T05:31:56Z",
"submittedAt": "2023-11-07T05:31:56Z",
"transactions": {
"claimPayment": {
"enroll": true
}
},
"updatedAt": "2023-11-07T05:31:56Z",
"userEmail": "test@example.com"
},
"ExportEnrollmentsCsv_response_200": {
"downloadUrl": "https://s3.amazonaws.com/stedi-enrollment-exports/stedi_enrollment_records_export_20250625.csv?presigned-params",
"filename": "stedi_enrollment_records_export_20250625.csv",
"recordCount": 150
},
"GetEnrollment_response_200": {
"createdAt": "2023-11-07T05:31:56Z",
"documents": [
{
"createdAt": "2026-11-08T12:00:00Z",
"enrollmentId": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"id": "dc6665a5-7b97-4agh-8c74-a00a336c2989",
"name": "pdf-agreement.pdf",
"status": "UPLOADED",
"updatedAt": "2026-11-08T12:05:00Z"
}
],
"history": [
{
"changedAt": "2026-11-07T05:31:56Z",
"changedBy": "user@example.com",
"newStatus": "DRAFT",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-07T05:31:56Z",
"changedBy": "user@example.com",
"newStatus": "STEDI_ACTION_REQUIRED",
"previousStatus": "DRAFT",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-07T06:15:22Z",
"changedBy": "system",
"newStatus": "PROVIDER_ACTION_REQUIRED",
"previousStatus": "STEDI_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-08T06:15:22Z",
"changedBy": "system",
"newStatus": "STEDI_ACTION_REQUIRED",
"previousStatus": "PROVIDER_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2026-11-10T06:15:22Z",
"changedBy": "system",
"newStatus": "PROVIDER_ACTION_REQUIRED",
"previousStatus": "STEDI_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
}
],
"id": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"payer": {
"name": "UnitedHealthcare",
"stediPayerId": "KMQTZ",
"submittedPayerIdOrAlias": "87726"
},
"primaryContact": {
"city": "A City",
"email": "test@example.com",
"firstName": "John",
"lastName": "Doe",
"phone": "5551234567",
"state": "MD",
"streetAddress1": "123 Some Str.",
"zipCode": "20814"
},
"provider": {
"id": "db6665c5-7b97-4af9-8c68-a00a336c2998",
"name": "Test Medical Provider",
"npi": "1234567890",
"taxId": "123456789",
"taxIdType": "EIN"
},
"requestedEffectiveDate": "20231107",
"source": "API",
"status": "PROVIDER_ACTION_REQUIRED",
"statusLastUpdatedAt": "2023-11-07T06:15:22Z",
"submittedAt": "2023-11-07T05:31:56Z",
"tasks": [
{
"definition": {
"followInstructions": {
"instructions": "Log in to your Authority's portal and request clearinghouse access for Stedi."
}
},
"id": "ac6665a5-7b97-4agh-8c74-a00a336c2989",
"isComplete": false,
"rank": 1,
"responsibleParty": "PROVIDER"
},
{
"completedAt": "2026-06-01T12:00:00Z",
"definition": {
"provideFilledPdf": {
"instructions": "Please download the PDF, fill it out, and upload the completed version to this enrollment request."
}
},
"id": "019ce833-b234-75f1-9599-0f14ba643709",
"isComplete": true,
"rank": 0,
"responseData": {
"pdfUpload": {
"documentId": "dc6665a5-7b97-4agh-8c74-a00a336c2989",
"fileName": "pdf-agreement.pdf"
}
},
"responsibleParty": "PROVIDER"
}
],
"transactions": {
"professionalClaimSubmission": {
"enroll": true
}
},
"updatedAt": "2023-11-07T05:31:56Z",
"userEmail": "test@example.com"
},
"UpdateEnrollment_request": {
"aggregationPreference": {
"taxId": "123456789"
},
"payer": {
"idOrAlias": "87726"
},
"primaryContact": {
"city": "A City",
"email": "test@example.com",
"firstName": "Updated First Name",
"lastName": "Updated Last Name",
"phone": "3331234567",
"state": "MD",
"streetAddress1": "123 Some Str.",
"zipCode": "20814"
},
"provider": {
"id": "db6665c5-7b97-4af9-8c68-a00a336c2998"
},
"requestedEffectiveDate": "20250301",
"status": "STEDI_ACTION_REQUIRED",
"transactions": {
"claimPayment": {
"enroll": true
}
},
"userEmail": "test@example.com"
},
"UpdateEnrollment_response_200": {
"aggregationPreference": {
"taxId": "123456789"
},
"createdAt": "2024-11-07T05:31:56Z",
"history": [
{
"changedAt": "2025-11-07T05:31:56Z",
"changedBy": "test@example.com",
"newStatus": "STEDI_ACTION_REQUIRED",
"type": "STATUS_CHANGE"
},
{
"changedAt": "2024-11-07T05:31:56Z",
"changedBy": "test@example.com",
"newStatus": "DRAFT",
"type": "STATUS_CHANGE"
}
],
"id": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"payer": {
"name": "UnitedHealthcare",
"stediPayerId": "KMQTZ",
"submittedPayerIdOrAlias": "87726"
},
"primaryContact": {
"city": "A City",
"email": "test@example.com",
"firstName": "Updated First Name",
"lastName": "Updated Last Name",
"phone": "3331234567",
"state": "MD",
"streetAddress1": "123 Some Str.",
"zipCode": "20814"
},
"provider": {
"id": "db6665c5-7b97-4af9-8c68-a00a336c2998",
"name": "Test Medical Provider",
"npi": "1234567890",
"taxId": "123456789",
"taxIdType": "EIN"
},
"requestedEffectiveDate": "20250301",
"source": "API",
"status": "STEDI_ACTION_REQUIRED",
"statusLastUpdatedAt": "2024-11-07T05:31:56Z",
"transactions": {
"claimPayment": {
"enroll": true
}
},
"updatedAt": "2024-11-18T07:25:42Z",
"userEmail": "test@example.com"
},
"CreateEnrollmentDocumentUpload_request": {
"name": "provider-license.pdf",
"taskId": "11111111-1111-4111-8111-111111111111"
},
"CreateEnrollmentDocumentUpload_response_200": {
"documentId": "doc-123e4567-e89b-12d3-a456-426614174000",
"enrollmentId": "db6675c5-7bg7-4af9-8c68-a54a336d2911",
"uploadUrl": "https://s3.amazonaws.com/enrollment-documents/db6675c5-7bg7-4af9-8c68-a54a336d2911/provider-license.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=..."
