openapi: 3.0.3 info: contact: email: healthcare@stedi.com license: name: Proprietary url: https://stedi.com title: Stedi Healthcare Claims Claim acknowledgments Payers API version: '2025-03-07' servers: - description: Production url: https://claims.us.stedi.com/2025-03-07 security: - httpApiKeyAuth: [] tags: - name: Payers paths: /payer/{stediId}: get: description: Retrieve a single payer record by its Stedi payer ID. operationId: GetPayerRecord parameters: - description: 'The Stedi payer ID, a unique identifier Stedi assigns to each payer that will never change. You can find the Stedi payer ID for any supported payer in the [Payer Network](https://www.stedi.com/healthcare/network). This must be the Stedi payer ID - querying with the primary payer ID or payer ID aliases isn''t supported.' examples: GetPayerRecord_example1: description: '' summary: Retrieve payer record value: QDTRP in: path name: stediId required: true schema: description: 'The Stedi payer ID, a unique identifier Stedi assigns to each payer that will never change. You can find the Stedi payer ID for any supported payer in the [Payer Network](https://www.stedi.com/healthcare/network). This must be the Stedi payer ID - querying with the primary payer ID or payer ID aliases isn''t supported.' pattern: ^[A-Z]{5}$ type: string responses: '200': content: application/json: examples: GetPayerRecord_example1: description: '' summary: Retrieve payer record value: 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 schema: $ref: '#/components/schemas/GetPayerRecordResponseContent' description: GetPayerRecord 200 response '400': content: application/json: schema: $ref: '#/components/schemas/ValidationExceptionResponseContent' description: ValidationException 400 response '401': content: application/json: schema: $ref: '#/components/schemas/UnauthorizedExceptionResponseContent' description: UnauthorizedException 401 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: - Payers /payers: get: description: List Stedi's supported payers in JSON format operationId: ListPayerRecords parameters: - description: The maximum number of elements to return per page. If not set, Stedi returns all payers in a single response (no pagination). examples: ListPayerRecords_example1: description: '' summary: List payers with pagination value: 100 in: query name: pageSize schema: description: The maximum number of elements to return per page. If not set, Stedi returns all payers in a single response (no pagination). minimum: 10 type: integer - description: The `nextPageToken` value from a previous response. You can use this to get the next page of results. If not set, Stedi returns the first page of results. in: query name: pageToken schema: description: The `nextPageToken` value from a previous response. You can use this to get the next page of results. If not set, Stedi returns the first page of results. maxLength: 1024 minLength: 1 type: string responses: '200': content: application/json: examples: ListPayerRecords_example1: description: '' summary: List payers with pagination value: 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== schema: $ref: '#/components/schemas/ListPayerRecordsResponseContent' description: ListPayerRecords 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: - Payers /payers/csv: get: description: List Stedi's supported payers in CSV format operationId: ListPayerRecordsCsv responses: '200': content: text/plain: examples: ListPayerRecordsCsv_example1: description: '' summary: List payers value: '"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" "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"' schema: $ref: '#/components/schemas/ListPayerRecordsCsvOutputPayload' description: ListPayerRecordsCsv 200 response headers: Content-Type: description: Content type for CSV data schema: description: Content type for CSV data type: string '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: - Payers /payers/search: get: description: Search for payers by name, ID, or alias. operationId: SearchPayers parameters: - description: The maximum number of elements to return in a page. If not specified, the default is 20. in: query name: pageSize schema: description: The maximum number of elements to return in a page. If not specified, the default is 20. maximum: 100 minimum: 10 type: integer - description: An opaque token returned by a previous call to this endpoint in the `nextPageToken` property. You can use it to request the next page of results. If not specified, Stedi returns the first page of results. in: query name: pageToken schema: description: An opaque token returned by a previous call to this endpoint in the `nextPageToken` property. You can use it to request the next page of results. If not specified, Stedi returns the first page of results. maxLength: 1024 minLength: 1 type: string - description: The query Stedi will use to search the Payer Network database. You can supply a payer's name, ID, or alias. The query is case-insensitive, and fuzzy matching is supported. For example, `cig`, `62308`, and `SX071` all return Cigna in the results. If not provided, the other search options are used to conduct the search. examples: SearchPayers_example1: description: '' summary: Search for query string value: Blue Cross SearchPayers_example2: description: '' summary: Search with multiple filters value: Blue Cross in: query name: query schema: description: The query Stedi will use to search the Payer Network database. You can supply a payer's name, ID, or alias. The query is case-insensitive, and fuzzy matching is supported. For