Payerlane
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Healthcare Payer Automation

Every payer transaction,
real X12, one workflow.

Payerlane turns a clean JSON form into a payer-aware 270, 837, or 276 — Stedi's clearinghouse translates it to real X12 5010 and puts it on the wire, and the response comes back parsed, SNIP-checked, and auditable. Eligibility, claims, remittance, and enrollment behind one sidebar, one login, one org.

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UnitedHealthcareCigna · Medicare3,600+ morePayerlaneX12 · SNIP · auditJSONHooks
🧾Real X12 5010 via Stedi🧭Payer-aware payload builder✅SNIP compliance engine🔁Webhooks + audit trail🏢Multi-tenant isolation🌐3,600+ payer network
11
Transaction modules, one login
3,600+
Payers in the network
Types 1–7
SNIP checks per transaction
1
JSON payload — real X12 out
How it works

From a form to real X12 — automatically

No portal logins, no hand-built EDI. Step through what happens behind one submission:

Step 1 · Connect
Pick a payer from the network

Search the payer directory, see exactly which transactions this payer supports and whether enrollment is required — before you run a single check.

Payer→JSON in→Stedi / X12→Response + SNIP
Every module, already built

Click a module, see what it actually returns

These are real screens from the app, driven by real data captured against Stedi's live sandbox during testing — not stock photography.

app.payerlane.com/eligibility
Result
Active CoveragePPO
Subscriber
Jane Doe
Payer
UnitedHealthcare
Plan
PPO — Employer Group
Plan dates
2026-01-01 – 2026-12-31
Deductible$660.00 remaining of $1000.00
Out of pocket max$2450.00 remaining of $3000.00
Co-insurance: 20%
Co-pay (office visit): $25
When a payer has no API

X12 first. Browser automation when there's no API to call.

Not every payer portal supports standard EDI transactions. For those, Payerlane logs into the portal itself — the same way a person would — captures the report, and hands it back the same way as every other module.

  • Real X12 through Stedi is the primary path — used everywhere a payer supports standard EDI transactions
  • For the portals that don't, the same platform drives a supervised browser session to log in and pull the report
  • Same organization, same login, same audit trail either way — it's one more module, not a second product
Automation

The fallback path — reachable from the app nav, not a separate site or login.

Built for integration

JSON in, real X12 out

Every module is a REST endpoint under one API surface. Payerlane builds the payer-aware payload, Stedi translates and transmits real X12, and you get the structured result plus the raw EDI back — every time.

  • Payer-aware by default — claim filing code, enrollment warnings, and SNIP rules all follow the payer you picked
  • Real X12 in the response, not a placeholder — see exactly what Stedi's network transmitted
  • One JWT, every module — eligibility, claims, remittance, enrollment, all under /api/v1
  • SNIP compliance checked on demand, Types 1–7, against the same rules Stedi's own edits library documents
# Real-time 270 eligibility inquiry
curl -X POST https://app.payerlane.com/api/v1/eligibility \
  -H "Authorization: Bearer eyJhbGciOi…" \
  -d '{ "payer_id": "36273", "subscriber": { "first_name": "Jane", "last_name": "Doe", "date_of_birth": "1980-05-15" } }'
# → 201 Created — Payerlane's JSON, plus Stedi's real 271 X12 verbatim
{
  "status": "active",
  "raw_response": {
    "benefitsInformation": [{ "code": "C", "name": "Deductible", "benefitAmountRemaining": "660.00" }],
    "x12": "ISA*00*…GS*HB*…ST*271*0001~EB*1**30~SE*6*0001~GE*1*1~IEA*1*…"
  }
}
Architecture

One hub between your software and every payer

Your systems talk to a stable API. Payerlane and Stedi handle the clearinghouse plumbing.

Your softwareEHR · PM · billingPayerlanepayer-aware JSON · SNIPaudit trail · multi-tenantStediclearinghouse · X12 5010translation & transmissionCommercial payersMedicare / MedicaidEvery other payer in networkJSONX12
Security & control

Built for multi-tenant, from day one

Every organization that signs up gets a fully isolated slice of Payerlane — its own users, its own payer connections, its own transaction history. Nothing is shared across tenants except the platform-wide payer directory.

  • Every record scoped to your organization, enforced at the data layer — not just the UI
  • Role-based access: Owner, Admin, Operator, Billing, and Read-only, mapped to what each person can actually trigger
  • A full audit trail of every check, submission, and settings change — who, what, and when
  • Sandbox and production are separate, explicit states — never a per-request flag that can be fat-fingered
Tenant isolation
Role-based access
Full audit trail
Sandbox / production split

The platform plumbing every module shares

Not separate tools — one organization, one payer directory, one audit trail.

Webhooks & events

An idempotent event log for every clearinghouse callback — ready to fan out to the module it belongs to.

Core EDI, not just healthcare

The same trading-partner model extends to purchase orders, ASNs, and invoices — one place for every X12 set.

SNIP compliance engine

Types 1–7 checks, payer-aware — the same category of validation Stedi's own edits library documents.

Stop juggling portals. Start in one sidebar.

Create your organization and run your first real transaction in the next five minutes.

Get started free