All blogs

Supported Service Type Codes (STCs) by payer

Jan 29, 2026

Guide

To verify insurance or health benefits with an eligibility check, most payers require a Service Type Code (STC).

The STC tells the payer what kind of benefits information you want back – mental health, vision, urgent care, and so on.

But not every payer accepts every STC.

There are over 150 HIPAA-adopted STCs. Most payers support only a small subset of those codes.

How do you know which STCs a payer will accept?

For the best results, you need to test each STC with each payer. This guide gives you a head start. It includes a table of STCs supported by Stedi’s top payers based on payer documentation.

Supported STCs by payer

The table below lists supported STCs for 50 of Stedi’s top payers, sorted by eligibility volume in December 2025. Together, they represent over 65% of Stedi's eligibility check volume. The listed STCs come from payer and third-party documentation as published at the time of writing. Not all payers are included.

For definitions of each code, see the STC code list in the Stedi docs.

Important: Treat this table as a starting point, not a source of truth. Payer documentation may be wrong, incomplete, or outdated. Always validate STC support. Unsupported STCs may still return a baseline response. See How payers handle unsupported STCs.

Use one STC per request
When running eligibility checks, only include one STC per request unless you’ve confirmed the payer supports multiple STCs. For best practices, see our docs.

Payer name

Primary payer ID

Stedi Payer ID

Supported STCs

Aetna

60054

HPQRS

1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, MH, UC

UnitedHealthcare

87726

KMQTZ

1, 2, 3, 4, 5, 6, 7, 8, 12, 13, 18, 20, 23, 24, 25, 26, 27, 28, 30, 33, 35, 36, 37, 38, 39, 40, 41, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 69, 73, 76, 78, 80, 81, 82, 83, 86, 88, 90, 91, 92, 93, 96, 98, 99, A0, A3, A4, A5, A6, A7, A8, AD, AE, AF, AG, AI, AJ, AK, AL, AM, AN, AO, BG, BH, BT, BU, BW, BX, BY, BZ, DM, GF, GN, MH, PT, UC

Cigna

62308

HGJLR

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 13, 17, 18, 19, 20, 22, 23, 24, 25, 26, 27, 28, 30, 32, 33, 35, 36, 38, 39, 40, 41, 42, 45, 46, 47, 48, 50, 51, 52, 53, 54, 56, 61, 62, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 86, 89, 90, 91, 92, 96, 97, 98, 99, A0, A1, A3, A4, A5, A6, A7, A8, A9, AB, AC, AD, AE, AF, AG, AI, AJ, AK, AL, AM, AN, AO, AR, BB, BC, BD, BF, BG, BH, BI, BK, BL, BN, BQ, BR, MH, UC

Medicaid California Medi-Cal

100065

IAUKR

1, 9, 30, 33, 35, 43, 45, 47, 48, 50, 54, 61, 69, 76, 82, 83, 84, 86, 88, 89, 90, 91, 92, 96, 98, 99, A0, A1, A2, A3, A8, AI, AJ, AK, AL, MH, UC

Blue Shield of California

100935

JDGWJ

1, 2, 4, 5, 6, 7, 8, 12, 15, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 60, 61, 62, 65, 68, 69, 73, 76, 78, 80, 81, 82, 83, 84, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, BT, BU, BV, BY, BZ, CE, CF, CG, CH, CI, CJ, CK, CL, CM, CN, CO, DM, MH, PT, UC

Anthem Blue Cross Blue Shield of California

40

LAESW

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 60, 61, 62, 65, 68, 69, 73, 76, 78, 80, 81, 82, 83, 84, 86, 88, 93, 98, 99, A0, A3, AG, AI, AL, BG, BH, BT, BU, BV, BY, BZ, CE, CF, CG, CH, CI, CJ, CK, CL, CM, CN, CO, DM, MH, UC

