What Stedi does

Stedi is a privately held, venture-backed US healthcare technology company that operates an API-first healthcare clearinghouse. Founded in 2017 and headquartered in New York (228 Park Ave S, Ste 58460), Stedi connects to more than 3,400 US payers — including Medicare, state Medicaid programs, and the major commercial medical and dental plans — and processes over one billion transactions annually across eligibility checks (270/271), professional, dental, and institutional claims (837P/837D/837I), claim attachments (275), claim acknowledgments (277CA), claim status (276/277), and electronic remittance advice (835). Its core technology is a cloud-native, multi-region AWS architecture that exposes JSON-native REST APIs rather than batch-only EDI, supported by a proprietary database of edits and repairs covering all SNIP Types (including payer-specific SNIP Type 7), a Stedi MCP server, and an AI-native "Stedi Agent" that allow AI agents to execute clearinghouse workflows such as eligibility checks, payer finder lookups, and eligibility recovery.

Stedi monetizes primarily through pay-as-you-go per-transaction usage fees — eligibility checks at $0.08–$0.30, claim submissions at $0.10–$0.30, ERAs at $0.10–$0.20, insurance discovery at $0.65–$1.50, MBI lookups at $0.40–$1.00, claim attachments at $0.75, and PDF outputs at $0.05 — with no monthly minimums, no setup fees, and free enrollment, supplemented by custom multi-year enterprise contracts that bundle SSO/SCIM, consolidated billing, and a dedicated technical account manager. Go-to-market is product-led and developer-first: a free sandbox with mock eligibility checks, public OpenAPI specifications on GitHub, self-service signup, and real-time human support on Slack/Teams with average sub-10-minute response times; an inside-sales motion ("Book a demo", contact sales) supports enterprise tiers; and a Stedi Apps marketplace distributes pre-built integrations to EHR, RCM, and practice-management platforms. Customers are concentrated in US health-tech startups and AI-native companies (approximately one-third of the customer base comprises GenAI-native firms that have collectively raised $5 billion), with secondary segments in RCM/billing platforms, individual providers using the Stedi portal, and enterprise organizations using the broader Stedi EDI Platform for any X12 HIPAA transaction. The company is led by founder and CEO Zack Kanter and is SOC 2 Type II, HITRUST, and HIPAA compliant.

Name

Stedi

Legal name

Stedi, Inc.

Website

https://stedi.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

51–100 employees

Short description

Stedi is an API-first healthcare clearinghouse connecting digital health, AI-native, and RCM companies to 3,400+ US payers via JSON-native REST APIs, processing over one billion eligibility, claim, and remittance transactions annually on a usage-based pricing model.

Ownership category

akta.pro rank

Product category

Healthcare Clearinghouse / Healthcare EDI

NAICS

Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320)

SIC

Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

Keywords

• Healthcare clearinghouse
• Medical claims processing
• Eligibility verification API
• Healthcare EDI platform
• Revenue cycle automation

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Marketing or Sales, Operations

Revenue model

1. Transaction-based usage fees: Pay-as-you-go per-transaction pricing for eligibility checks, claim submissions, paper claims, ERAs, claim attachments, claim status checks, insurance discovery, MBI lookups, coordination of benefits, and PDF outputs. Volume-based tiered pricing per transaction type. No monthly minimums and no setup fees.
2. Custom Enterprise Contracts: Custom volume-discounted pricing for large customers requiring features such as publishing Stedi Apps, SSO + SCIM, consolidated billing, and a dedicated technical account manager.

Pricing tiers

Go-to-market motion4 records

Marketing channels9 records

Core offering

Stedi operates an API-first, AI-ready healthcare clearinghouse that lets health-tech developers run eligibility checks (270/271), submit professional, dental, and institutional claims (837P/837D/837I), exchange 275 claim attachments, retrieve 277CA acknowledgments, perform 276/277 claim status checks, and process 835 electronic remittance advice (ERAs) across more than 3,400 U.S. payers. The company also offers fully managed transaction enrollment, a payer directory API, a general-purpose Stedi EDI Platform for any X12 HIPAA transaction, and AI-accessible endpoints via the Stedi MCP server and Stedi Agent. Customers consume the offering primarily through JSON-native REST APIs with a free sandbox tier, pay-as-you-go production pricing, and custom enterprise contracts.

Product overview

Stedi offers a single unified platform — the only programmable, API-first, AI-ready healthcare clearinghouse — built around a cloud-native core that connects to 3,400+ U.S. medical and dental payers. The core clearinghouse is delivered through a set of tightly integrated API products: Stedi Eligibility Checks (270/271, with insurance discovery, MBI lookup, and COB), Stedi Claims (837P/837I/837D submissions plus 275 attachments, 277CA acknowledgments, 276/277 claim status, and 835 ERAs), Stedi Transaction Enrollment (managed payer enrollment), and the Stedi Payers directory/API. These APIs are also exposed through the Stedi MCP Server and the AI-native Stedi Agent, which together enable autonomous agentic workflows and AI-driven eligibility recovery. The Stedi Apps marketplace provides pre-built integrations (Anatomy, Cair Health, Crosby Health, Jane, Keragon, Lumary, Medplum, Planet DDS, Ritten, and others) that connect EHR, RCM, and practice management tools to the clearinghouse. The Stedi EDI Platform complements the healthcare stack with general-purpose X12 HIPAA EDI translation and routing for any transaction, supported by reference products including the X12 HIPAA Guides, EDI Reference, EDI Inspector, and the Stedi EDI Network catalog. Operational tools — the Stedi NPI Registry, Service Type Code Lookup, Stedi Portal, and dedicated real-time human Support — round out the offering.

