POST
/
change
/
medicalnetwork
/
professionalclaims
/
v3
/
raw-x12-submission
cURL
curl --request POST \
  --url https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/professionalclaims/v3/raw-x12-submission \
  --header 'Authorization: <api-key>' \
  --header 'Content-Type: application/json' \
  --data '{
  "x12": "ISA*00*          *00*          *ZZ*001690149382   *ZZ*STEDITEST      *240630*0847*^*00501*000000001*0*T*>~GS*HC*001690149382*STEDITEST*20240630*084744*000000001*X*005010X222A1~ST*837*0001*005010X222A1~BHT*0019*00*01J1M588QT2TAV2N093GNJ998T*20240630*0847*CH~NM1*41*2*Test Data Health Services, Inc.*****46*123567890~PER*IC*Test Data Health Services, Inc.*TE*5552223333~NM1*40*2*Cigna*****46*60054~HL*1**20*1~PRV*BI*PXC*2084P0800X~NM1*85*2*Therapy Associates*****XX*1999999984~N3*123 Some St*Floor 1~N4*A City*NY*123450000~REF*EI*832675429~PER*IC*Test Data Health Services, Inc.*TE*5553334444~HL*2*1*22*0~SBR*P*18*3335555******CI~NM1*IL*1*Anon*John****MI*U7777788888~N3*2222 Random St~N4*A City*NY*123450000~DMG*D8*20000101*M~NM1*PR*2*Cigna*****PI*60054~CLM*22266555*109.0***02>B>1*Y*A*Y*Y~HI*ABK>F1111~NM1*82*1*Smith*Jane****XX*1999999984~PRV*PE*PXC*111YP2000X~NM1*77*2*Smith Associates*****XX*1999999984~N3*1234 Other St~N4*A City*NY*123450000~LX*1~SV1*HC>90837>95*109.2*UN*1.0***1~DTP*472*D8*20240101~SE*30*0001~GE*1*000000001~IEA*1*000000001~"
}'
{
  "status": "SUCCESS",
  "controlNumber": "000000001",
  "tradingPartnerServiceId": "60054",
  "claimReference": {
    "correlationId": "01J1M588QT2TAV2N093GNJ998T",
    "patientControlNumber": "22266555",
    "timeOfResponse": "2024-07-10T22:05:32.203Z",
    "payerID": "60054",
    "formatVersion": "5010",
    "rhclaimNumber": "01J1M588QT2TAV2N093GNJ998T",
    "serviceLines": [
      {
        "lineItemControlNumber": "111222333"
      }
    ]
  },
  "httpStatusCode": "200 OK",
  "meta": {
    "traceId": "b727b8e7-1f00-4011-bc6e-e41444d406d8"
  },
  "payer": {
    "payerName": "Cigna",
    "payerID": "60054"
  }
}
This endpoint is ideal if you have an existing system that generates X12 EDI files and you want to send them through Stedi.
  1. Call this endpoint with a payload in 837 X12 EDI format.
  2. Stedi validates the EDI and sends the claim to the payer.
  3. The endpoint returns a response from Stedi in JSON format containing information about the claim you submitted and whether the submission was successful.
Visit Submit professional claims for a full how-to guide.

​
CMS-1500 Claim Form PDF

When you submit a professional claim, Stedi automatically generates a 1500 claim form PDF. If you plan to send these PDFs to payers or retain them for your records, we strongly recommend reviewing the CMS-1500 claim form PDF documentation to learn how to structure claim submissions for optimal generation, the correct printer settings for generated PDFs, and general best practices.

Authorizations

​
Authorization
string
header
required

A Stedi API Key for authentication.

Headers

​
Stedi-Transaction-Setting-Id
string

The outbound transaction setting ID. This option only needs to be specified if a non-default release of the Professional Claims guide needs to be used.

Body

application/json

Response

200
application/json

ClaimsRawX12Submission 200 response

The response is of type object.