example, `cig`, `62308`, and `SX071` all return Cigna in the results. If not provided, the other search options are used to conduct the search. maxLength: 200 type: string - description: Filter for matching payers with the specified 270 eligibility checks support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. examples: SearchPayers_example2: description: '' summary: Search with multiple filters value: SUPPORTED in: query name: eligibilityCheck schema: $ref: '#/components/schemas/TransactionFilterValue' - description: Filter for matching payers with the specified 276/277 real-time claim status checks support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. examples: SearchPayers_example2: description: '' summary: Search with multiple filters value: SUPPORTED in: query name: claimStatus schema: $ref: '#/components/schemas/TransactionFilterValue' - description: Filter for matching payers with the specified 837 professional claims support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. in: query name: professionalClaimSubmission schema: $ref: '#/components/schemas/TransactionFilterValue' - description: Filter for matching payers with the specified 837 dental claims support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. in: query name: dentalClaimSubmission schema: $ref: '#/components/schemas/TransactionFilterValue' - description: Filter for matching payers with the specified 837 institutional claims support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. in: query name: institutionalClaimSubmission schema: $ref: '#/components/schemas/TransactionFilterValue' - description: Filter for matching payers with the specified 835 Electronic Remittance Advice (ERA) support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. in: query name: claimPayment schema: $ref: '#/components/schemas/TransactionFilterValue' - description: Filter for matching payers with the specified coordination of benefits (COB) checks support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. in: query name: coordinationOfBenefits schema: $ref: '#/components/schemas/TransactionFilterValue' - description: Filter for matching payers with the specified unsolicited 275 claim attachments support. When combined with other transaction filters, payers must satisfy **all** specified criteria to be included in results. in: query name: unsolicitedClaimAttachment schema: $ref: '#/components/schemas/TransactionFilterValue' - description: 'Filter for matching payers that support transactions for **all** of the specified coverage types. For example, setting this array to `["medical", "dental"]` returns only payers who provide both medical and dental coverage. The results also exclude payers without coverage type classifications in Stedi''s database.' explode: true in: query name: coverageTypes schema: description: 'Filter for matching payers that support transactions for **all** of the specified coverage types. For example, setting this array to `["medical", "dental"]` returns only payers who provide both medical and dental coverage. The results also exclude payers without coverage type classifications in Stedi''s database.' items: $ref: '#/components/schemas/CoverageType' type: array style: form - description: 'Filter for matching payers that operate in **all** of the specified states. For example, setting this array to `["CA", "OR"]` returns only payers that operate in both California and Oregon, and setting it to `["NATIONAL"]` returns payers that operate throughout the entire United States. The results also exclude payers without operating state classifications in Stedi''s database.' explode: true in: query name: operatingStates schema: description: 'Filter for matching payers that operate in **all** of the specified states. For example, setting this array to `["CA", "OR"]` returns only payers that operate in both California and Oregon, and setting it to `["NATIONAL"]` returns payers that operate throughout the entire United States. The results also exclude payers without operating state classifications in Stedi''s database.' items: $ref: '#/components/schemas/OperatingStateCode' type: array style: form responses: '200': content: application/json: examples: SearchPayers_example1: description: '' summary: Search for query string value: items: - matches: 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 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 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 SearchPayers_example2: description: '' summary: Search with multiple filters value: items: - matches: aliases: - BCSNC displayName: Blue Cross NC names: - Blue Cross Blue Shield North Carolina - Blue Cross Blue Shield of North Carolina - Blue Cross NC - Medicare Advantage - Blue Cross NC – Dental Blue primaryPayerId: BCSNC payer: aliases: - BCSNC - '10383' - 12B23 - '1411' - '560894904' - '61472' - '61473' - '7472' - '7514' - '7814' - NCBCBS - NCBLS - NCPNHP - SB810 - SB810MA avatarUrl: https://prod-payer-avatars.payers.us.stedi.com/UPICO/avatar.png?v=1765912707668 coverageTypes: - dental - medical - vision displayName: Blue Cross NC employerIdentificationNumbers: - 56-0894904 enrollment: ptanRequired: false transactionEnrollmentProcesses: claimPayment: requestedEffectiveDate: SUPPORTED supportedAggregationPreferences: - TIN timeframe: DAYS type: MULTI_STEP names: - Blue Cross Blue Shield North Carolina - Blue Cross Blue Shield of North Carolina - Blue Cross NC - Medicare Advantage - Blue Cross NC – Dental Blue - Partners National Health Plans of North Carolina Inc operatingStates: - NC