},
"ListProviders_response_200": {
"items": [
{
"id": "10334e76-f073-4b5d-8984-81d8e5107857",
"name": "BDQ Dental Inc",
"npi": "1999999992",
"taxId": "555123456",
"taxIdType": "EIN"
},
{
"id": "10234e76-f067-4b5d-8984-81d8e5107123",
"name": "Example Medical Associates",
"npi": "1999999984",
"taxId": "100100111",
"taxIdType": "EIN"
}
]
},
"CreateProvider_request": {
"contacts": [
{
"city": "Chevy Chase",
"email": "bob@fortdental.center",
"firstName": "Bob",
"lastName": "Dentist",
"phone": "5551232135",
"state": "MD",
"streetAddress1": "123 Some Str",
"zipCode": "20814"
},
{
"city": "Chevy Chase",
"email": "tom@fortdental.center",
"firstName": "Tom",
"lastName": "Dentist",
"phone": "5551232133",
"state": "MD",
"streetAddress1": "123 Some Str",
"zipCode": "20814"
}
],
"name": "BDQ Dental Inc",
"npi": "1999999992",
"taxId": "555123456",
"taxIdType": "EIN"
},
"CreateProvider_response_200": {
"contacts": [
{
"city": "Chevy Chase",
"email": "bob@fortdental.center",
"firstName": "Bob",
"lastName": "Dentist",
"organizationName": "",
"phone": "5551232135",
"state": "MD",
"streetAddress1": "123 Some Str",
"zipCode": "20814"
},
{
"city": "Chevy Chase",
"email": "tom@fortdental.center",
"firstName": "Tom",
"lastName": "Dentist",
"organizationName": "",
"phone": "5551232133",
"state": "MD",
"streetAddress1": "123 Some Str",
"zipCode": "20814"
}
],
"createdAt": "2024-11-18T17:39:52.406Z",
"id": "10334e76-f073-4b5d-8984-81d8e5107857",
"name": "BDQ Dental Inc",
"npi": "1999999992",
"taxId": "555123456",
"taxIdType": "EIN",
"updatedAt": "2024-11-18T17:39:52.406Z"
},
"GetProvider_response_200": {
"contacts": [
{
"city": "Chevy Chase",
"email": "bob@fortdental.center",
"firstName": "Bob",
"lastName": "Dentist",
"organizationName": "",
"phone": "5551234567",
"state": "MD",
"streetAddress1": "123 Some Str",
"zipCode": "20814"
},
{
"city": "Chevy Chase",
"email": "tom@fortdental.center",
"firstName": "Tom",
"lastName": "Dentist",
"organizationName": "",
"phone": "5551234568",
"state": "MD",
"streetAddress1": "123 Some Str",
"zipCode": "20814"
}
],
"createdAt": "2024-11-18T17:39:52.406Z",
"id": "10334e76-f073-4b5d-8984-81d8e5107857",
"name": "BDQ Dental Inc",
"npi": "1999999992",
"taxId": "555123456",
"taxIdType": "EIN",
"updatedAt": "2024-11-18T17:39:52.406Z"
},
"UpdateProvider_request": {
"contacts": [
{
"city": "A City",
"email": "bob@fortdental.center",
"firstName": "Test",
"lastName": "Tester",
"phone": "5551234567",
"state": "WA",
"streetAddress1": "123 Some Str",
"zipCode": "12345"
}
],
"name": "TEST Updated Dental Inc"
},
"UpdateProvider_response_200": {
"contacts": [
{
"city": "A City",
"email": "bob@fortdental.center",
"firstName": "Test",
"lastName": "Tester",
"organizationName": "",
"phone": "5551234567",
"state": "WA",
"streetAddress1": "123 Some Str",
"zipCode": "12345"
}
],
"createdAt": "2024-11-18T17:39:52.406Z",
"id": "10334e76-f073-4b5d-8984-81d8e5107857",
"name": "TEST Updated Dental Inc",
"npi": "1999999999",
"taxId": "111222333",
"taxIdType": "EIN",
"updatedAt": "2024-11-19T19:24:33.246Z"
},
"UpdateTaskPost_request": {
"completed": true,
"responseData": {
"provideInformation": {
"response": "I have completed the required steps as instructed."
}
}
},
"UpdateTaskPost_response_200": {
"task": {
"completedAt": "2024-06-01T12:00:00Z",
"definition": {
"provideInformation": {
"instructions": "Please provide a brief summary of your experience."
}
},
"id": "01937d50-1234-7890-abcd-567890abcdef",
"isComplete": true,
"rank": 1,
"responseData": {
"provideInformation": {
"response": "I have completed the required steps as instructed."
}
},
"responsibleParty": "PROVIDER"
}
}
}