Internal tool

Real-Time Eligibility Check

Enter a patient and payer, get live coverage status and benefits back through Stedi (270/271). Use this to test the eligibility pipeline before it ships as a public tool.

Key stays server-side
270/271 via Stedi
Active coverage + benefits

Patient & payer

Do not enter real patient data while connected to a test key. Test mode returns sandbox responses only.

Run a check to see coverage status and benefits here.

Notes for the team

  • Test mode vs production.Connected to a Stedi test key, this returns sandbox responses only, and only for Stedi's approved test patients (found in the Stedi dashboard under Sandbox test data). To check real patients, swap in a production key, which is a single server-side change.
  • Finding a payer ID.The Payer ID field is Stedi's tradingPartnerServiceId. Aetna is 60054. Look others up in the Stedi payer directory.
  • Reading the result. Green means active coverage with benefits (co-pay, deductible, out of pocket, coinsurance). Amber means the payer rejected the lookup, with the AAA reason code shown. Open the raw response to see the full 271.
  • PHI. Do not enter real patient data while on the test key. Once we move to production, the connection to Stedi runs under a signed BAA.