STstedi
Real-time claim status

POST /change/medicalnetwork/claimstatus/v2

Changed on

Submit a 276/277 real-time claim status check in JSON format

Request

  • Base URL
    https://healthcare.us.stedi.com/2024-04-01
  • URL
    https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/claimstatus/v2
  • Auth
    API key in header Authorization

Request body

controlNumberstring

Stedi generates a control number for each claim status check, so you don’t need to include this property in your request.

tradingPartnerNamestring

This is the payer name, such as Cigna or Aetna.

tradingPartnerServiceIdstring required

The payer ID. Visit the Payer Network for a complete list.

  • You can send requests using the primary payer ID, the Stedi payer ID, or any alias listed in the payer record.
  • You must include leading 0 characters - payer IDs are alphanumeric strings and must be treated as complete strings, not integers. For example, use 00540 for SISCO, not 540.

Response

ClaimStatus 200 response

controlNumberstring

The control number the payer provided in the claim status response. This is used to identify the transaction.

idstring

A globally unique identifier for this claim status check across all Stedi accounts. It's formatted as csc_<uuid>. For example: csc_550e8400-e29b-41d4-a716-446655440000. You can use this ID to track this claim status check and to construct deep links to claim status checks in the Stedi portal.

implementationTransactionSetSyntaxErrorstring

The syntax error code in the 999 Implementation Acknowledgment. It indicates the type of error (if present) in the EDI request syntax. Visit IK502 in the Implementation Acknowledgment specification for a complete list.

reassociationKeystring

The control number for the transaction.

statusstring

The status of the entire claim.

tradingPartnerServiceIdstring

An ID for the payer you identified in the original claim status request. This value may differ from the tradingPartnerServiceId you submitted in the original request because it reflects the payer's internal concept of their ID, not necessarily the ID Stedi uses to route requests to this payer.

transactionSetAcknowledgementstring

The acknowledgment code in the 999 Implementation Acknowledgment, an EDI file generated by the payer to acknowledge receipt of the claim status request. It indicates whether the claim status request was accepted or rejected due to errors in the EDI request syntax.

x12string

The raw X12 response from the payer.

Changes

  • 780b178dd68eRevision changes
    • warning

      the request property's maxLength was set to 120

  • 473d9319264cRevision changes
    • info

      added the optional property to the response with the status

    • info

      added the optional property / to the response with the status