Differentiator

Problem solved

Functional benefit

Products and services

• Stedi Healthcare Clearinghouse Stedi's flagship API-first, AI-ready, JSON-native programmable healthcare clearinghouse that connects to 3,400+ U.S. medical and dental payers with redundant failover, a 99.9% uptime SLA, and processing of 1B+ transactions annually. Powers eligibility checks, claims, ERAs, transaction enrollment, and the Stedi Apps marketplace for health-tech developers.
• Stedi Eligibility Checks Real-time and batch 270/271 eligibility API with insurance discovery, MBI lookup, and coordination of benefits. Supports JSON, CAQH CORE SOAP, and X12; replaces web-scraping and phone-call workflows with payer-direct calls for healthcare technology companies and providers.
• Stedi Claims Claims processing API supporting 837P professional, 837I institutional, and 837D dental submissions, plus CMS-1500/UB-04 paper claims, 275 attachments, 277CA acknowledgments, 276/277 real-time claim status, and 835 ERA retrieval. Includes a database of edits and repairs with weekly updates for health-tech builders and providers.
• Stedi 275 Claim Attachments API Programmatic 275 Unsolicited Claim Attachments API that lets customers upload PDFs and images and attach them to 837P/837D/837I claims via the /claims/claim-attachments/submission endpoint.
• Stedi Transaction Enrollment Fully managed, API-first enrollment for 1,400+ payers. Submit enrollment via Enrollments API, CSV, or UI; Stedi handles requirements, signatures, and follow-up, with one-click enrollment available for many payers and elimination of over 90% of enrollment paperwork.
• Stedi Payers Search Payers API and Payer Network site provide programmatic access to Stedi's 3,400+ medical and dental payer directory, including Medicare, state Medicaid programs, and every major commercial payer.
• Stedi Apps Marketplace Pre-built Stedi App integrations that connect EHRs, RCM platforms, and practice management tools to Stedi, including Anatomy, Cair Health, Crosby Health, Jane, Keragon, Lumary, Medplum, Planet DDS, Ritten, and others.
• Stedi MCP Server Model Context Protocol server that gives AI agents plug-and-play HTTP access to Stedi's Healthcare APIs for real-time eligibility checks and payer search, with a production-ready endpoint at mcp.us.stedi.com.
• Stedi Agent AI-native assistant for automating clearinghouse workflows, including chats, payer finder, and eligibility recovery. Included with Pay-as-you-go plan; usage limits apply.
• Stedi EDI Platform General-purpose, event-driven platform for translating, validating, sending, and receiving any X12 HIPAA EDI transaction (837, 835, 277, 276, 834) with any provider, payer, or EHR system. Supports webhooks, API, SFTP, automatic retries, rate limiting, and large file processing with Fragments.

Quantifiable outcome

• 1B+ healthcare transactions processed annually
• +9 more outcomes

Named customers16 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration22 records

AI capability8 records

Feature6 records

Scale indicators9 records

Expansion highlights6 records

Direct peers

• Eligible (Tegria): API-first eligibility and benefits verification platform now part of Tegria. Direct competitor in real-time eligibility checks, with similar developer-focused positioning.
• Edifecs: Healthcare data interoperability and EDI management vendor offering X12 transaction processing, payer-provider connectivity, and value-based care data exchange. Overlaps with Stedi's EDI Platform and clearinghouse capabilities.
• Waystar: Publicly traded healthcare revenue cycle technology platform offering claims management, eligibility, and ERA processing. Competes with Stedi for hospital systems and large provider groups on RCM workflows.
• Infinx: Healthcare RCM company with eligibility verification, prior authorization, and claims management offerings using API-driven workflows. Competes with Stedi in API-first eligibility and claim submission for specialty practices and ambulatory providers.
• Change Healthcare (Optum): Largest US healthcare clearinghouse, now owned by Optum/UnitedHealth. Direct competitor to Stedi in eligibility, claims, ERAs, and payer connectivity, with an incumbent batch-EDI model that Stedi explicitly positions against.
• Availity: Major payer-provider data exchange network jointly owned by health plans, processing eligibility, claims, prior auth, and attachments. Direct competitor to Stedi's payer network and EDI platform offering.
• Trizetto (Cognizant): Established clearinghouse and RCM platform within Cognizant, providing claim processing, payer connectivity, and EDI services to providers and payers. A legacy incumbent against which Stedi competes on modern APIs.

Emerging players

• Olive AI: AI-driven healthcare automation company that has pursued workflow automation across revenue cycle and operations, intersecting with Stedi's AI-enabled clearinghouse thesis but with a different delivery model.
• Cedar: Patient-facing healthcare billing and engagement platform serving providers and payers. Adjacent rather than direct — operates downstream of clearinghouse flows but increasingly competes for the same health-tech budgets and AI-RCM mindshare.

Broad incumbents

• Experian Health: Large healthcare division of Experian offering eligibility, claims management, identity verification, and patient access. Competes broadly in the same RCM and payer-data ecosystem but across a much wider product portfolio than Stedi.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• GitHubgithub.com/Stedi/openApi
• Xx.com/stedi
• LinkedInlinkedin.com/company/stedi-inc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds6 records

Investors13 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Stedi