Home
Documentation
  1. Flows: Connectors
  2. Healthcare Connectors

Stedi

Connecting your Stedi system to Knack Flows allows you to securely send data from Stedi to your Knack apps.

Setting up the Stedi connection in Knack flows

To set up your Stedi connection, you will need the API key from your Stedi portal.


  1. First, go to your Stedi portal here: https://portal.stedi.com
  2. Then expand the Developer section and hit API Keys.
  1. Then click on the Generate new API Key button.
  1. Set a name for the API key. Save the newly generated API key and put it in the API Key field in flows.
  1. Now you will be provided with a webhook.

  1. Copy the webhook and go into your Stedi dashboard.

  2. Add the webhook in the webhooks section within Stedi.

    Notice

    Webhooks require a paid Stedi plan. If the webhook URL from flows is not added to your Stedi dashboard, triggers will not fire in flows.

    8. Now you are free to set up flows using Stedi triggers and actions.

You can learn more about the triggers and actions on Stedi's API docs

https://www.stedi.com/docs/healthcare/api-reference

Triggers

New transaction processed

Returned Fields

transactionSetIdentifier

transactionId

fileExecutionId

Actions

Submit Institutional Claim (837I)

Stedi API Docs: https://www.stedi.com/docs/healthcare/api-reference/post-healthcare-institutional-claims

Parameters

Trading Partner Service ID (Required)

Submitter Tax ID (Required)

Subscriber First Name (Required)

Subscriber Last Name (Required)

Payment Responsibility Level Code (Required)

Benefits Assignment Certification Indicator - ID (Required) (Multichoice)

  • Not Applicable (use when patient refuses to assign benefits)
  • No (Payment should go to the patient)
  • Yes (Payment should go directly to the provider)

Claim Charge Amount (Required)

Receiver Organization Name (Required)

Submitter Organization Name (Required)

Claim Charge Amount (Required)

Receiver Organization Name (Required)

Submitter Organization Name (Required)

Admission Source Code

Admission Type Code

Patient Status Code

Admission Date and Hour

[Format YYYYMMDDHHMM]

Statement Begin Date

[Format YYYYMMDD]

Statement End Date

[Format YYYYMMDD]

Claim Filing Code

Claim Frequency Code

Patient Control Number

Place of Service Code

Plan Participation Code

Principal Diagnosis Code

Qualifier Code

Release Information Code

Control Number

Submitter Contact Name

Submitter Contact Phone Number

Subscriber Address Line 1

Subscriber City

Subscriber Postal Code

Subscriber State

Subscriber Date of Birth

[Format YYYMMDD]

Subscriber Gender

Subscriber Member ID

Trading Partner Name

Usage Indicator

[Array] Providers

  • Address Line 1
  • City
  • Postal code
  • State
  • Contact Name
  • Contact Phone Number
  • Employer ID
  • First Name
  • Last Name
  • NPI
  • Organization Name
  • Provider Type

[Array] Service Lines

  • Assigned Number
  • Line Item Charge Amount
  • Measurement Unit
  • Procedure Code
  • Procedure Identifier
  • Service Line Revenue Code
  • Service Unit Count
  • Line Item Control Number
  • Service Date
    • [Format YYYMMDD]
  • Service Date End
    • [Format YYYMMDD]

Returned Fields

[Array] Claim Reference

  • Claim Type
  • Correlation Id
  • Customer Claim Number
  • Format Version
  • Patient Control Number
  • Payer Id
  • RH Claim Number
  • [Array] Service Lines
    • Line Item Control Number
  • Submitter Id
  • Time Of Response

Control Number

[Array] Edit Responses

  • Allow Override
  • Bad Data
  • Claim Core Path
  • Edit Activity
  • Edit Name
  • Element
  • Error Description
  • Field Index
  • Loop
  • Phase ID
  • Qualifier Code
  • Reference ID
  • Segment

[Array] Errors

  • Code
  • Description
  • Follow-up Action
  • Location
  • Value

[Array] Failure

  • Code
  • Description

Http Status Code

[Array] Meta

  • Application Mode
  • Biller Id
  • Sender Id
  • Trace Id

[Array] Payer

  • Payer ID
  • Payer Name

Status

Trading Partner Service Id

[Array] Warnings

  • Code
  • Description

x12

NOTE: [Array] indicates that these fields return multiple objects within the field. You will need to use an iterator or row selection to access these fields.

