Stedi Real-time claim status API is one of 25 APIs that Stedi publishes on the APIs.io network, described by a machine-readable OpenAPI specification.
Tagged areas include Real-time claim status. The published artifact set on APIs.io includes an OpenAPI specification, API documentation, and an API reference.
This API exposes
2 operations
across 2 paths,
and defines 36 schemas.
It is described by OpenAPI 3.2.0, at version 2024-04-01.
Requests are made against 2 base URLs: https://healthcare.us.stedi.com/2024-04-01, https://healthcare.us.stedi.com/2026-06-01.
2 operations2 paths36 schemas2 POST
Metadata
The identity and technical contract details declared by the specification.
Stedi Real-time claim status API declares
1 security scheme
for authenticating requests.
An API key is passed in the header as Authorization (httpApiKeyAuth).
By default, every request must be authenticated.
httpApiKeyAuth — A [Stedi API Key](https://portal.stedi.com/app/settings/api-keys) for authentication.
Paths & Operations 2
Across 2 paths, the API surfaces 2 operations — 2 POST. Each is listed below with its method, path, parameters, and response codes.
Real-time claim status 2
POST
/change/medicalnetwork/claimstatus/v2
Submit a 276/277 real-time claim status check in JSON format
ClaimStatusbody→ 200400403404429500503504
POST
/change/medicalnetwork/claimstatus/v2/raw-x12
Submit a 276/277 real-time claim status check in raw X12 EDI format
ClaimStatusRawX12body→ 200400403404429500503504
Schemas 36
The contract defines 36 schemas that model the data the API accepts and returns. The most detailed are ComponentsSchemasClaimStatus (17 properties), ClaimStatusRawX12ResponseContent (15 properties), ClaimStatusResponseContent (15 properties), ClaimStatusEncounter (10 properties). Each schema is shown below with its type and property counts.
ServiceDetail
object
2 properties
ClaimStatusRequestContent
object
9 properties3 required
EntityCode
string
Entity Identifier codes used to identify organizational entities, physical locations, properties, or individuals.
ClaimStatusProviderType
string
Identifies the type of provider related to the referenced healthcare claim.
ProductOrServiceIDQualifier
string
A code identifying the type/source of the descriptive number used in Product/Service ID. Visit [Claims code lists](https://www.stedi.com/docs/healthcare/claims…
ComponentsSchemasClaimStatus
object
The status, required action, and paid information of a claim or service line.
17 properties
ClaimStatusSubscriber
object
Information about the subscriber listed in the referenced claim. - You must set both the dateOfBirth and gender properties when the subscriber is the patient u…
7 properties3 required
Claim
object
Information about the claim and its status.
2 properties
MemberGender
string
A code indicating the dependent's gender. If the claim set the dependent's gender to U for unknown, you should omit this property from the claim status request.
ServiceIdQualifierCode
string
A code identifying the type/source of the procedureId. Visit [Claims code lists](https://www.stedi.com/docs/healthcare/claims-code-listsproduct-or-service-id-q…
StatusRequestProvider
object
9 properties1 required
ClaimStatusResponseMeta
object
Metadata about the response.
5 properties
ServiceLineInformation
object
Identify a service line listed in the referenced claim. Used to request status for a specific service line.
9 properties5 required
Service
object
Information about a service line listed in the referenced claim.
8 properties
ErrorResponse
object
4 properties
GatewayTimeoutExceptionResponseContent
object
The server response for a gateway timeout error.
2 properties1 required
ValidationExceptionResponseContent
object
A standard error for input validation failures. Thrown when a member of the input structure falls outside of the modeled or documented constraints.
2 properties1 required
Member
object
6 properties2 required
ServiceUnavailableExceptionResponseContent
object
The server is temporarily unavailable.
2 properties1 required
ClaimStatusRawX12ResponseContent
object
15 properties
ErrorDetail
object
6 properties
InternalFailureExceptionResponseContent
object
The server response when an unexpected error occurred while processing request.
2 properties1 required
ClaimStatusPayer
object
Information about the payer listed in the referenced claim.
4 properties
ClaimStatusResponseContent
object
15 properties
ClaimStatusRawX12RequestContent
object
1 property1 required
Entity
string
Entity descriptions corresponding to Entity Identifier codes.
ThrottlingExceptionResponseContent
object
The server response when usage plan or account-level throttling limits exceeded.
2 properties1 required
ClaimStatusEncounter
object
Information about the referenced claim or claims for which you want to retrieve status information. - We recommend supplying a date range that is at least plus…
10 properties
StatusResponseProvider
object
9 properties1 required
ClaimStatusContactInformation
object
6 properties
Status
object
Information about the status, required action, and paid information of a service line.
7 properties
ClaimStatusSubscriberGender
string
A code indicating the subscriber's gender. If the claim set the subscriber's gender to U for unknown, you should omit this property from the claim status reque…
ResourceNotFoundExceptionResponseContent
object
The server response when the specified resource cannot be found after an API request passes authentication and authorization.
2 properties1 required
TransactionIdentifier
object
2 properties
AccessDeniedExceptionResponseContent
object
The server response for authorization failure.
2 properties1 required
Warning
object
2 properties
Specification
The full machine-readable OpenAPI contract behind this narrative.
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