UnitedHealthcare Dental

52133

JEQRO

1, 2, 3, 4, 5, 6, 7, 8, 12, 13, 18, 20, 23, 24, 25, 26, 27, 28, 30, 33, 35, 36, 37, 38, 39, 40, 41, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 69, 73, 76, 78, 80, 81, 82, 83, 86, 88, 90, 91, 92, 93, 96, 98, 99, A0, A3, A4, A5, A6, A7, A8, AD, AE, AF, AG, AI, AJ, AK, AL, AM, AN, AO, BG, BH, BT, BU, BW, BX, BY, BZ, DM, GF, GN, MH, PT, UC

Delta Dental California

77777

QNJCP

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Humana

61101

UYORK

1, 2, 3, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, MH, UC, 10

National Centers for Medicare & Medicaid Services

CMS

JDNSN

1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 13, 14, 15, 18, 20, 23, 24, 25, 26, 27, 28, 30, 33, 35, 36, 37, 38, 39, 40, 41, 42, 45, 47, 48, 49, 50, 51, 52, 53, 54, 62, 64, 65, 67, 68, 69, 71, 73, 76, 78, 80, 81, 82, 83, 86, 88, 93, 98, 99, A0, A3, A4, A5, A6, A7, A8, AD, AE, AF, AG, AI, AJ, AK, AL, BD, BF, BG, BH, BT, BU, BV, BZ, CO, CQ, DM, MH, RN, UC

UMR (United Medical Resources Wausau)

39026

UWTOI

1, 11, 12, 18, 23, 30, 33, 34, 35, 38, 41, 42, 48, 50, 52, 86, 88, 98, 99, A0, A4, A7, A8, AG, AL, AM, AN, AO, BB

Delta Dental - DDIC

94276

VFNLG

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Anthem Blue Cross Blue Shield of New York

803

OLQXL

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 60, 61, 62, 65, 68, 69, 73, 76, 78, 80, 81, 82, 83, 84, 86, 88, 93, 98, 99, A0, A3, AG, AI, AL, BG, BH, BT, BU, BV, BY, BZ, CE, CF, CG, CH, CI, CJ, CK, CL, CM, CN, CO, DM, MH, UC

Medicaid Texas - CHIP

10186

JAKSP

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 54, 62, 65, 68, 73, 75, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, AM, BG, BH, MH, UC

Oscar Health

OSCAR

TAZWT

1, 2, 5, 6, 11, 12, 18, 33, 42, 45, 54, 56, 62, 64, 65, 66, 69, 70, 71, 73, 75, 76, 78, 86, A9, AD, AF, AG, AR, CL, DM, E4, E10, E11, EC, ED, IC, NI, PE, PT

Indiana Medicaid

IHCP

ICMUO

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 23, 24, 25, 28, 30, 33, 34, 35, 40, 41, 42, 45, 47, 48, 50, 51, 52, 53, 56, 60, 62, 65, 68, 71, 73, 76, 78, 80, 81, 82, 86, 88, 93, 94, 98, 99, A0, A3, A6, A7, A8, AB, AD, AE, AF, AG, AI, AL, AM, AO, BG, BH, MH, UC

Delta Dental Michigan

DELTA

NEPKN

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Blue Cross Blue Shield Massachusetts

700

EWDCI

1, 2, 4, 5, 6, 7, 8, 12, 13, 17, 18, 20, 23, 24, 25, 26, 30, 33, 35, 36, 38, 39, 40, 41, 42, 45, 47, 48, 50, 51, 52, 53, 56, 61, 62, 64, 65, 66, 68, 69, 71, 72, 73, 75, 76, 78, 80, 81, 82, 83, 84, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, A9, AD, AE, AF, AG, AI, AJ, AK, AL, BA, BF, BG, BH, BT, BU, BV, BY, BZ, CE, CF, CG, CH, CI, CJ, CK, CL, CM, CN, CO, DM, MH, PT, UC