Submit Professional Claim (837P)

Stedi API Docs: https://www.stedi.com/docs/healthcare/api-reference/post-create-professional-claim-json

Parameters

Trading Partner Service ID (Required)

Benefits Assignments Certification Indicator - ID (Required) (Multichoice)

  • Not Applicable (use when patient refuses to assign benefits) (W),
  • No (Payment should go to the patient) (N),
  • Yes (Payment should go directly to the provider) (Y)

Claim Charge Amount (Required)

Claim Filling Code (Required) (Multichoice)

  • When you're submitting a new claim and when you're resubmitting a claim that was rejected before it entered the payer's processing system. (1)
  • When you need to resubmit a corrected claim that the payer has already processed (7)
  • You must also include the Payer Claim Control Number (sometimes called the ICN) (8)

Claim Frequency Code - ID (Required)

Receiver Organization Name (Required)

Billing Address Line 1

Billing Address Line 2

Billing City

Billing Postal Code

Billing State

Billing Contact Name

Billing Contact Phone Number

Billing Employer ID

Billing NPI

Billing Provider Type

Billing Taxonomy Code

Patient Control Number

Place of Service Code

Plan Participation Code

Release Information Code

Service Facility Address Line 1

Service Facility City

Service Facility Postal Code

Service Facillity State

Service Facility NPI

Service Facility Organization Name

Signature Indicator

Submitter Contact Name

Submitter Contact Phone Number

Submitter Organization Name

Submitter Identification

Subscriber Address Line 1

Subscriber City

Subscriber Postal Code

Subscriber State

Subscriber Date of Birth

Subscriber First Name

Subscriber Gender

Subscriber Group Number

Subscriber Member ID

Payment Responsibility Level Code

Subscriber Group Name

Trading Partner Name

Usage Indicator

[Array] Health Care Code Information

  • Diagnosis Code
  • Diagnosis Type Code

[Array] Service Lines

  • Diagnosis Code Pointers
  • Line Item Charge Amount
  • Measurement Unit
  • Procedure Code
  • Procedure Identifier

Returned Fields

NOTE: [Array] indicates that these fields return multiple objects within the field. You will need to use an iterator or row selection to access these fields.

Real-Time Eligibility Check (270/271)

Stedi API Docs: https://www.stedi.com/docs/healthcare/api-reference/post-eligibility-check

Parameters

Please Note

You will need to have a Subscriber Member ID or Subscriber Last Name provided in the request.

Provider NPI

Subscriber First Name

Subscriber Last Name

Subscriber Member ID

Trading Partner Service ID

Service Type Codes

Organization Name (Provider)

[Array] Dependents

  • Date of Birth
  • First Name
  • Last Name

Returned Fields

Dependents - Amount of elements

Plan Status - Amount of elements

Contacts - Amount of elements

Errors - Amount of elements

Control Number

Eligibility Search ID

ID

Application Mode

Outbound Trace ID

Sender ID

Submitter ID

Trace ID

Payer Entity Identifer

Payer Entity Type

Payer Name

Payer Identification

Plan Date Information

Group Number

Plan Number

Provider Entity Identifier

Provider Entity Type

Provider NPI

Provider Name

Reassociation Key

Subscriber Date Of Birth

Subscriber Entity Identifer

Subscriber Entity Type

Subscriber Gender

Subscriber Group Number

Subscriber Last name

Subscriber Member ID

Subscriber Middle Name

Subscriber Plan Number

Subscriber Address Line 1

Subscriber City

Subscriber Postal Code

Subscriber State

Trading Partner Service ID

Service Type Codes

Organization Name (Provider)

[Array] Dependents

  • Date Of Birth
  • Entity Type
  • First name
  • Gender
  • Insured Indicator
  • Last Name
  • Maintenance Reason Code
  • Maintenance Type Code
  • Middle Name
  • Plan Number
  • Relation To Subscriber
  • Relation To Subscriber Code

[Array] Plan Status

  • Plan Details
  • Service Type Codes
  • Status
  • Status Code

[Array] Contacts

  • Communication Mode
  • Communication Number

[Array] Errors

  • Field
  • Code
  • Description
  • Followup Action
  • Location
  • Possible Resolutions

NOTE: [Array] indicates that these fields return multiple objects within the field. You will need to use an iterator or row selection to access these fields.

