Payer groups let you apply service rule configurations to multiple payers at once, or set payer-specific rates and behaviors. Create a payer group per payer when you need different fee schedules or billing rules to apply to each one.

If you have a Medicaid-as-secondary arrangement where Medicaid needs to be billed first for specific service codes, enable the "Secondary payer as primary" toggle on the relevant service rule or override.

Before submitting claims electronically to a payer, confirm that the payer is available in Stedi's payer network. You can check the Stedi payer network directory for enrollment requirements. If a payer is not yet connected, you can request the connection through your Stedi account.

The claim filing code is set in the Payer Group configuration and is required on every claim. It identifies the type of insurance and is part of the EDI submission.