Delta Dental of Massachusetts

4614

YKHDJ

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Delta Dental Illinois

5030

LEOMO

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Meritain Health

41124

NPFPE

1, 2, 3, 4, 5, 6, 7, 8, 9, 12, 13, 18, 20, 33, 35, 40, 41, 42, 45, 47, 48, 50, 51, 52, 53, 54, 60, 62, 65, 68, 73, 76, 78, 80, 81, 82, 83, 84, 86, 88, 93, 98, 99, A0, A3, A4, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, MH, ON, UC

Delta Dental of Washington

91062

DAHVM

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Delta Dental (Maryland, Pennsylvania)

23166

WCHMT

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Delta Dental of Wisconsin

39069

ZFVJG

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Centene (Medical)

68069

IMJGY

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, A0, A3, A6, A7, AD, AE, AF, AG, AI, AL, BG, BH, MH, UC

Delta Dental of Minnesota

7000

VTXBJ

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Medicare New York Downstate

13202

FAKJR

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH

Oxford

6111

CYRGF

1, 2, 3, 4, 5, 6, 7, 8, 12, 13, 18, 20, 23, 24, 25, 26, 27, 28, 30, 33, 35, 36, 37, 38, 39, 40, 41, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 69, 73, 76, 78, 80, 81, 82, 83, 86, 88, 90, 91, 92, 93, 96, 98, 99, A0, A3, A4, A5, A6, A7, A8, AD, AE, AF, AG, AI, AJ, AK, AL, AM, AN, AO, BG, BH, BT, BU, BW, BX, BY, BZ, DM, GF, GN, MH, PT, UC

Delta Dental of New Jersey

22189

ACTZY

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Delta Dental of Virginia

CDVA1

NPCFC

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Delta Dental of Ohio

DELTO

CTETS

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Delta Dental New York

11198

NULEV

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Blue Cross Blue Shield of Tennessee

SB890

EZKYS

1, 12, 13, 18, 2, 20, 30, 33, 35, 4, 40, 42, 45, 47, 48, 49, 5, 50, 51, 52, 53, 6, 60, 61, 62, 65, 68, 69, 7, 73, 76, 78, 8, 80, 81, 82, 83, 84, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, DM, MH, UC

Medicaid Virginia

10198

QKPQU

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 91, 92, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, MH, UC

AARP UnitedHealthCare Insurance Company

36273

DXOAW

1, 2, 3, 4, 5, 6, 7, 8, 12, 13, 18, 20, 23, 24, 25, 26, 27, 28, 30, 33, 35, 36, 37, 38, 39, 40, 41, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 69, 73, 76, 78, 80, 81, 82, 83, 86, 88, 90, 91, 92, 93, 96, 98, 99, A0, A3, A4, A5, A6, A7, A8, AD, AE, AF, AG, AI, AJ, AK, AL, AM, AN, AO, BG, BH, BT, BU, BW, BX, BY, BZ, DM, GF, GN, MH, PT, UC

Delta Dental Colorado

DDPCO

CTWKL

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Regence BlueShield of Washington

932

LSJBA

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, MH, UC

Harvard Pilgrim Health Care

4271

ZKCOE

1, 2, 4, 5, 6, 7, 8, 11, 12, 13, 18, 20, 22, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 90, 91, 93, 98, 99, A0, A3, A6, A7, A8, AB, AD, AE, AF, AG, AI, AL, BH, MH, NI, UC, UT

Blue Cross Blue Shield of South Carolina

401

NYNYD

1, 2, 3, 4, 5, 6, 7, 8, 10, 11, 12, 13, 14, 16, 17, 18, 19, 20, 22, 23, 24, 25, 26, 27, 28, 30, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 57, 59, 61, 62, 64, 65, 67, 68, 69, 71, 72, 73, 74, 75, 76, 77, 78, 80, 81, 82, 83, 84, 86, 88, 93, 94, 95, 96, 97, 98, 99, A0, A1, A2, A3, A4, A5, A6, A7, A8, A9, AA, AB, AC, AD, AE, AF, AG, AH, AI, AL, AM, AN, AO, BF, BG, BH, BT, BU, BV, BY, BZ, CB, CC, CD, CE, CF, CG, CH, CI, CJ, CN, CM, CO, DM, GY, IC, MH, NI, PT, RT, UC

