Stedi · Example Payload
Stedi Payers Examples
EDIElectronic Data InterchangeHealthcareClearinghouseX12ClaimsEligibilityHIPAARevenue Cycle ManagementB2B Integration
Stedi Payers 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
GetPayerRecord_response_200ListPayerRecords_response_200ListPayerRecordsCsv_response_200SearchPayers_response_200
Example Payload
{
"GetPayerRecord_response_200": {
"payer": {
"aliases": [
"00420",
"13123",
"1584",
"4714",
"95655",
"MEDGL",
"MEDGLD",
"MEDIGOLD"
],
"avatarUrl": "https://prod-payer-avatars.payers.us.stedi.com/YKHRB/avatar.png?v=1766600157693",
"coverageTypes": [
"dental",
"medical"
],
"displayName": "Trinity Health Plan",
"enrollment": {
"ptanRequired": false,
"transactionEnrollmentProcesses": {
"claimPayment": {
"requestedEffectiveDate": "NOT_SUPPORTED",
"supportedAggregationPreferences": [
"NPI",
"TIN"
],
"timeframe": "DAYS",
"type": "ONE_CLICK"
}
}
},
"names": [
"MediGold",
"Medigold Health Plans",
"Mount Carmel Health Plan",
"Mount Carmel MediGold",
"Trinity Health Plan of Michigan"
],
"operatingStates": [
"ID",
"IA",
"MI",
"NY",
"OH"
],
"parentPayerGroupId": "GTRSH",
"primaryPayerId": "95655",
"stediId": "YKHRB",
"transactionSupport": {
"claimPayment": "ENROLLMENT_REQUIRED",
"claimStatus": "SUPPORTED",
"claimSubmission": "SUPPORTED",
"coordinationOfBenefits": "NOT_SUPPORTED",
"dentalClaimSubmission": "NOT_SUPPORTED",
"eligibilityCheck": "SUPPORTED",
"institutionalClaimSubmission": "SUPPORTED",
"professionalClaimSubmission": "SUPPORTED",
"unsolicitedClaimAttachment": "NOT_SUPPORTED"
},
"urls": {
"website": "https://www.thpmedicare.org"
}
}
},
"ListPayerRecords_response_200": {
"items": [
{
"aliases": [
"00420",
"13123",
"1584",
"4714",
"95655",
"MEDGL",
"MEDGLD",
"MEDIGOLD"
],
"avatarUrl": "https://prod-payer-avatars.payers.us.stedi.com/YKHRB/avatar.png?v=1766600157693",
"coverageTypes": [
"dental",
"medical"
],
"displayName": "Trinity Health Plan",
"enrollment": {
"ptanRequired": false,
"transactionEnrollmentProcesses": {
"claimPayment": {
"requestedEffectiveDate": "NOT_SUPPORTED",
"supportedAggregationPreferences": [
"NPI",
"TIN"
],
"timeframe": "DAYS",
"type": "ONE_CLICK"
}
}
},
"names": [
"MediGold",
"Medigold Health Plans",
"Mount Carmel Health Plan",
"Mount Carmel MediGold",
"Trinity Health Plan of Michigan"
],
"operatingStates": [
"ID",
"IA",
"MI",
"NY",
"OH"
],
"parentPayerGroupId": "GTRSH",
"primaryPayerId": "95655",
"stediId": "YKHRB",
"transactionSupport": {
"claimPayment": "ENROLLMENT_REQUIRED",
"claimStatus": "SUPPORTED",
"claimSubmission": "SUPPORTED",
"coordinationOfBenefits": "NOT_SUPPORTED",
"dentalClaimSubmission": "NOT_SUPPORTED",
"eligibilityCheck": "SUPPORTED",
"institutionalClaimSubmission": "SUPPORTED",
"professionalClaimSubmission": "SUPPORTED",
"unsolicitedClaimAttachment": "NOT_SUPPORTED"
},
"urls": {
"website": "https://www.thpmedicare.org"
}
}
],
"nextPageToken": "yrZ3we9982etYlMgmw=="
},
