A free 30 minute consult on your Stedi integration

A team that plans a Stedi integration usually has the Stedi documentation open and a practice management system on the other side. The gap is the plan that connects them. Splice Health offers a free 30 minute call to work through that plan with you. Abhinav Srivastava runs the call.

Which Stedi APIs fit the product

Stedi exposes separate APIs for eligibility, claims, claim status, payer lookup, enrollment and event delivery. A scheduling product can need only real-time eligibility. A billing product needs claims, 277CA and 835 retrieval, and enrollment. We look at what your product does and list the Stedi endpoints it needs. We also flag the choice between the CMS-1500 JSON claim endpoint and the legacy 837P JSON endpoint, because Stedi's claims guide states that only the legacy endpoint takes secondary and tertiary claims.

The EHR and PM side of the data flow

Most of the build happens outside Stedi. Encounters, charges and insurance records live in the practice's EHR or PM system. Payments must post back there. We go through how your target system exposes that data: FHIR, a vendor API, or an export. We look at which fields you can read and which you can write. We name the fields that tie a claim to its 277CA and 835, such as the patient control number and the line item control number.

Enrollment steps

Enrollment often decides the go-live date. Stedi's enrollment documentation states that 835 ERAs always need enrollment and that ERA enrollment moves delivery away from the previous clearinghouse. Other transaction types depend on the payer. We list the payers your first practices use, check what each requires, and order the enrollments so remits do not split between two clearinghouses.

A build plan

You leave the call with a written plan. It lists the endpoints, the data mapping in each direction, the test steps in Stedi's test mode, the enrollment order and the open questions for your EHR vendor. The plan states what to build first so a single claim can travel from encounter to posted payment.

What to bring

• A short description of your product and the users who touch billing data.
• The EHR or PM systems your first customers use.
• Your Stedi account status: sandbox, production, or not yet created.
• Any payer or enrollment problems you already hit.

Splice Health is an independent company and is not a Stedi partner. The call is about your integration and does not require a purchase.

Book a free 30 minute consult to review your Stedi integration plan.