Office Ally vs Stedi
Two Claims & Clearinghouses vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Office Ally | Stedi | |
|---|---|---|
| Pricing model | Per-transaction / per-chart · Low per-claim fees; software modules cheap monthly | Per-transaction / per-chart · Published pay-as-you-go rates, volume tiers, no minimum |
| Speed to go live | Self-serve signup; payer enrollments take weeks | Self-serve signup, your developers integrate the API |
| Automation model | Data / network utility · Transaction network plus practice software | Data / network utility · API-first clearinghouse |
| Built for | Small practices, Mid-size groups, Billing companies, Payers | Billing companies, Enterprise systems, Payers |
| Security posture | HITRUST, HIPAA | SOC 2 Type II, HIPAA |
| Company maturity | 26 yrs (est. 2000) | 9 yrs (est. 2017) |
| Financial backing | Private equity-owned (Francisco Partners, New Mountain Capital) | $142M · Series C |
| Named customers | None public | 5 named |
| Published results | No public numbers | Specific numbers public |
| Documented integrations | 5 listed | 4 listed |
| Third-party validation | None found | None found |
Bottom line
- Pick Office Ally if you want the cheapest credible all-payer clearinghouse and basic practice software, and can live without enterprise polish.
- Pick Stedi if you have engineers and want a modern clearinghouse API with transparent per-transaction pricing you can start testing today.
Office Ally
Low-cost all-payer clearinghouse with practice software attached
- Founded
- 2000
- HQ
- Vancouver, WA
- Stage
- Private equity-owned (Francisco Partners, New Mountain Capital)
- Raised
- n/a
What it does
- All-payer claims clearinghouse, 4,000+ payer connections
- Real-time eligibility and claim status checks
- Practice Mate practice management
- EHR 24/7 cloud EHR
- Patient Ally portal and intake
- Claims scrubbing and denial follow-up tools
Where it's strong
- One of the lowest-cost clearinghouse options, with self-serve signup and no big contract.
- Huge network scale: roughly 80,000 organizations and over a billion transactions a year.
- Bundled PM and EHR let tiny practices run everything in one place.
What buyers should weigh
- The interface and workflows feel dated next to newer clearinghouse and RCM platforms.
- Support and reporting are thinner than enterprise vendors like Waystar or Availity.
- Pricing has shifted under PE ownership; once-free claim submission now carries fees for many payers.
Integrations
Stedi
API-first clearinghouse for developers
- Founded
- 2017
- HQ
- New York, NY
- Stage
- Series C
- Raised
- $142M
What it does
- Real-time eligibility checks via JSON API (270/271)
- Insurance discovery when patient coverage is unknown
- Claim submission and claim status via API (837/276)
- Electronic remittance advice (ERA) retrieval
- Payer transaction enrollments managed programmatically
- Batch eligibility checks at high volume
Where it's strong
- Everything is accessible via API with public docs and transparent self-serve onboarding, which legacy clearinghouses like Availity and Optum do not offer.
- Support is unusually fast for the category, with a median ticket response under seven minutes across 1,500+ shared support channels.
- Well capitalized ($142M raised, backed by Stripe and Addition) with rapid traction: paying customers up 6x and billed transactions up 7x year over year into 2026.
What buyers should weigh
- It is clearinghouse rails, not a billing service; you need engineers to build eligibility and claims workflows on top of it.
- Its direct payer network is younger than Availity's or Optum's, so some connections still route through intermediary partners.
- The company only pivoted from general-purpose EDI to healthcare around 2023, so its healthcare-specific track record is short.
Named customers
Pair Team · Tennr · Candid Health · Nirvana · Berry Street
Integrations
Compare against the rest of Claims & Clearinghouses
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