Custom API Request

Please take a look at Stedi's API docs for full list of functions

https://www.stedi.com/docs/healthcare/api-reference/post-healthcare-eligibility

Parameters

URL (Required)

Request method (Required) (Multiple Choide)

  • GET (0)
  • POST (1)
  • PUT (2)
  • MERGE (3)
  • PATCH (4)
  • DELETE (5)

Request format (Request)

  • Use the json (0) option

Request Parameters

Request headers

Response Parameters

Real-Time Claim Status (276/277)

Stedi API Docs: https://www.stedi.com/docs/healthcare/api-reference/post-healthcare-claim-status

Parameters

Trading Partner Service ID (Required)

Subscriber First Name (Required)

Subscriber Last Name (Required)

Subscriber Member ID (Required)

Subscriber Date of Birth

[Format YYYYMMDD]

Beginning Date of Service

[Format YYYYMMDD]

End Date of Service

[Format YYYYMMDD]

[Array] Providers

  • Provider NPI
  • Provider Organization Name
  • Provider Type
  • The Electronic Transmitter Identification Number (ETIN)
  • The Taxpayer Identification Number (TIN)

Returned Fields

[Array] Claims

  • Claim Status
  • Amount Paid
  • Check Issue Date
  • Check Number
  • Claim Service Date
  • Effective Date
  • Paid Date
  • Patient Account Number
  • Status Category Code
  • Status Category Code Value
  • Status Code
  • Status Code Value
  • Submitted Amount
  • Tracking Number
  • Trading Partner Claim Number
  • [Array] Service Details
    • Amount Paid
    • Procedure ID
    • Service ID Qualifier
    • Service ID Qualifier Code
    • Submitted Amount
    • Submitted Units
  • [Array] Status
    • Effective Date
    • Status Category Code
    • Status Category Code Value
    • Status Code
    • Status Code Value

Control Number

Payer

[Array] Providers

  • NPI
  • OrganizationName
  • ProviderType
  • Subscriber
  • Trading Partner Service ID
  • x12

NOTE: [Array] indicates that these fields return multiple objects within the field. You will need to use an iterator or row selection to access these fields.

Insurance Discovery

Stedi API Docs: https://www.stedi.com/docs/healthcare/api-reference/post-insurance-discovery

Parameters

Provider NPI (Required)

Subscriber First Name (Required)

Subscriber Last Name (Required)

Beginning Date of Service

End Date of Service

Subscriber Address Line 1

Subscriber City

Subscriber Postal Code

Subscriber State

Subscriber Date of Birth

Subscriber Gender

Subscriber Middle Name

Subscriber SSN

Returned Fields

Coverages Found

Discovery Id

[Array] Errors

  • Code
  • Description
  • Field
  • Follow-up Action
  • Location
  • Possible Resolutions

