POST /insurance-discovery/check/v1

Demographic information for the patient when they are a dependent on a health plan.

• We strongly recommend providing as much information as possible to improve the probability of finding matching coverage. We especially recommend including the dependent's Social Security Number and their address - particularly their state and, if known, their ZIP Code.
• You should provide information for both the subscriber and the dependent in the request when possible.
• If you only have the dependent's information, you should identify them in the subscriber object instead and leave this object empty. Note that some payers require information about both the dependent and the subscriber, so providing only the dependent's information limits Stedi's ability to return coverage matches for those payers.

Specify the date range and type of coverage.

• Set either a single dateOfService or a beginningDateOfService and endDateOfService. If you don't specify a service date, Stedi defaults to the current date.
• Set serviceTypeCodes to ["35"] to narrow the search to dental payers. Omit it to default to searching medical payers.

Information about the provider requesting the insurance discovery check.

Demographic information for the patient when they are the health plan subscriber. We strongly recommend providing as much information as possible to improve the probability of finding matching coverage.

We especially recommend including the subscriber's Social Security Number and their address - particularly their state and, if known, their ZIP Code.

When a payer rejects your eligibility check, the response contains one or more AAA errors that specify the reasons for the rejection and any recommended follow-up actions.

Any errors that occur at the payer, provider, subscriber, or dependents levels are also included in this array, allowing you to review all errors in a central location. If there are no AAA errors, this array will be empty.

An array of potential coverage matches for the patient. This will only be populated if the insurance discovery check status is COMPLETE. Each item in the array contains information about a potential match, including the provider, subscriber, payer, and plan information.

Metadata about the response. Stedi uses this data for tracking and troubleshooting.

Issues with your insurance discovery check that may affect the results. For example, Stedi issues a warning when enrolling with a payer would improve the results for future requests.