Stedi

Stedi is a healthcare clearinghouse and revenue cycle management service built for access through APIs. It supports real-time and batch eligibility checks, professional, institutional, and dental claims, claim status checks, acknowledgments, and electronic remittance advice. Its EDI platform can generate and deliver transactions in one API request, with transforms, webhooks, retries, rate limiting, and separate environments. Stedi Apps offer installable integrations for revenue cycle, practice management, and EHR systems. Stedi says it connects to more than 3,500 U.S. payers, including Medicare and Medicaid. Security features listed include HIPAA compliance, HITRUST certification, SOC 2 compliance, role-based access, and multi-factor authentication. The free Sandbox provides mock eligibility checks, portal access, and test API keys, but does not support test-claim submission through API or SFTP. Pay-as-you-go has no monthly minimum, setup fee, per-provider fee, or per-payer fee; transaction charges depend on transaction type and monthly volume. Production transactions require production API keys.

Stedi combines clearinghouse and EDI capabilities with API access, portal tools, and prebuilt integrations. Its free Sandbox is limited to mock eligibility checks and test keys, while production transaction pricing varies by usage.

Stedi is aimed at healthcare technology businesses and established organizations exchanging healthcare transactions. It may suit teams that need eligibility, claims, and EDI functions through APIs or a portal.

Stedi is an API-led healthcare clearinghouse and EDI platform for software companies and established organizations exchanging payer transactions. It is strongest for teams that need broad payer connectivity and programmable workflows; organizations wanting a clinician-facing practice application should look elsewhere.

Overview

Stedi combines portal tools with APIs and file-transfer options for eligibility, claims, remittance, and general EDI exchange. Its cloud deployment and partner onboarding support make it practical for organizations centralizing transaction operations instead of maintaining separate connections. The product is built around integration work, so its value depends on having technical resources to connect and manage those workflows.

Key features

Eligibility checks run in real time or in batches through either the portal or API. Claims handling covers professional, institutional, and dental claims, plus claim-status inquiries, acknowledgments, and electronic remittance advice. Stedi says it connects to more than 3,500 U.S. payers, including Medicare, Medicaid, medical, and dental plans, which can reduce the need to manage payer-specific connections individually.

The EDI service can generate and deliver a transaction with one API request. Transforms, webhooks, retries, rate limiting, and separate environments address common automation and operational needs. Supported standards include X12 and EDIFACT, with document types ranging from 834 enrollment and 835 ERA to 837P, 837I, 837D, 270/271 eligibility, 276/277 status, 275 attachments, and purchase-order documents 850 and 855.

Integration choices extend beyond REST APIs. Stedi supports webhooks, SFTP, FTPS, FTP, and AS2, allowing organizations to accommodate partners with different exchange requirements. Stedi Apps provide prebuilt connections for revenue-cycle, practice-management, and EHR systems, installable from account settings; they are useful when a supported system can replace custom integration work.

Security controls include HIPAA compliance, HITRUST certification, SOC 2 compliance, role-based access, and built-in multi-factor authentication. Every customer receives a dedicated Slack or Microsoft Teams channel, with Stedi reporting an average response time under 10 minutes, plus email support. That support model is a meaningful advantage for transaction workflows where integration issues can interrupt revenue operations.

Pricing

Sandbox

The Sandbox costs nothing and is billed Free. It includes mock eligibility checks, Stedi portal access, test API keys, and unlimited users. Test keys return mock healthcare API responses, making this plan suitable for development and evaluation, but it cannot submit test claims through the API or SFTP. Teams need a paid production plan before validating actual claim transmission.

Pay as you go

Pay as you go has no listed monthly price and no monthly minimum, setup fee, per-provider fee, or per-payer fee. Charges are per transaction with volume tiers and vary by transaction type and monthly volume. It includes the production portal, API, SFTP, webhooks, MCP server, unlimited providers and transaction enrollments, dedicated support, and a signed BAA. This is the practical starting point for organizations with variable transaction volume, though forecasting spend requires understanding each transaction mix.

Custom

Custom uses custom pricing and adds volume discounts, the ability to publish Stedi Apps, SSO with SCIM, consolidated billing, and a dedicated technical account manager. It fits larger vendors or enterprises that need centralized administration, app distribution, or negotiated volume economics rather than standard usage billing.

Platforms

Stedi is delivered through cloud-based web and API access. REST API, webhooks, SFTP, FTPS, FTP, and AS2 cover both modern and traditional partner exchanges, while separate environments and API keys distinguish testing from production.

Who it's for

Stedi is aimed at healthcare technology businesses and established organizations exchanging healthcare transactions. It suits teams building payer functionality into their own products, organizations managing many payer relationships, and integration groups that need both API and file-based methods. It is a poor fit for a small practice seeking a standalone front-office or clinical application, since the service centers on infrastructure and transaction connectivity.

Pros and cons

• Pro: More than 3,500 stated U.S. payer connections can simplify broad payer coverage.
• Pro: Claims, eligibility, remittance, and general EDI share one API-oriented platform.
• Pro: No monthly minimum, setup fee, provider fee, or payer fee lowers fixed-cost exposure on Pay as you go.
• Pro: Dedicated chat support with a reported sub-10-minute average response targets urgent integration problems.
• Con: Sandbox testing stops at mock eligibility and test responses; API or SFTP claim testing is unavailable.
• Con: Production costs vary by transaction type and volume, so monthly expense is less predictable than a fixed subscription.

Alternatives

Comarch Accounts Payable Automation is a paid, multi-platform option with custom pricing when accounts-payable automation is the priority.

LANSA offers paid products with a free plan and trial across web, mobile, API, and Windows deployments, making it worth considering for broader application development.

EdiFabric has a forever-free Community plan capped at 250 operations per day, three leased seats, and non-production use, which suits smaller-scale EDI experimentation.

1 EDI Source is a paid option spanning API, self-hosted, web, and Windows environments.

Bots EDI is a free EDI product supporting Linux, macOS, self-hosted, web, and Windows deployments.

EDICOM EDI Platform uses paid custom quotes for projects tailored to organizational needs.

OpenAS2 is a free, API-capable option with Linux, self-hosted, and web platforms.

Rocket EDX is a paid platform with variable usage and a fixed-price subscription model.

Verdict

Choose Stedi if your healthcare software or organization needs programmable access to a large payer network, claims and eligibility coverage, and both API and legacy exchange methods. Its free Sandbox lowers the barrier to development, while production support and security controls suit operational deployments. Look elsewhere if you need realistic claim testing before paying or a fixed, easily forecast subscription price.