[Array] Items

  • [Array] Additional Information
    • Description
  • Auth Or Cert Indicator
  • Benefit Amount
  • Benefit Percent
  • Benefit Quantity
  • [Array] Benefits Additional Information
    • Alternative List Id
    • Coverage List Id
    • Drug Formulary Number
    • Family Unit Number
    • Group Description
    • Group Number
    • Hic Number
    • Insurance Policy Number
    • Medicaid Recipient Id Number
    • Medical Assistance Category
    • Member Id
    • Plan Description
    • Plan Network Description
    • Plan Network Id Number
    • Plan Number
    • Policy Number
    • Prior Authorization Number
    • Referral Number
  • [Array] Benefits Date Information
    • Added
    • Admission
    • [Array] Admissions
      • Date
      • End Date
      • Start Date
    • Benefit
    • Benefit Begin
    • Benefit End
    • Completion
    • Coordination Of Benefits
    • Date Of Date
    • Date Of Last Update
    • Discharge
    • [Array] Discharges
      • Date
      • End Date
      • Start Date
    • Eligibility
    • Eligibility Begin
    • Eligibility End
    • Latest Visit or Consultation
    • Period End
    • Period Start
    • Plan
    • Plan Begin
    • Plan End
    • Primary Care Provider
    • Service
    • Status
  • [Array] Benefits Related Entities
    • [Array] Address
      • Address 1
      • Address 2
      • City
      • County Code
      • County Sub Division Code
      • Postal Code
      • State
    • [Array] Contact Information
      • [Array] Contacts
        • Communication Mode
        • Communication Number
      • Entity First Name
      • Entity Identification
      • Entity Identification Value
      • Entity Identifier
      • Entity Middle Name
      • Entity Name
      • Entity Relationship
      • Entity Suffix
      • Entity Type
      • [Array] Provider Information
        • Provider Code
        • Reference Identification
    • [Array] Benefits Service Delivery
      • Delivery or Calendar Pattern Code
      • Delivery or Calendar Pattern Qualifier
      • Delivery or Calendar Pattern Qualifier Code
      • Delivery Pattern Time Code
      • Delivery Pattern Time Qualifier
      • Delivery Pattern Time Qualifier Code
      • Num Of Periods
      • Quantity
      • Quantity Qualifier
      • Quantity Qualifier Code
      • Sample Section Modules
      • Time Period Qualifier
      • Time Period Qualifier Code
      • Unit for Measurement Qualifier
      • Unit for Measurement Qualifier Code
      • Code
      • [Array] Composite Medical procedure Identifier
        • Diagnosis Code Pointer
        • Procedure Code
        • Procedure Modifiers
        • Product Or Service ID
        • Product Or Service ID Qualifier
        • Product Or Service ID Qualifier Code
        • Coverage Level
        • Coverage Level Code
        • [Array] Eligibility Additional Information List
          • Code Category
          • Code List Qualifier
          • Code List Qualifier Code
          • Idustry
          • Industry Code
          • Injured Body Part Name
          • Header Loop Identifier Code
          • In Plan Network Indicator
          • In Plan Network indicator Code
          • Insurance Type
          • Insurance Type Code
          • Name
          • Plan Coverage
          • Quantity Qualifier
          • Quantity Qualifier Code
          • Service Type Codes
          • Service Types
          • Time Qualifier
          • Time Qualifier Code
          • Trailer Loop Identifier Code
        • [Array] Confidence
          • Level
          • Reason
  • [Array] Dependent
    • [Array] Address
      • Address 1
      • Address 2
      • City
      • Country Code
      • Country Sub Division Code
      • Postal Code
      • State
    • Birth Sequence Number
    • Date of Birth
    • Date Time Period
    • Date Time Period Format Qualifier
    • Description
    • Employment Status Code
    • End Date Time Period
    • Entity Identifier
    • Entity Type
    • First Name
    • Gender
    • Government Service Affiliation Code
    • Group Description
    • Group Number
    • Health Care Diagnosis Codes
    • Information Status Code
    • Insured Indicator
    • Last Name
    • Maintenance Reason Code
    • Maintenance Type Code
    • Middle Name
    • Military Service Rank Code
    • Plan Description
    • Plan Network Description
    • Plan Network Id Number
    • Plan Number
    • Relation To Subscriber
    • Relation To Subscriber Code
    • [Array] Response Provider
      • [Array] Aaa Errors
        • Code
        • Description
        • Field
        • Follow-up Action
        • Location
        • Possible Resolutions
      • [Array] Address
        • Address 1
        • Address 2
        • City
        • Country Code
        • Country Sub Division Code
        • Postal Code
        • State
      • Entity Identifier
      • Entity Type
      • Federal Taxpayers Id Number
      • Middle Name
      • NPI
      • Payor Identification
      • Pharmacy Processor Number