Medicaid New York

MCDNY

VNVDR

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH

Medicaid Ohio

MMISODJFS

SMZIL

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, MH, UC

Delta Dental of Oregon

CDOR1

VOGRS

5, 7, 23, 24, 25, 26, 27, 28, 35, 36, 38, 40, 41, EA, EB, EC, ED, EE, EF, EG, EH, EI, EJ, EK

Louisiana Blue

53120

RQBKH

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 30, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54,55, 56, 57, 58, 89, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, A0, A1, A2, A3, A4, A5, A6, A7, A8, A9, AA, AB, AC, AD, AE, AF, AG, AH, AI, AJ, AK, AL, AM, AN, AO, AQ, AR, BA, BB, BC, BD, BE, BF, BG, BH, BI, BJ, BK, BL, BM, BN, BP, BQ, BR, BS, B1, B2, B3, BT, BU, BV, BW, BX, BY, BZ, C1, CA, CC, CD, CE, CF, CG, CH, CI, CJ, CK, CL, CM, CN, CO, CP, CQ, DG, DM, DS, GF, GN, GY, IC, MH, NI, ON, PT, PU, RN, RT, TC, TN, UC

Blue Cross Blue Shield Of Alabama

00510BC

DCIYM

1, 2, 4, 5, 6, 7, 8, 9, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 57, 60, 61, 62, 65, 67, 68, 69, 73, 76, 78, 79, 80, 81, 82, 83, 84, 86, 88, 93, 98, 99, A0, A3, A4, A6, A7, A8, AD, AE, AF, AG, AI, AL, AM, BB, BF, BG, BH, BT, BU, BV, BY, BZ, CC, CD, CE, CF, CG, CH, CI, CJ, CK, CL, CM, CN, CO, DM, GY, MH, PT, RT, UC

Highmark of Pennsylvania

54771

GUFCO

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 23, 24, 25, 26, 27, 28, 30, 32, 33, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 86, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, A0, A1, A2, A3, A4, A6, A7, A8, AD, AE, AF, AG, AH, AI, AJ, AK, AL, AN, AQ, AR, BB, BC, BD, BF, BG, BH, BI, BR, BS, BT, BU, BV, BY, BZ, CA, CB, CC, CD, CE, CF, CG, CH, CI, CJ, CK, CM, CN, CO, CP, CQ, DM, GY, IC, MH, NI, PT, UC

Arizona Blue (Blue Cross Blue Shield Arizona)

53589

CAXSY

1, 2, 4, 5, 6, 7, 8, 9, 10, 12, 13, 15, 16, 18, 20, 21, 22, 23, 24, 25, 26, 27, 28, 30, 32, 33, 35, 36, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 50, 51, 52, 53, 54, 55, 59, 60, 61, 62, 63, 64, 65, 67, 68, 69, 70, 71, 72, 73, 74, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 93, 94, 95, 96, 97, 98, 99, A0, A1, A2, A3, A4, A5, A6, A7, A8, A9, AA, AB, AC, AD, AE, AF, AG, AH, AI, AL, AM, AQ, AR, BA, BB, BC, BD, BE, BF, BG, BH, BI, BJ, BK, BL, BM, BN, BP, BQ, BS, BT, BU, BV, BY, BZ, B1, CA, CB, CC, CD, CE, CF, CG, CH, CI, CJ, CK, CL, CM, CN, CO, CP, CQ, C1, DG, DM, DS, GY, IC, MH, NI, ON, PT, PU, RN, RT, TC, TN, UC

Medicaid Missouri

100211

IDQXI

4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 62, 65, 68, 78, 80, 81, 82, 86, 93, 98, 99, A0, A3, AD, AE, AF, AG, BG, BH

Medicaid Washington

AIDWA

KCLFN

1, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 33, 35, 40, 42, 45, 47, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 86, 88, 93, 98, 99, A0, A3, A6, A7, A8, AD, AE, AF, AG, AI, AL, BG, BH, MH, UC

