SimplePractice is a practice management and EHR platform for independent mental and behavioral health practices. More than 250,000 providers use it. In 2025, it supported 63 million insurance appointments.
Independent behavioral health practices choose SimplePractice because it makes insurance and billing as easy as possible.
Before working with Stedi, two things got in the way.
The first was claim rejections. Before a payer processes a claim, it runs the claim through a list of validation checks called edits. If the claim fails an edit, the payer rejects it. Some edits are the same across payers, but many are specific to a single payer.
To help providers catch errors sooner, healthcare clearinghouses write their own edits that copy the payer's. The edits from SimplePractice's previous clearinghouse didn't catch enough. So SimplePractice wrote its own. Payer quirks turned into custom logic it had to maintain.
The second was ERA transaction enrollment – the series of steps a provider has to complete to receive electronic remittances (ERAs) at their clearinghouse. Every payer requires a transaction enrollment for ERAs, and every payer handles it differently.
"ERA transaction enrollment forms were one of the biggest pain points for our customers," says Shehzad Moiz, VP of Product at SimplePractice. "The provider would get a PDF, then they'd have to print it out, fill it out in blue ink, and mail it in. That's where they stopped. We automated what we could, but that was never going to scale one payer at a time."
To address both of these issues, SimplePractice moved claims and ERA enrollments to Stedi.
Stedi's edits now catch payer-specific errors in real time, so SimplePractice doesn't write its own. 75% of its ERA enrollments complete without the provider touching them.
Production traffic started within a month of signing up. Shehzad credits Stedi's real-time support for the pace.
"The quality of support Stedi has given us has been phenomenal," says Shehzad. "Engineers are always skeptics, and given the hardships endured through a prior clearinghouse migration, there was a lot of scar tissue. Our experience with Stedi has healed that."
Full case study linked below.