      • Provider Code
      • Provider First Name
      • Provider Name
      • Provider Org Name
      • Reference Identification
      • Service Provider Number
      • Services Plan Id
      • SSN
      • Suffix
    • SSN
    • Start Date Time Period
    • Suffix
    • Unique Health Identifier
    • [Array] Payer
      • Centers For Medicare And Medicaid Plan Id
      • [Array] Contact Information
        • [Array] Contacts
          • Communication Mode
          • Communication Number
          • Name
          • Entity Identifier
          • Entity Type
          • ETIN
          • Federal Taxpayers Id Number
          • First Name
          • Last Name
          • Middle Name
          • NAIC
          • Name
          • NPI
          • Payor Identification
          • Suffix
  • [Array] Plan Date Information
    • Added
    • Admission
    • Certification
    • Cobra Begin
    • Cobra End
    • Date Of Death
    • Date Of Last Update
    • Discharge
    • Effective Date Of Change
    • Eligibility
    • Eligibility Begin
    • Eligibility End
    • Enrollment
    • Issue
    • Plan
    • Plan Begin
    • Plan End
    • Policy Effective
    • Policy Expiration
    • Premium Paid To Date Begin
    • Premium Paid To Date End
    • Service
    • Status
  • [Array] Plan Information
    • Agency Claim Number
    • Alternative List Id
    • Case Number
    • Centers for Medicare and Medicaid Services NPI
    • Class of Contract Code
    • Contract Number
    • Coverage List Id
    • Drug Formulary Number
    • Electronic Device Pin
    • Eligibility Category
    • Facility Id Number
    • Facility Network Identification Number
    • Family Unit Number
    • Federal Taxpayers Identification Number
    • Group Description
    • Group Number
    • HIC Number
    • ID Card Number
    • ID Card Serial Number
    • Insurance Policy Number
    • Issue Number
    • Medicaid Provider Number
    • Medicaid Recipient ID Number
    • Medical Assistance Category
    • Medical Record Identification Number
    • Medicare Provider Number
    • Member Id
    • Patient Account Number
    • Personal Identification Number
    • Plan Description
    • Plan Network ID Description
    • Plan Network ID Number
    • Plan Number
    • Policy Number
    • Prior Authorization Number
    • Prior Id Number
    • Referral Number
    • Social Security Number
    • State License Number
    • Submitter Identification Number
    • User Identification
    • [Array] Provider
      • [Array] Address
        • Address 1
        • Address 2
        • City
        • Country Code
        • Country Sub Division Code
        • Postal code
        • State
      • Entity Identifier
      • Entity Type
      • Federal Taxpayers ID Number
      • Middle Name
      • NPI
      • Payor IDentification
      • Pharmacy Processor Number
      • Provider Code
      • Provider First Name
      • Provider name
      • Provider Org Name
      • Reference Identification
      • Service provider Number
      • Services Plan Id
      • SSN
      • Suffix
    • [Array] Subscriber
      • [Array] Address
        • Address 1
        • Address 2
        • City
        • Country Code
        • Country Sub Division Code
        • Postal code
        • State
      • Birth Sequence Number
      • Date of Birth
      • DateTimer Period
      • Date Time Period Format Qualifier
      • Description
      • Employment Status Code
      • End Date Time Period
      • Entity Identifier
      • Entity Type
      • First Name
      • Gender
      • Government Service Affiliation Code
      • Group Description
      • Group Number
    • [Array] Health Care Diagnosis Codes
      • Diagnosis Code
      • Diagnosis Type Code
      • Information Status Code
      • Insured Indicator
      • Last Name
      • Maintenance Reason Code
      • Maintence Type Code
      • Member Id
      • Middle Name
      • Military Service Rank Code
      • Plan Description
      • Plan Network Description
      • Plan Network Id Number
      • Plan Number
      • Relation To Subscriber
      • Relation To Subscriber Code
      • [Array] Response Provider
        • [Array] AAAErrors
          • Code
          • Description
          • Field
          • Follow-up Action
          • Location
          • Possible Resolution
      • [Array] Address
        • Address 1
        • Address 2
        • City
        • Country Code
        • Country Sub Division Code
        • Postal code
        • State
        • Entity Identifier
        • Entity Type
        • Federal Taxpayers Id Number
        • Middle Name
        • NPI
        • Payor Identification
        • Pharmacy Processor Number
        • Provider Code
        • Provider First Name
        • Provider Name
        • Provider Org Name
        • Reference Identification
        • Service Provider Number
        • Services Plan ID
        • SSN
        • Suffix
        • SSN
        • Start Date Time Period
        • Suffix
        • Unique Health Identifier

