Who Stedi is best for
Stedi sits between providers and payers and moves the standard HIPAA X12 transactions: eligibility, claims, claim status and electronic remittance advice. It exposes them through JSON APIs, SFTP and a web portal. Customers named on its site include SimplePractice, Candid Health, Athelas, Medplum and Notable.
Best for
- Health tech companies building eligibility, claims or RCM features into their own products
- Billing and RCM firms that want programmatic access and per-transaction pricing
- Provider groups with in-house engineers who want to automate payer transactions
Not ideal for
- Small practices without technical staff that want a ready-made billing screen
- Practices that need coding, statements, scheduling or full billing services
Stedi pros and cons
Pros
- Published per-transaction pricing with a free sandbox, no setup fees and no monthly minimum
- Connects to more than 3,500 payers, including Medicare, Medicaid and dental payers
- Supports real-time and batch eligibility, professional, institutional and dental claims, attachments, claim status and ERAs
- Transaction enrollment by API or CSV, plus insurance discovery, MBI lookup and coordination of benefits checks
- Dedicated Slack or Teams support channel for every customer; the vendor says average response time is under 10 minutes
- Vendor states HIPAA compliance, HITRUST certification and SOC 2 compliance, with a 99.9% uptime SLA
Cons
- Requires development work to get full value; it is not a practice management or billing application
- No claim coding, patient statements or denial follow-up services
- A few payers add their own fees, billed at cost
- Newer than long-established clearinghouses
Stedi pricing
Stedi publishes pricing. The Sandbox plan is free and includes mock eligibility checks, test API keys and unlimited users. The Pay as you go plan has no monthly minimum or setup fees, includes a signed BAA, and charges per transaction in volume tiers:
- Eligibility checks and claim status checks: $0.30 each for the first 250 per month, falling to $0.08 above 10,000
- Claim submissions (837P/I/D): $0.30 each for the first 500, falling to $0.10 above 10,000
- ERAs: $0.20 per adjudicated claim for the first 500, falling to $0.08
- Claim attachments: $0.75; paper claims: $1 for the first page plus $0.20 per extra page
- Claim acknowledgments (277CA) and the Payers API: free
A Custom plan adds volume discounts, SSO and SCIM, consolidated billing and a technical account manager, priced on request. Contract terms are not published.
Key features
- Eligibility: real-time and batch 270/271 checks, insurance discovery, MBI lookup and COB checks
- Claims: 837P, 837I and 837D submission, automated claim edits, 275 attachments and paper CMS-1500 and UB-04 claims that Stedi prints and mails
- Claim status and remittances: 276/277, 277CA acknowledgments and 835 ERAs
- Transaction enrollment by API or CSV, with tracking
- Stedi Agent and an MCP server that give AI agents access to Stedi
HIPAA, security and integrations
Stedi states that it is HIPAA compliant, HITRUST certified and SOC 2 compliant, and it signs a BAA on the Pay as you go plan. Accounts support role-based access and multi-factor authentication, and SSO and SCIM are available on the Custom plan. Stedi does not integrate with EHRs as an app; instead, EHR, billing and RCM software vendors build on its APIs, SFTP and webhooks.
Stedi alternatives
- Waystar — a long-established clearinghouse and RCM platform with user-facing workflows for providers and hospitals.
- TriZetto Provider Solutions — a traditional clearinghouse with portals for practices that do not want to build on APIs.
- Office Ally — a low-cost clearinghouse and practice management option aimed at small practices.
- Candid Health — API-based RCM software that handles claims end to end rather than only moving transactions.