parentPayerGroupId: OVWIG primaryPayerId: BCSNC stediId: UPICO transactionSupport: claimPayment: ENROLLMENT_REQUIRED claimStatus: SUPPORTED coordinationOfBenefits: SUPPORTED dentalClaimSubmission: SUPPORTED eligibilityCheck: SUPPORTED institutionalClaimSubmission: SUPPORTED professionalClaimSubmission: SUPPORTED unsolicitedClaimAttachment: NOT_SUPPORTED urls: website: https://www.bluecrossnc.com score: 2314894167592927000 stats: total: 83 transactionSupport: claimPayment: enrollmentRequired: 77 notSupported: 6 supported: 0 claimStatus: enrollmentRequired: 0 notSupported: 0 supported: 83 coordinationOfBenefits: enrollmentRequired: 0 notSupported: 57 supported: 26 dentalClaimSubmission: enrollmentRequired: 2 notSupported: 41 supported: 40 eligibilityCheck: enrollmentRequired: 0 notSupported: 0 supported: 83 institutionalClaimSubmission: enrollmentRequired: 5 notSupported: 3 supported: 75 professionalClaimSubmission: enrollmentRequired: 5 notSupported: 3 supported: 75 unsolicitedClaimAttachment: enrollmentRequired: 0 notSupported: 57 supported: 26 transactionSupportCounts: claimPayment: notSupported: total: 6 supported: enrollmentNotRequired: 0 enrollmentRequired: 77 total: 77 claimStatus: notSupported: total: 0 supported: enrollmentNotRequired: 83 enrollmentRequired: 0 total: 83 coordinationOfBenefits: notSupported: total: 57 supported: enrollmentNotRequired: 26 enrollmentRequired: 0 total: 26 dentalClaimSubmission: notSupported: total: 41 supported: enrollmentNotRequired: 40 enrollmentRequired: 2 total: 42 eligibilityCheck: notSupported: total: 0 supported: enrollmentNotRequired: 83 enrollmentRequired: 0 total: 83 institutionalClaimSubmission: notSupported: total: 3 supported: enrollmentNotRequired: 75 enrollmentRequired: 5 total: 80 professionalClaimSubmission: notSupported: total: 3 supported: enrollmentNotRequired: 75 enrollmentRequired: 5 total: 80 unsolicitedClaimAttachment: notSupported: total: 57 supported: enrollmentNotRequired: 26 enrollmentRequired: 0 total: 26 schema: $ref: '#/components/schemas/SearchPayersResponseContent' description: SearchPayers 200 response '400': content: application/json: schema: $ref: '#/components/schemas/ValidationExceptionResponseContent' description: ValidationException 400 response '401': content: application/json: schema: $ref: '#/components/schemas/UnauthorizedExceptionResponseContent' description: UnauthorizedException 401 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: - Payers components: schemas: ListPayerRecordsCsvOutputPayload: description: 'All supported payer records in CSV format. The first row contains the header with field names, and subsequent rows contain the payer data. To render this data as a CSV file, you must save it to a file with a `.csv` extension.' type: string TransactionFilterValue: description: Transaction support filter values. When multiple transaction filters are specified, they are combined with AND logic (payers must satisfy **all** criteria). enum: - SUPPORTED - NOT_SUPPORTED - ENROLLMENT_REQUIRED - EITHER type: string ListPayerRecordsResponseContent: description: Common output structure for list operations with pagination support. properties: items: description: Payers that Stedi supports for each transaction type. Results are returned in alphabetical order of the Stedi ID. items: $ref: '#/components/schemas/PayerRecord' type: array nextPageToken: description: Token that you can supply in subsequent requests to retrieve the next page of results. If not returned, there are no more results. maxLength: 1024 minLength: 1 type: string required: - items type: object SupportedAggregationType: description: 'Aggregation types a payer supports for 835 Electronic Remittance Advice (ERA) transactions. Payers can aggregate by the provider''s NPI, tax ID (TIN), or both. You can use this information to specify an `aggregationPreference` when submitting ERA enrollment requests.' enum: - NPI - TIN type: string UnsolicitedClaimAttachmentEnrollmentProcess: description: Details about the enrollment process for unsolicited claim attachments. properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object GetPayerRecordResponseContent: properties: payer: $ref: '#/components/schemas/PayerRecord' description: The payer record matching the provided Stedi payer ID. The record includes the payer's display name and aliases as well as supported transaction types and details about the payer's [transaction enrollment](https://www.stedi.com/docs/healthcare/transaction-enrollment) process. required: - payer type: object ServiceUnavailableExceptionResponseContent: description: The server is temporarily unavailable. properties: code: description: Classification of the exception type. type: string message: description: Human readable exception message. type: string required: - message type: object PayerUrls: description: URLs associated with a payer. properties: website: description: The payer's website URL. type: string type: object ValidationExceptionResponseContent: description: 'A standard error for input validation failures. Thrown when a member of the input structure falls outside of the modeled or documented constraints.' properties: code: description: A code describing the type of validation failure. type: string message: description: A message describing the causes of the validation failure. There may be more than one. type: string required: - message type: object NotSupportedBreakdown: properties: total: description: Total number of matching payers that don't support this transaction type. minimum: 0 type: integer required: - total type: object EligibilityInquiryEnrollmentProcess: description: Details about the enrollment process for eligibility checks. properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object InternalFailureExceptionResponseContent: description: The server response when an unexpected error occurred while processing request. properties: code: description: Error classification code type: string message: description: Human-readable error message type: string required: - message 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 TransactionSupport: description: 'Whether the following transaction types are supported: 270 eligibility checks, 276 claim status requests, 837 professional claims, and 835 ERAs (claim payments). If the value is `ENROLLMENT_REQUIRED`, Stedi supports the transaction type, but you must [enroll with the payer](https://www.stedi.com/docs/healthcare/supported-payers#enrollment) first.' properties: claimPayment: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can receive 835 Electronic Remittance Advice (ERA) transactions from this payer. claimStatus: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 276 claim status requests to this payer. claimSubmission: $ref: '#/components/schemas/TransactionSupportValue' deprecated: true description: 'Whether you can send 837 professional claims to this payer. This shape is deprecated since 2024-11-13: This `claimSubmission` property is deprecated and will be removed in a future release. Instead, use the `professionalClaimSubmission` property.' coordinationOfBenefits: $ref: '#/components/schemas/TransactionSupportValue' description: Coordination of Benefits (COB) support. dentalClaimSubmission: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 837p dental claims to this payer. eligibilityCheck: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 270 eligibility checks to this payer. institutionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 837i institutional claims to this payer. professionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 837p professional claims to this payer. unsolicitedClaimAttachment: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send unsolicited claim attachments to this payer. required: - claimPayment - claimStatus - claimSubmission - coordinationOfBenefits - dentalClaimSubmission - eligibilityCheck - institutionalClaimSubmission - professionalClaimSubmission - unsolicitedClaimAttachment type: object TransactionSupportValue: enum: - SUPPORTED - NOT_SUPPORTED - ENROLLMENT_REQUIRED type: string SearchResult: properties: matches: $ref: '#/components/schemas/Matches' description: 'Shows which properties in the payer record match the search query. This information helps you understand why Stedi returned this payer and which parts of the payer record matched the search terms. It''s also especially useful for debugging search queries and building user interfaces that display matching text. - Matching text is wrapped in `` HTML tags for highlighting. - This object only contains properties with matching text. For example, if none of the payer''s aliases matched the search query, this object will not include the `aliases` property.' payer: $ref: '#/components/schemas/SearchPayerRecord' description: A payer record matching the search query. score: deprecated: true description: A relevance score indicating how well this payer matched the search query. Higher scores are better matches. The minimum score is 0. format: double type: number required: - payer - score type: object EnrollmentProcessTimeframe: description: Stedi's expected timeframe for completing the transaction enrollment process. `INSTANT` indicates that the enrollment will be in `LIVE` status within minutes of submitting the request. enum: - INSTANT - HOURS - DAYS - WEEKS type: string ResourceNotFoundExceptionResponseContent: description: The server response when the specified resource cannot be found after an API request passes authentication and authorization. properties: code: description: Error classification code type: string message: description: Human-readable error message type: string required: - message type: object RequestedEffectiveDate: description: Whether a payer supports specifying a requested effective date for transaction enrollments. enum: - SUPPORTED - NOT_SUPPORTED type: string EnrollmentInfo: description: Information about enrollment requirements for the payer properties: ptanRequired: description: 'Whether a PTAN (Provider Transaction Access Number) is required for transaction enrollment. The Provider Transaction Access Number (PTAN) is a Medicare-issued number given to providers upon enrollment with Medicare. This number is usually six digits and is assigned based on the type of service and the location of the provider. Upon enrollment, Medicare Administrating Contracting (MAC) providers should receive their assigned PTAN number in their approval letter.' type: boolean transactionEnrollmentProcesses: $ref: '#/components/schemas/TransactionEnrollmentProcesses' description: 'Enrollment details for specific transaction types. Stedi only returns this object when information about the enrollment process is available for one or more transaction types. When this object isn''t included in the response, it **doesn''t** mean no transaction types require enrollment. Refer to the `transactionSupport` object for details about which transaction types require enrollment.' type: object SearchResultsStats: properties: total: description: Total number of payers matching the search query. minimum: 0 type: integer transactionSupport: $ref: '#/components/schemas/TransactionSupportStats' deprecated: true description: 'Number of matching payers supported per transaction type. The categories for each transaction type are mutually exclusive. For example, to calculate the total number of payers that support eligibility checks, regardless of whether enrollment is required, you must add the `supported` and `enrollmentRequired` counts together. **DEPRECATED** This shape is deprecated since 2025-06-24: Use the `transactionSupportCounts` property instead.' transactionSupportCounts: $ref: '#/components/schemas/TransactionSupportCounts' description: 'Number of matching payers for each supported transaction type. To get the total number of payers that support each transaction type, with additional detail on whether enrollment is required, use `supported.total` instead.' required: - total - transactionSupport - transactionSupportCounts type: object ProfessionalClaimEnrollmentProcess: description: Details about the enrollment process for professional claim submission. properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object ClaimPaymentEnrollmentProcess: description: Details about the enrollment process for Electronic Remittance Advice (ERAs). properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." supportedAggregationPreferences: description: "Aggregation types this payer supports for 835 Electronic Remittance Advice (ERA) transactions. Payers can aggregate by the provider's NPI, tax ID (TIN), or both.\n - You can use this information to specify an `aggregationPreference` when submitting ERA enrollment requests.\n - This property is only returned when Stedi can determine the payer's supported aggregation types." items: $ref: '#/components/schemas/SupportedAggregationType' type: array timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object UnauthorizedExceptionResponseContent: description: The server response when the authorizer failed to authenticate the caller. properties: code: description: Error classification code type: string message: description: Human-readable error message type: string required: - message type: object GatewayTimeoutExceptionResponseContent: description: The server response for a gateway timeout error. properties: code: description: Classification of the exception type. type: string message: description: Human readable exception message. type: string required: - message type: object TransactionSupportCountsItem: properties: notSupported: $ref: '#/components/schemas/NotSupportedBreakdown' description: Number of matching payers that don't support this transaction type. supported: $ref: '#/components/schemas/SupportedBreakdown' description: Number of matching payers that support this transaction type, broken down by enrollment requirements. required: - notSupported - supported type: object CoverageType: description: The types of insurance coverage that a payer can provide. Used to indicate whether a payer supports transactions for medical coverage, dental coverage, vision coverage, or a combination of these. enum: - medical - dental - vision type: string Matches: description: 'Shows which properties in the payer record match the search query. This information helps you understand why Stedi returned this payer and which parts of the payer record matched the search terms. It''s also especially useful for debugging search queries and building user interfaces that display matching text. - Matching text is wrapped in `` HTML tags for highlighting. - This object only contains properties with matching text. For example, if none of the payer''s aliases matched the search query, this object will not include the `aliases` property.' properties: aliases: description: 'The parts of the payer''s aliases that match the search query. Each alias that contains matching text is included as a separate entry, with matching portions wrapped in `` tags. For example, searching for `XYZ` might return: [`XYZ123`, `ABCXYZ`].' items: type: string type: array displayName: description: 'The part of the payer''s display name that matched the search query. For example, searching for `Blue` might return: `Blue Cross Blue Shield`.' type: string names: description: 'The parts of the payer''s other names that match the search query. Each name that contains matching text is included as a separate entry, with matching portions wrapped in `` tags. For example, searching for `Health` might return: [`Community Health Plan`, `Health Partners`].' items: type: string type: array primaryPayerId: description: 'The part of the primary payer ID that matched the search query. For example, if you search for ''12345'', the results for a payer with primary payer ID `12345ABC` would return: `12345ABC`.' type: string stediId: description: 'The part of the payer''s Stedi payer ID that matched the search query. Stedi payer IDs only support exact substring matching (no prefix or fuzzy matching). For example, if you search for `KRP`, the results for a payer with Stedi payer ID ''KRPCH'' would be: `KRPCH`.' type: string type: object SearchPayersResponseContent: description: Common output structure for list operations with pagination support. properties: items: description: Matching payers sorted by relevance, with the most relevant matches listed first. items: $ref: '#/components/schemas/SearchResult' type: array nextPageToken: description: Token that you can supply in subsequent requests to retrieve the next page of results. If not returned, there are no more results. maxLength: 1024 minLength: 1 type: string stats: $ref: '#/components/schemas/SearchResultsStats' description: Statistics about the search results, including the total number of payers matching the search query and the number of payers supported per transaction type. required: - items - stats type: object TransactionEnrollmentProcesses: description: Information about the transaction enrollment requirements and expected timeframes for each transaction type. properties: claimPayment: $ref: '#/components/schemas/ClaimPaymentEnrollmentProcess' description: Details about the enrollment process for Electronic Remittance Advice (ERAs) with this payer. claimStatusInquiry: $ref: '#/components/schemas/ClaimStatusInquiryEnrollmentProcess' description: Details about the enrollment process for real-time claim status requests with this payer. coordinationOfBenefits: $ref: '#/components/schemas/CoordinationOfBenefitsEnrollmentProcess' description: Details about the enrollment process for coordination of benefits (COB) checks with this payer. dentalClaim: $ref: '#/components/schemas/DentalClaimEnrollmentProcess' description: Details about the enrollment process for dental claim submission with this payer. eligibilityInquiry: $ref: '#/components/schemas/EligibilityInquiryEnrollmentProcess' description: Details about the enrollment process for eligibility checks with this payer. institutionalClaim: $ref: '#/components/schemas/InstitutionalClaimEnrollmentProcess' description: Details about the enrollment process for institutional claim submission with this payer. professionalClaim: $ref: '#/components/schemas/ProfessionalClaimEnrollmentProcess' description: Details about the enrollment process for professional claim submission with this payer. unsolicitedClaimAttachment: $ref: '#/components/schemas/UnsolicitedClaimAttachmentEnrollmentProcess' description: Details about the enrollment process for unsolicited claim attachments with this payer. type: object SupportedBreakdown: properties: enrollmentNotRequired: description: Number of matching payers that support this transaction type and don't require transaction enrollment. minimum: 0 type: integer enrollmentRequired: description: Number of matching payers that support this transaction type and require [transaction enrollment](https://www.stedi.com/docs/healthcare/transaction-enrollment). minimum: 0 type: integer total: description: Total number of matching payers that support this transaction type (`enrollmentRequired` + `enrollmentNotRequired`). minimum: 0 type: integer required: - enrollmentNotRequired - enrollmentRequired - total type: object ClaimStatusInquiryEnrollmentProcess: description: Details about the enrollment process for real-time claim status requests. properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object SearchPayerRecord: properties: aliases: description: Alternative IDs associated with a payer. If a payer changes their `primaryPayerId`, aliases allow you to continue sending transactions to the payer using the old ID uninterrupted. items: type: string type: array avatarUrl: description: 'A URL pointing to an image file (`.png`, `.jpeg`, or `.jpg`) with the payer''s logo. This is the same logo Stedi displays in the [Payer Network](https://www.stedi.com/healthcare/network). You can use this property to display payer logos in your system or application. This property is only returned when a payer logo is available.' type: string coverageTypes: description: 'A list of insurance coverage types that indicates whether this payer supports transactions for medical coverage, dental coverage, vision coverage, or a combination of these. For example: `["medical"]` or `["medical", "dental", "vision"]`. When this array isn''t in the response, it means Stedi hasn''t classified the payer''s coverage types yet, **not** that the payer doesn''t support any coverage types.' items: $ref: '#/components/schemas/CoverageType' type: array displayName: description: The payer's business name, such as Cigna or Aetna. This is the name most commonly used to identify the payer. type: string employerIdentificationNumbers: description: Employer Identification Numbers (EINs) associated with this payer. items: description: A valid Employer Identification Number (EIN) in the format XX-XXXXXXX pattern: ^[0-9]{2}-[0-9]{7}$ type: string type: array enrollment: $ref: '#/components/schemas/EnrollmentInfo' description: Information about the [transaction enrollment process](https://www.stedi.com/docs/healthcare/transaction-enrollment) for this payer. names: description: Alternative names associated with a payer. These additional names help you search for and identify payers using the name most familiar to your organization. items: type: string type: array operatingStates: description: 'A list of US state codes, territories, or `NATIONAL` that indicates the geographic regions where this payer operates. For example: `["CA", "OR"]` for a regional payer, or `["NATIONAL"]` for a payer that operates throughout the entire United States. When this array isn''t in the response, it means Stedi hasn''t classified the payer''s operating states yet.' items: $ref: '#/components/schemas/OperatingStateCode' type: array parentPayerGroupId: description: The parent payer group entity this payer belongs to. This is for metadata purposes and doesn't necessarily relate to the payer's enrollment process or other capabilities. type: string primaryPayerId: description: The most commonly used ID for a payer. This value often corresponds to the name the payer uses internally and provides to patients on member ID cards. type: string stediId: description: A unique ID that Stedi assigned to