[Array] Meta

  • Application Mode
  • Trace Id

Status

[Array] Warnings

  • Code
  • Description

NOTE: [Array] indicates that these fields return multiple objects within the field. You will need to use an iterator or row selection to access these fields.

835 ERA Report

Stedi API Docs: https://www.stedi.com/docs/healthcare/api-reference/get-healthcare-reports-835

Parameters

Transaction ID (Required)

Returned Fields

[Array] Meta

  • Application Mode
  • Sender Id
  • Trace Id
  • Transaction Id

[Array] Transactions

  • Control Number
  • [Array] Detail Info
    • Assigned Number
    • [Array] Payment Info
      • [Array] Claim Adjustments
        • Adjustment Amount 1
        • Adjustment Amount 2
        • Adjustment Amount 3
        • Adjustment Amount 4
        • Adjustment Amount 5
        • Adjustment Amount 6
        • Adjustment Quantity 1
        • Adjustment Quantity 2
        • Adjustment Quantity 3
        • Adjustment Quantity 4
        • Adjustment Quantity 5
        • Adjustment Quantity 6
        • Adjustment Reason 1
        • Adjustment Reason 2
        • Adjustment Reason 3
        • Adjustment Reason 4
        • Adjustment Reason 5
        • Adjustment Reason 6
        • Adjustment Reason Code 1
        • Adjustment Reason Code 2
        • Adjustment Reason Code 3
        • Adjustment Reason Code 4
        • Adjustment Reason Code 5
        • Adjustment Reason Code 6
        • Claim Adjustment Group Code
        • Claim Adjustment Group Code Value
      • [Array] Claim Contact Information
        • [Array] Contact Methods
          • Email
          • Fax
          • Phone
          • Phone Extension
        • Contact Name
      • Claim payment Info
        • Claim Filing Indicator Code
        • Claim Frequency Code
        • Claim Payment Amount
        • Claim Status Code
        • Diagnosis Related Group DRG Code
        • Diagnosis Related Group DRG Weight
        • Discharge Fraction
        • Facility Type Code
        • Patient Control Number
        • Patient Responsibility Amount
        • Payer Claim Control Number
        • Total Claim Charge Amount
      • Claim Received Date
      • Claim Statement Period End
      • Claim Statement Period Start
      • Claim Supplemental Information
        • Coverage Amount
        • Discount Amount
        • Federal Medicare Or Medicaid Payment Mandate Category 1
        • Federal Medicare Or Medicaid Payment Mandate Category 2
        • Federal Medicare Or Medicaid Payment Mandate Category 3
        • Federal Medicare Or Medicaid Payment Mandate Category 4
        • Federal Medicare Or Medicaid Payment Mandate Category 5
        • Interest
        • Negative Ledger Balance
        • Patient Amount Paid
        • Per Day Limit
        • Tax
        • Total Claim Before Taxes
      • Claim Supplemental Information Quantities
        • Colnsured Actual
        • Covered Actual
        • Federal Medicare Or Medicaid Payment Mandate Category 1
        • Federal Medicare Or Medicaid Payment Mandate Category 2
        • Federal Medicare Or Medicaid Payment Mandate Category 3
        • Federal Medicare Or Medicaid Payment Mandate Category 4
        • Federal Medicare Or Medicaid Payment Mandate Category 5
        • Life Time Reserve Actual
        • Life Time Reserve Estimated
        • Non Covered Estimated
        • Not Replaced Blood Units
        • Outliner Days
        • Prescription
        • Visits
      • Corrected Patient Or Insured Name
        • First Name
        • Insureds Changed Unique Identification Number
        • Last Name
        • Middle Name
        • Organization Name
        • Suffix
      • Corrected Priority Payer
        • Blue Cross Blue Shield Association Plan Code
        • Centers For Medicare And Medicaid Services Plan Id
        • National Association Of Insurance Commissioners Identification
        • Organization Name
        • Payor Id
        • Pharmacy Processor Number
        • Tax Id
      • Coverage Expiration Date
      • Crossover Carrier
        • Blue Cross Blue Shield Association Plan Code
        • Centers For Medicare And Medicaid Services Plan Id
        • National Association Of Insurance Commissioners Identification
        • Organization Name
        • Payor Id
        • Pharmacy Processor Number
        • Tax Id
      • Inpatient Adjudication
        • Claim DRG Amount
        • Claim Disproportionate Share Amount
        • Claim Indirect Teaching Amount
        • Claim MSP Pass Through Amount
        • Claim PPS Capital Amount
        • Claim PPS Capital Outliner Amount
        • Claim Payment Remark Code 1
        • Claim Payment Remark Code 2
        • Claim Payment Remark Code 3
        • Claim Payment Remark Code 4
        • Claim Payment Remark Code 5
        • Cost Report Day Count
        • Covered Days Or Visits Count
        • Lifetime Psychiatric Days Count
        • Non Payable Professional Component Amount
        • Old Capital Amount
        • PPS Capital DSHDRG Amount
        • PPS Capital Exception Amount
        • PPS Capital FSPDRG Amount
        • PPS Capital HSPDRG Amount
        • PPS Capital IME Amount
        • PPS Operating Federal Specific DRG Amount
        • PPS Operating Hospital Specific DRG Amount
        • PPS Operating Outlier Amount