"ListPayerRecordsCsv_response_200": "\"StediId\",\"PrimaryPayerId\",\"DisplayName\",\"Names\",\"Aliases\",\"EligibilityInquiry\",\"EligibilityInquiryEnrollmentRequired\",\"EligibilityInquiryEnrollmentType\",\"EligibilityInquiryEnrollmentTimeframe\",\"EligibilityInquiryEnrollmentRequestedEffectiveDate\",\"ClaimStatusInquiry\",\"ClaimStatusInquiryEnrollmentRequired\",\"ClaimStatusInquiryEnrollmentType\",\"ClaimStatusInquiryEnrollmentTimeframe\",\"ClaimStatusInquiryEnrollmentRequestedEffectiveDate\",\"ProfessionalClaim\",\"ProfessionalClaimEnrollmentRequired\",\"ProfessionalClaimEnrollmentType\",\"ProfessionalClaimEnrollmentTimeframe\",\"ProfessionalClaimEnrollmentRequestedEffectiveDate\",\"InstitutionalClaim\",\"InstitutionalClaimEnrollmentRequired\",\"InstitutionalClaimEnrollmentType\",\"InstitutionalClaimEnrollmentTimeframe\",\"InstitutionalClaimEnrollmentRequestedEffectiveDate\",\"DentalClaim\",\"DentalClaimEnrollmentRequired\",\"DentalClaimEnrollmentType\",\"DentalClaimEnrollmentTimeframe\",\"DentalClaimEnrollmentRequestedEffectiveDate\",\"ClaimPaymentAdvice\",\"ClaimPaymentAdviceEnrollmentRequired\",\"ClaimPaymentEnrollmentType\",\"ClaimPaymentEnrollmentTimeframe\",\"ClaimPaymentEnrollmentSupportedAggregationPreferences\",\"ClaimPaymentEnrollmentRequestedEffectiveDate\",\"CoordinationOfBenefits\",\"CoordinationOfBenefitsEnrollmentRequired\",\"CoordinationOfBenefitsEnrollmentType\",\"CoordinationOfBenefitsEnrollmentTimeframe\",\"CoordinationOfBenefitsEnrollmentRequestedEffectiveDate\",\"ClaimAttachmentsSupport\",\"ClaimAttachmentsSupportEnrollmentRequired\",\"ClaimAttachmentEnrollmentType\",\"ClaimAttachmentEnrollmentTimeframe\",\"ClaimAttachmentEnrollmentRequestedEffectiveDate\",\"EmployerIdentificationNumbers\",\"CoverageTypes\",\"OperatingStates\",\"PtanRequired\",\"ParentPayerGroupId\",\"WebsiteUrl\"\n\"YKHRB\",\"95655\",\"Trinity Health Plan\",\"MediGold|Medigold Health Plans|Mount Carmel Health Plan|Mount Carmel MediGold|Trinity Health Plan of Michigan\",\"00420|13123|1584|4714|95655|MEDGL|MEDGLD|MEDIGOLD\",\"true\",\"false\",\"\",\"\",\"\",\"true\",\"false\",\"\",\"\",\"\",\"true\",\"false\",\"\",\"\",\"\",\"true\",\"false\",\"\",\"\",\"\",\"false\",\"false\",\"\",\"\",\"\",\"true\",\"true\",\"ONE_CLICK\",\"DAYS\",\"NPI|TIN\",\"NOT_SUPPORTED\",\"false\",\"false\",\"\",\"\",\"\",\"false\",\"false\",\"\",\"\",\"\",\"\",\"dental|medical\",\"ID|IA|MI|NY|OH\",\"false\",\"GTRSH\",\"https://www.thpmedicare.org\"",
"SearchPayers_response_200": {
"items": [
{
"matches": {
"names": [
"Highmark <b>Blue</b> <b>Cross</b> <b>Blue</b> <b>Shield</b>",
"Highmark <b>Blue</b> <b>Cross</b> <b>Blue</b> <b>Shield</b> Pennsylvania",
"Highmark <b>Blue</b> <b>Cross</b> <b>Blue</b> <b>Shield</b> Pennsylvania Professional",
"Highmark <b>Blue</b> <b>Shield</b>",
"Keystone Health Plan West - Community <b>Blue</b> HMO"
]
},
"payer": {
"aliases": [
"10046",
"100900",
"10264",
"10524",
"2413",
"54771",
"95462",
"PABCBS",
"PABLS",
"SB865",
"SB865MA",
"SZXAY"
],
"avatarUrl": "https://prod-payer-avatars.payers.us.stedi.com/GUFCO/avatar.png?v=1763077235241",
"conciseName": "Highmark PA",
"coverageTypes": [
"dental",
"medical",
"vision"
],
"displayName": "Highmark of Pennsylvania",
"enrollment": {
"ptanRequired": false,
"transactionEnrollmentProcesses": {