this payer and uses internally for routing requests. This ID will not change even if the `primaryPayerId` is updated. type: string transactionSupport: $ref: '#/components/schemas/SearchPayerTransactionSupport' urls: $ref: '#/components/schemas/PayerUrls' description: URLs associated with this payer, such as their website. This object is only returned when URL information is available for the payer. required: - aliases - displayName - names - primaryPayerId - stediId - transactionSupport type: object TransactionSupportStats: properties: claimPayment: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 835 Electronic Remittance Advices (ERAs). claimStatus: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 276/277 real-time claim status. coordinationOfBenefits: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 270/271 coordination of benefits (COB) checks. dentalClaimSubmission: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 837D dental claims. eligibilityCheck: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 270/271 eligibility checks. institutionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 837I institutional claims. professionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 837P professional claims. unsolicitedClaimAttachment: $ref: '#/components/schemas/TransactionSupportStatsItem' description: Number of matching payers that support 275 unsolicited claim attachments. required: - claimPayment - claimStatus - coordinationOfBenefits - dentalClaimSubmission - eligibilityCheck - institutionalClaimSubmission - professionalClaimSubmission - unsolicitedClaimAttachment type: object OperatingStateCode: description: US state codes, territories, or `NATIONAL` indicating the geographic regions where a payer operates. When set to `NATIONAL`, the payer operates throughout the entire United States. enum: - AL - AK - AZ - AR - CA - CO - CT - DE - FL - GA - HI - ID - IL - IN - IA - KS - KY - LA - ME - MD - MA - MI - MN - MS - MO - MT - NE - NV - NH - NJ - NM - NY - NC - ND - OH - OK - OR - PA - RI - SC - SD - TN - TX - UT - VT - VA - WA - WV - WI - WY - DC - PR - VI - GU - AS - MP - NATIONAL type: string EnrollmentProcessType: description: "Whether transaction enrollment is single or multi-step.\n - `ONE_CLICK` indicates that once you submit the transaction enrollment request, Stedi can complete the rest of the enrollment process without any further action from you.\n - `MULTI_STEP` indicates that you must complete additional steps to finish the enrollment process. Customer support will reach out with clear instructions explaining how to complete any remaining steps." enum: - ONE_CLICK - MULTI_STEP type: string InstitutionalClaimEnrollmentProcess: description: Details about the enrollment process for institutional claim submission. properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object ThrottlingExceptionResponseContent: description: The server response when usage plan or account-level throttling limits exceeded. properties: code: description: Error classification code type: string message: description: Human-readable error message type: string required: - message type: object PayerRecord: properties: aliases: description: Alternative IDs associated with a payer. If a payer changes their `primaryPayerId`, aliases allow you to continue sending transactions to the payer using the old ID uninterrupted. items: type: string type: array avatarUrl: description: 'A URL pointing to an image file (`.png`, `.jpeg`, or `.jpg`) with the payer''s logo. This is the same logo Stedi displays in the [Payer Network](https://www.stedi.com/healthcare/network). You can use this property to display payer logos in your system or application. This property is only returned when a payer logo is available.' type: string coverageTypes: description: 'A list of insurance coverage types that indicates whether this payer supports transactions for medical coverage, dental coverage, vision coverage, or a combination of these. For example: `["medical"]` or `["medical", "dental"]`. When this array isn''t in the response, it means Stedi hasn''t classified the payer''s coverage types yet, **not** that the payer doesn''t support any coverage types.' items: $ref: '#/components/schemas/CoverageType' type: array displayName: description: The payer's business name, such as Cigna or Aetna. This is the name most commonly used to identify the payer. type: string employerIdentificationNumbers: description: Employer Identification Numbers (EINs) associated with this payer. items: description: A valid Employer Identification Number (EIN) in the format XX-XXXXXXX pattern: ^[0-9]{2}-[0-9]{7}$ type: string type: array enrollment: $ref: '#/components/schemas/EnrollmentInfo' description: Details about the [transaction enrollment process](https://www.stedi.com/docs/healthcare/transaction-enrollment) for this payer, if available. This object may not be returned for some payers. names: description: Alternative names associated with a payer. These additional names help you search for and identify payers using the name most familiar to your organization. items: type: string type: array operatingStates: description: 'A list of US state codes, territories, or `NATIONAL` that indicates the geographic regions where this payer operates. For example: `["CA", "OR"]` for a regional payer, or `["NATIONAL"]` for a payer that operates throughout the entire United States. When this array isn''t in the response, it means Stedi hasn''t classified the payer''s operating states yet.' items: $ref: '#/components/schemas/OperatingStateCode' type: array parentPayerGroupId: description: The payer's parent payer group entity. This is metadata Stedi uses internally. It doesn't necessarily relate to the payer's enrollment process or other capabilities. type: string primaryPayerId: description: The most commonly used ID for a payer. This value often corresponds to the name the payer uses internally and provides to patients on member ID cards. type: string stediId: description: A unique ID that Stedi assigned to this payer and uses internally for routing requests. This ID will not change even if the `primaryPayerId` is updated. type: string transactionSupport: $ref: '#/components/schemas/TransactionSupport' urls: $ref: '#/components/schemas/PayerUrls' description: URLs associated with this payer, such as their website. This object is only returned when URL information is available for the payer. required: - aliases - displayName - names - primaryPayerId - stediId - transactionSupport type: object DentalClaimEnrollmentProcess: description: Details about the enrollment process for dental claim submission. properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object CoordinationOfBenefitsEnrollmentProcess: description: Details about the enrollment process for coordination of benefits (COB) checks. properties: requestedEffectiveDate: $ref: '#/components/schemas/RequestedEffectiveDate' description: "Whether this payer supports specifying a requested effective date for transaction enrollments.\n - If set to `SUPPORTED`, Stedi will process [transaction enrollment requests](https://www.stedi.com/docs/healthcare/api-reference/post-enrollment-create-enrollment) for this payer according to their specified `requestedEffectiveDate`.\n - This property is only returned when Stedi can determine whether the payer supports requested effective dates." timeframe: $ref: '#/components/schemas/EnrollmentProcessTimeframe' type: $ref: '#/components/schemas/EnrollmentProcessType' type: object TransactionSupportCounts: properties: claimPayment: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 835 Electronic Remittance Advices (ERAs). claimStatus: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 276/277 real-time claim status. coordinationOfBenefits: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 270/271 coordination of benefits (COB) checks. dentalClaimSubmission: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 837D dental claims. eligibilityCheck: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 270/271 eligibility checks. institutionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 837I institutional claims. professionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 837P professional claims. unsolicitedClaimAttachment: $ref: '#/components/schemas/TransactionSupportCountsItem' description: Number of matching payers that support 275 unsolicited claim attachments. required: - claimPayment - claimStatus - coordinationOfBenefits - dentalClaimSubmission - eligibilityCheck - institutionalClaimSubmission - professionalClaimSubmission - unsolicitedClaimAttachment type: object SearchPayerTransactionSupport: description: 'Whether the following transaction types are supported: 270 eligibility checks, 276/277 claim status requests, 837 claims (professional, dental, institutional), 835 ERAs (claim payments), 275 unsolicited claim attachments, and coordination of benefits checks. If the value is `ENROLLMENT_REQUIRED`, Stedi supports the transaction type, but you must [enroll with the payer](https://www.stedi.com/docs/healthcare/supported-payers#enrollment) first.' properties: claimPayment: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can receive 835 Electronic Remittance Advice (ERA) transactions from this payer. claimStatus: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 276 claim status requests to this payer. coordinationOfBenefits: $ref: '#/components/schemas/TransactionSupportValue' description: Coordination of Benefits (COB) support. dentalClaimSubmission: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 837D dental claims to this payer. eligibilityCheck: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 270 eligibility checks to this payer. institutionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 837I institutional claims to this payer. professionalClaimSubmission: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send 837P professional claims to this payer. unsolicitedClaimAttachment: $ref: '#/components/schemas/TransactionSupportValue' description: Whether you can send unsolicited claim attachments to this payer. required: - claimPayment - claimStatus - coordinationOfBenefits - dentalClaimSubmission - eligibilityCheck - institutionalClaimSubmission - professionalClaimSubmission - unsolicitedClaimAttachment type: object TransactionSupportStatsItem: properties: enrollmentRequired: description: Number of matching payers that require [transaction enrollment](https://www.stedi.com/docs/healthcare/transaction-enrollment) for this transaction type. minimum: 0 type: integer notSupported: description: Number of matching payers that don't support this transaction type. minimum: 0 type: integer supported: description: Number of matching payers that support this transaction type. minimum: 0 type: integer required: - enrollmentRequired - notSupported - supported type: object securitySchemes: httpApiKeyAuth: description: A [Stedi API Key](https://www.stedi.com/app/settings/api-keys) for authentication. in: header name: Authorization type: apiKey x-stedi: lifecycle: general_availability product: claims public: true