      • Other Claim Related Identification
        • Adjusted Re Priced Claim Reference Number
        • Authorization Number
        • Class Of Contract Code
        • Class Of Contract Codes
        • Employee Identification Number
        • Group Number
        • Group or Policy Number
        • Insurance Policy Number
        • Medical Record Identification Number
        • Member Identification Number
        • Original Reference Number
        • Predetermination of Benefits Identification Number
        • Prior Authorization Number
        • Re Priced Claim Reference Number
        • SSN
      • Other Subscriber
        • First name
        • Last Name
        • Member ID
        • Middle Name
        • Organization Name
        • Standard Unique Health Identifier For Each Individual In The United States
        • Suffix
        • TaxId
      • Outpatient Adjudication
        • Claim ESRD Payment Amount
        • Claim HCPCS Payable Amount
        • Claim Payment Remark Code 1
        • Claim Payment Remark Code 2
        • Claim Payment Remark Code 3
        • Claim Payment Remark Code 4
        • Claim Payment Remark Code 5
        • Non Payable Professional Component Amount
        • Reimbursement Rate
      • Patient Name
        • First Name
        • Health Insurance Claim Number
        • Last name
        • Medicaid Recipient Identification Number
        • Member Id
        • Middle Name
        • SSN
        • Standard Unique Health Identifier For Each Individual In The United States
        • Suffix
      • Rendering Provider
        • Blue Cross Provider Number
        • Blue Shield Provider Number
        • First Name
        • Last Name
        • Midicaid Provider Number
        • Middle Name
        • NPI
        • Organization Name
        • Provider Commercial Number
        • State License Number
        • Suffix
        • Tax Id
        • Unique Physician Identification Number
      • Rendering Provider Identification
        • Blue Shield Provider Number
        • Champus Identification Number
        • Facility Id Number
        • Location number
        • Medicaid Provider Number
        • Medicare Provider Number
        • National Council For Prescription Drug Program Pharmacy Number
        • Provider Commercial number
        • Provider UPIN Number State License Number
      • [Array] Service Lines
        • [Array] Health Care Check Remark Codes
          • Code List Qualifier Code
          • Code List Qualifier Code Value
          • Remark
          • Remark Code
        • [Array] Health Care Policy Identification
          • Policy Form Identifying Number
        • Line Item Countrol Number
        • Rendering Provider Information
          • Blue Cross Provider Number
          • Blue Shield Provider Number
          • Champus Identification Number
          • Facility Id Number
          • Federal Taxpayer Identification Number
          • Medicaid Provider Number
          • Medicare Provider Number
          • NPI
          • Provider Commercial number
          • Provider UPIN Number
          • SSN
          • State License Number
        • [Array] Service Adjustments
          • Adjustment Amount 1
          • Adjustment Amount 2
          • Adjustment Amount 3
          • Adjustment Amount 4
          • Adjustment Amount 5
          • Adjustment Amount 6
          • Adjustment Quantity 1
          • Adjustment Quantity 2
          • Adjustment Quantity 3
          • Adjustment Quantity 4
          • Adjustment Quantity 5
          • Adjustment Quantity 6
          • Adjustment Reason 1
          • Adjustment Reason 2
          • Adjustment Reason 3
          • Adjustment Reason 4
          • Adjustment Reason 5
          • Adjustment Reason 6
          • Adjustment Reason Code 1
          • Adjustment Reason Code 2
          • Adjustment Reason Code 3
          • Adjustment Reason Code 4
          • Adjustment Reason Code 5
          • Adjustment Reason Code 6
          • Claim Adjustment Group Code
          • Claim Adjustment Group Code Value
        • Service Date
        • Service End Date
        • Service Identification
          • Ambulatory Patient Group Number
          • Ambulatory Payment Classification
          • Attachment Code
          • Authorization Number
          • Location Number
          • Pre Determination Of Benefits Identification Number
          • Prior Authorization Number
          • Rate Code Number
        • Service Payment Information
          • Adjudicated Procedure Code
          • Adjudicated Procedure Modifier Codes
          • Line Item Charge Amount
          • Line Item Provider Payment Amount
          • National Uniform Billing Committee Revenue Code
          • Original Units Of Service Count
          • Product Or Service ID Qualifier
          • Product Or Service ID Qualifier Value
          • Submitted Adjudicated Procedure Code
          • Submitted Adjudicated Procedure Modifier Codes
          • Submitted Procedure Code Description
          • Submitted Product Or Service ID Qualifier
          • Submitted Product or Service ID Qualifier Value
          • Units Of Service Paid Count
        • Service Start Date
        • Service Supplemental Amounts
          • Allowed Actual
