Stedi is now CAQH CORE certified for claims, claim status checks, and ERAs
Claims
CAQH CORE has officially certified Stedi for claims, real-time claim status checks, and payment and remittance (ERAs).
Stedi was already CORE certified for eligibility checks. With this certification, we’re now CORE certified for all major HIPAA transaction types.
What is CAQH CORE?
The Council for Affordable Quality Healthcare (CAQH) is a non-profit backed by major health insurers and provider groups. The U.S. Department of Health and Human Services (HHS) designated CAQH as the official authoring entity for the operating rules that govern HIPAA administrative transactions.
HIPAA requires payers, providers, and clearinghouses to exchange transactions using the X12 EDI format. X12 defines the structure of each transaction, but leaves room for interpretation on response content, error handling, connectivity, and system availability. That gap creates inconsistencies that make systems harder to integrate.
CAQH created the Committee on Operating Rules for Information Exchange (CORE) to close that gap. The CORE Operating Rules build on X12 with stricter requirements for data content, standardized error messages, connectivity, and uptime and performance benchmarks. Certification confirms, through independent testing, that a system meets those rules.
What Stedi’s certification covers
Stedi is now CORE certified for:
Claim submission – 837P professional, 837D dental, and 837I institutional claims
Claim status – 276/277 real-time claim status checks
ERAs – 835 Electronic Remittance Advice (ERAs)
Eligibility checks – 270/271 eligibility and benefits (previously certified)
Why CORE certification matters
CORE certification is one of the few public signals that a clearinghouse's systems behave as expected. It confirms, through independent testing, that we meet defined benchmarks for each transaction type: standardized error codes, connectivity requirements, and uptime and response-time floors. Some payers also require CORE certification before opening a direct EDI connection.
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