Stedi operates a programmable healthcare clearinghouse designed around developer experience—APIs, async processing (Lambda, SQS, SNS), and infrastructure-as-code (CDK)—rather than legacy batch systems. The stack reveals an engineering-first org (10 engineers, 13 sales) moving from monolithic clearinghouse operations toward real-time transaction routing, with heavy investment in compliance automation, payer integrations, and reliability testing to chip away at legacy providers' market share.
Stedi is a healthcare clearinghouse—a provider that processes claims, eligibility checks, and remittance advice (ERA) between healthcare providers and payers—built as a modern SaaS API rather than a legacy batch-oriented system. The product exposes clearing functions (eligibility API, ERA ingestion, outbound routing) as programmable endpoints, targeting health systems and mid-market providers that need faster, more transparent transaction flows than incumbent clearinghouses offer. The org is actively scaling payer partnerships (100x growth target for direct integrations), building compliance automation for new product areas, and addressing operational challenges around real-time visibility and integration parallelization.
AWS (Lambda, API Gateway, SQS, SNS, DynamoDB, Aurora, CDK, Redshift, Organizations), TypeScript, Rust, React, Next.js, dbt for data pipelines, plus GitHub, HubSpot, Stripe, PagerDuty, Okta, and Vanta for ops and compliance.
Core projects include eligibility checks and ERA ingestion APIs, outbound engine scaling, data pipelines for dashboards and alerts, identity and access management, compliance automation for new product areas, and health systems integration playbooks.
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