          • Deduction Amount
          • Federal Medicare Or Medicaid Payment Mandate Category 1
          • Federal Medicare Or Medicaid Payment Mandate Category 2
          • Federal Medicare Or Medicaid Payment Mandate Category 3
          • Federal Medicare Or Medicaid Payment Mandate Category 4
          • Federal Medicare Or Medicaid Payment Mandate Category 5
          • tax
          • Total Claim Before Taxes
        • Service Supplemental Quantities
          • Federal Medicare Or Medicaid Payment Mandate Category 1
          • Federal Medicare Or Medicaid Payment Mandate Category 2
          • Federal Medicare Or Medicaid Payment Mandate Category 3
          • Federal Medicare Or Medicaid Payment Mandate Category 4
          • Federal Medicare Or Medicaid Payment Mandate Category 5
        • Subscriber
          • First Name
          • Last Name
          • Member Id
          • Middle Name
          • Organization Name
          • Standard Unique Health Identifier For Each Individual In The United States
          • Suffix
          • Tax Id
      • Provider Summary Information
        • Facility Type Code
        • Fiscal Period Date
        • Provider Identifier
        • Total Claim Charge Amount
        • Total Claim Count
        • Total HCPCS Payable Amount
        • Total HCPCS Reported Charge Amount
        • Total MSR Patient Liability Met Amount
        • Total MSP Payer Amount
        • Total Non Lab Charge Amount
        • Total PIP Adjustment Amount
        • Total PIP Claim Count
        • Total Paatient Reimbursement Amount
        • Total Professional Composnent Amount
      • Provider Supplemental Summary Information
        • Average DRG Length Of Stay
        • Average DRG Weight
        • Total Capital Amount
        • Total Cost Outlier Amount
        • Total Cost Report Day Count
        • Total Covered Day Count
        • Total DRG Amount
        • Total Day Outlier Amount
        • Total Discharge Count
        • Total Disproportionate Share Amount
        • Total Federal Specific Amount
        • Total Hospital Specific Amount
        • Total Indirect Medical Education Amount
        • Total MSP Pass Through Amount
        • Total Non Covered Day Count
        • Total Outlier Day Count
        • Total PPS Capital FSPDRG Amount
        • Total PPS Capital HSPDRG Amount
        • Total PPS DSH ARG Amount
    • Financial Information
      • Check Issue Or EFT Effective Date
      • Credit Or Debit Flag Code
      • Originating Company Supplemental Code
      • Payer Identifier
      • Payment Format Code
      • Payment Method Code
      • Receiver Account Details
        • Receiver Account Number
        • Receiver Account Number Qualifier
        • Receiver DFI Id Number Qualifier
        • Receiver DfI ldentification Number
      • Sender Account Details
        • Sender Account Number
        • Sender Account Number Qualifier
        • Sender DFI Identifier
        • Sender DFI ID Number Qualifier
      • Total Actual Provider Payment Amount
      • Transaction Handling Code
    • Foreign Currency
    • Payee
      • Address
        • Address 1
        • Address 2
        • City
        • Country Code
        • Country Sub Code
        • Postal Code
        • State
      • Federal Tax Payers Identification Number
      • Name
      • National Council For Prescription Drug Programs pharmacy Number
      • NPI
      • Payee Identification
      • Remittance Delivery Method
        • email
        • FTP
        • Name
        • On Line
      • State License Number
      • Tax ID
    • Payer
      • Address
        • Address 1
        • Address 2
        • City
        • Country Code
        • Country Sub Code
        • Postal Code
        • State
      • Business Contact Information
        • [Array] Contact methods
          • Email
          • Fax
          • Phone
          • Phone Extension
        • Contact Name
      • Health Industry Number
      • Name
      • National Association Of Insurance Commissioners
      • Payer Identification Number
      • Payer Web Site Url
      • Submitter Identification Number
      • [Array] Technical Contact information
        • [Array] Contact Methods
          • Email
          • Fax
          • Phone
          • Phone Extension
          • URL
        • Contact Name
    • Payment And Remit Reassociation Details
      • Check Or EFT Trace Number
      • Originating Company Identifier
      • Originating Company Supplemental Code
      • Trace Type Code
    • Production Date
    • [Array] Provider Adjustments
      • [Array] Adjustments
        • Adjustment Reason Code
        • Adjustment Reason Code Value
        • Provider Adjustment Amount
        • Provider Adjustment Identiier
      • Fiscal Period Date
      • Provider Identifier
    • Receiver Identifier
    • Version Identification

NOTE: [Array] indicates that these fields return multiple objects within the field. You will need to use an iterator or row selection to access these fields.

Want to see an action, trigger, or connection added?

We are constantly looking to improve flows. If you have feedback on the functionality, actions, triggers, or connections. You are welcome to submit feedback to our product team here.

Updated 9 days ago

Did this page help you?