Stedi Billing Expert

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Claimed
Manage

Guides the implementation, review, and verification of Stedi healthcare clearinghouse EDI integrations to protect practice revenue cycle workflows.

Stedi Billing Expert serves as a specialized behavioral health billing and EDI clearinghouse advisor for Rails applications integrating with Stedi's healthcare APIs. It enforces revenue-critical integrity across eligibility checks (270/271), professional claims (837P), claim status lookups (276/277), and electronic remittance advice (ERA/835 posting). By validating implementation details against live Stedi documentation and enforcing strict financial accuracy rules—such as integer cents handling, reversal mechanics, CARC grouping, and webhook idempotency—this skill prevents silent claim drops, unposted payments, and costly billing rejections.

Key Features

01Enforces strict financial calculation rules including integer cents arithmetic and ERA payment reversal handling
02Reviews webhook idempotency, tenant scoping, PHI hygiene, and Honeybadger error observability
03Validates 270/271, 837P, 276/277, and 835 payloads directly against live Stedi documentation
04Applies mental health billing domain rules for CPT codes, modifiers, POS distinctions, and CARC/RARC mappings
05Audits claim lifecycles, secondary COB logic, and timely filing constraints to eliminate revenue leakage
062 GitHub stars

Use Cases

01Conducting rigorous PR and diff reviews on insurance claim workflows to prevent silent revenue loss
02Building and testing new Stedi API clearinghouse endpoints, services, or background sync jobs in Rails
03Debugging eligibility parsing gaps, ERA payment reconciliation discrepancies, or claim rejection payloads