"claimPayment": {
"requestedEffectiveDate": "NOT_SUPPORTED",
"supportedAggregationPreferences": [
"NPI",
"TIN"
],
"timeframe": "DAYS",
"type": "ONE_CLICK"
},
"claimStatusInquiry": {
"timeframe": "DAYS",
"type": "ONE_CLICK"
}
}
},
"names": [
"Highmark Blue Cross Blue Shield",
"Highmark Blue Cross Blue Shield Pennsylvania",
"Highmark Blue Cross Blue Shield Pennsylvania Professional",
"Highmark Blue Shield",
"Keystone Health Plan West - Community Blue HMO",
"First Priority Life Insurance Company (FPLIC) Out-of-Area Claims",
"Highmark of Pennsylvania - Medicare Advantage"
],
"operatingStates": [
"PA"
],
"parentPayerGroupId": "QOSPQ",
"primaryPayerId": "54771",
"stediId": "GUFCO",
"transactionSupport": {
"claimPayment": "ENROLLMENT_REQUIRED",
"claimStatus": "ENROLLMENT_REQUIRED",
"coordinationOfBenefits": "SUPPORTED",
"dentalClaimSubmission": "NOT_SUPPORTED",
"eligibilityCheck": "ENROLLMENT_REQUIRED",
"institutionalClaimSubmission": "NOT_SUPPORTED",
"professionalClaimSubmission": "SUPPORTED",
"unsolicitedClaimAttachment": "NOT_SUPPORTED"
}
},
"score": 2314894167593451500
}
],
"stats": {
"total": 142,
"transactionSupport": {
"claimPayment": {
"enrollmentRequired": 113,
"notSupported": 29,
"supported": 0
},
"claimStatus": {
"enrollmentRequired": 3,
"notSupported": 55,
"supported": 84
},
"coordinationOfBenefits": {
"enrollmentRequired": 0,
"notSupported": 114,
"supported": 28
},
"dentalClaimSubmission": {
"enrollmentRequired": 2,
"notSupported": 95,
"supported": 45
},
"eligibilityCheck": {
"enrollmentRequired": 5,
"notSupported": 33,
"supported": 104
},
"institutionalClaimSubmission": {
"enrollmentRequired": 10,
"notSupported": 30,
"supported": 102
},
"professionalClaimSubmission": {
"enrollmentRequired": 9,
"notSupported": 16,
"supported": 117
},
"unsolicitedClaimAttachment": {
"enrollmentRequired": 0,
"notSupported": 109,
"supported": 33
}
},
"transactionSupportCounts": {
"claimPayment": {
"notSupported": {
"total": 29
},
"supported": {
"enrollmentNotRequired": 0,
"enrollmentRequired": 113,
"total": 113
}
},
"claimStatus": {
"notSupported": {
"total": 55
},
"supported": {
"enrollmentNotRequired": 84,
"enrollmentRequired": 3,
"total": 87
}
},
"coordinationOfBenefits": {
"notSupported": {
"total": 114
},
"supported": {
"enrollmentNotRequired": 28,
"enrollmentRequired": 0,
"total": 28
}
},
"dentalClaimSubmission": {
"notSupported": {
"total": 95
},
"supported": {
"enrollmentNotRequired": 45,
"enrollmentRequired": 2,
"total": 47
}
},
"eligibilityCheck": {
"notSupported": {
"total": 33
},
"supported": {
"enrollmentNotRequired": 104,
"enrollmentRequired": 5,
"total": 109
}
},
"institutionalClaimSubmission": {
"notSupported": {
"total": 30
},
"supported": {
"enrollmentNotRequired": 102,
"enrollmentRequired": 10,
"total": 112
}
},
"professionalClaimSubmission": {
"notSupported": {
"total": 16
},
"supported": {
"enrollmentNotRequired": 117,
"enrollmentRequired": 9,
"total": 126
}
},
"unsolicitedClaimAttachment": {
"notSupported": {
"total": 109
},
"supported": {
"enrollmentNotRequired": 33,
"enrollmentRequired": 0,
"total": 33
}
}
}
}
}
}