United Concordia Fee-for-Service

CX007

KUIPS

30, 35, 23, 24, 25, 26, 27, 28, 38, 39, 40

Medicaid Illinois

IL621

PACIU

1, 33, 35, 47, 86, 88, 98, AL, MH, UC, 2, 4, 5, 6, 7, 8, 12, 13, 18, 20, 30, 40, 42, 45, 48, 50, 51, 52, 53, 62, 65, 68, 73, 76, 78, 80, 81, 82, 83, 99, AO, A3, A6, A7, A8, AD, AE, AF, AG, AI, BG, BH, 25, 91, 92

How payers handle unsupported STCs

When you send STC 30 (Health Benefit Plan Coverage) in an eligibility request, and the patient is covered, many medical payers return a baseline response for a standard, HIPAA-mandated set of STCs.

If you send an unsupported STC to a payer in an eligibility request, the payer may return:

  • A response with a benefits information code of V (Cannot Process) or no benefits information

  • A baseline response.

  • A AAA error, such as 42 (Unable to Respond at Current Time)

  • A rejection of the request using a 999 Implementation Acknowledgement, indicating the request was invalid for processing

Behavior varies by payer. Just because you receive a successful response from a payer doesn’t mean the payer supports the STC. The payer may return a baseline response with benefits information unrelated to the STC you requested.

Process eligibility checks with Stedi

Stedi lets you run HIPAA-compliant real-time and batch eligibility checks using our JSON API endpoints. We also support X12, SOAP, and – for batch checks – CSV.

If you’re new to Stedi, you can try out eligibility checks on our Basic plan for free. You get 100 free checks each month along with access to mock requests and responses.

Signup takes less than two minutes. No credit card is needed.

Share

Twitter
LinkedIn

Previous

Spotlight: Joel Fenelon @ Pangaea Healthcare

Get started with Stedi

Get started with Stedi

Automate healthcare transactions with developer-friendly APIs that support thousands of payers. Contact us to learn more and speak to the team.

Book a demo

Get updates on what’s new at Stedi

Get updates on what’s new at Stedi

Get updates on what’s new at Stedi

(332) 378-5040

228 Park Ave S
Ste 58460
New York, NY 10003

Product

Pricing

Eligibility checks

Claims

Payers

Transaction enrollment

EDI Platform

Switch to Stedi

Developers

Dev docs

API reference

Changelog

Status

Resources

Payer Network

Platform Partners

Provider docs

HIPAA guides

EDI reference

EDI inspector

EDI network

EDI platform docs

Company

Blog

Podcast

Careers

Customers

Trust Center

Contact

Get updates on what’s new at Stedi

Backed by

Stedi and the S design mark are registered trademarks of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Service Terms

Privacy Notice

(332) 378-5040

228 Park Ave S
Ste 58460
New York, NY 10003

Product

Pricing

Eligibility checks

Claims

Payers

Transaction enrollment

EDI Platform

Switch

Developers

Dev docs

API reference

Changelog

Status

Resources

Payer Network

Platform Partners

Provider docs

HIPAA guides

EDI reference

EDI inspector

EDI network

EDI platform docs

Company

Blog

Podcast

Careers

Customers

Trust Center

Contact

Get updates on what’s new at Stedi

Backed by

Stedi and the S design mark are registered trademarks of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Service Terms

Privacy Notice

(332) 378-5040

228 Park Ave S
Ste 58460
New York, NY 10003

Product

Pricing

Eligibility checks

Claims

Payers

Transaction enrollment

EDI Platform

Switch to Stedi

Developers

Dev docs

API reference

Changelog

Status

Resources

Payer Network

Platform Partners

Provider docs

HIPAA guides

EDI reference

EDI inspector

EDI network

EDI platform docs

Company

Blog

Podcast

Careers

Customers

Trust Center

Contact

Get updates on what’s new at Stedi

Backed by

Stedi and the S design mark are registered trademarks of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Service Terms

Privacy Notice