Stedi Alternatives for Medical Practices and Groups (2026)

Stedi is an API-first clearinghouse with pay-as-you-go pricing and connections to 3,500+ payers. It does not do billing work, credentialing, or payer enrollment, so teams without engineers or billers often look for something more hands-on. Its published pricing starts at $0.30 per eligibility check or claim and drops with volume.

Why teams look for Stedi alternatives

• Engineering required: Stedi is built for developers.
• No billing work: Someone still has to work every denial.
• No credentialing: Payer enrollment needs another vendor.

The best Stedi alternatives

1. TruCare: A done-for-you revenue operating system. Billers submit claims, work denials, and post payments, and TruCred handles payer enrollment. Rates start at 2.49% of collections.
2. Availity: A multi-payer portal with a free Essentials tier for providers. Best for free eligibility and authorization lookups.
3. Office Ally: A low-cost clearinghouse with free practice management software. Best for cost-conscious practices that bill themselves.
4. Waystar: Clearinghouse and payments software for in-house billing teams. Best for in-house billing teams and billing companies.
5. Candid Health: API-first billing software for digital health companies. Best for digital health teams with in-house billers.

How to choose

If you are building a product and have engineers, compare APIs on payer coverage, pricing, and support. If you are running a practice, you probably need people as much as pipes. Choose a partner that does the billing and credentialing for you.

Questions to ask every vendor

• Build or buy: Do we want to build billing workflows, or have them run for us?
• Denials: Who will work the claims that come back?
• Enrollment: Who handles credentialing and payer enrollment?

The bottom line

Stedi is strong infrastructure for builders. Practices that want results without building should pick a partner like TruCare that does the work.