EDI X12 270 Health Care Eligibility & Benefit Inquiry Parser
Parse inbound real-time and batch HIPAA 270 eligibility check requests into structured JSON payloads in under 3ms.
Quick Technical Summary: Parse inbound real-time and batch HIPAA 270 eligibility check requests into structured JSON payloads in under 3ms. Implementation conforms to ANSI ASC X12 Standards (005010).
Specification & Structural Breakdown
The ANSI X12 270 transaction is used by healthcare providers, EHRs, and practice management tools to query payer databases for patient insurance active status and benefit coverage.
Traverses Loop 2100A (Information Source), Loop 2100B (Information Receiver / Provider), Loop 2100C (Subscriber), and Loop 2110C (Eligibility Request).
Extracts EQ segments containing Service Type Codes (e.g. 30 = Health Benefit Plan Coverage, 1 = Medical Care, 33 = Chiropractic, 88 = Pharmacy).
| Segment | Description | Key Elements Extracted | Usage |
|---|---|---|---|
| NM1 | Information Source / Receiver / Subscriber | NM101 (PR=Payer, 1P=Provider, IL=Insured), NM109 (Member ID) | Party routing |
| DMG | Demographic Information | DMG02 (DOB: YYYYMMDD), DMG03 (Gender: M/F) | Patient verification |
| DTP | Date of Service | DTP01 (291=Plan, 472=Service), DTP03 (Date) | Coverage active check |
| EQ | Eligibility or Benefit Inquiry | EQ01 (Service Type Code: 30, 1, 88, AL) | Requested benefit categories |
Test EDI X12 270 Health Care Eligibility & Benefit Inquiry Parser Live
Paste raw inputs up to 32KB and inspect deterministic parsed JSON in real-time across 330+ Cloudflare edge locations. Pure compute, zero cold-starts.
Parsed JSON Response Model
The edge microservice transforms input payloads into strongly-typed hierarchical JSON with zero cold starts:
{
"transactionSet": "270",
"payer": {
"id": "PAYER99",
"name": "AETNA HEALTH"
},
"provider": {
"npi": "1882993049",
"name": "CITY HEALTH CLINIC"
},
"subscriber": {
"memberId": "AET9823412",
"firstName": "ROBERT",
"lastName": "DAVIS",
"dateOfBirth": "19840312"
},
"serviceTypeCodes": [
"30",
"1"
]
}Copy-Paste Integration Code
Integrate this validator directly into your application using your production API key:
curl --request POST \
--url "https://healthcare-edi-ansi-x12-parser-837p-835-271.stanzaapi.com/api/v1/x12/parse" \
--header "Content-Type: application/json" \
--header "x-api-key: YOUR_API_KEY" \
--data '{
"raw": "ISA*00* *00* *ZZ*SUBMITTER1 *ZZ*RECEIVER01 *260830*1200*^*00501*000000001*0*P*:~GS*HC*SENDER*RECEIVER*20260830*1200*1*X*005010X222A1~ST*837*0001*005010X222A1~BHT*0019*00*CLAIM001*20260830*1200*CH~NM1*41*2*DR DOE CLINIC*****46*1234567890~PER*IC*SUPPORT*TE*8005551212~HL*1**20*1~NM1*85*2*DR DOE CLINIC*****XX*1992837465~HL*2*1*22*0~NM1*IL*1*SMITH*JANE****MI*W123456780~CLM*CLM001*150.00***11::1*Y*A*Y*Y~LX*1~SV1*HC:99213*150.00*UN*1***1~SE*11*0001~GE*1*1~IEA*1*000000001~"
}'const response = await fetch("https://healthcare-edi-ansi-x12-parser-837p-835-271.stanzaapi.com/api/v1/x12/parse", {
method: "POST",
headers: {
"Content-Type": "application/json",
"x-api-key": process.env.API_KEY || "YOUR_API_KEY"
},
body: JSON.stringify({
"raw": "ISA*00* *00* *ZZ*SUBMITTER1 *ZZ*RECEIVER01 *260830*1200*^*00501*000000001*0*P*:~GS*HC*SENDER*RECEIVER*20260830*1200*1*X*005010X222A1~ST*837*0001*005010X222A1~BHT*0019*00*CLAIM001*20260830*1200*CH~NM1*41*2*DR DOE CLINIC*****46*1234567890~PER*IC*SUPPORT*TE*8005551212~HL*1**20*1~NM1*85*2*DR DOE CLINIC*****XX*1992837465~HL*2*1*22*0~NM1*IL*1*SMITH*JANE****MI*W123456780~CLM*CLM001*150.00***11::1*Y*A*Y*Y~LX*1~SV1*HC:99213*150.00*UN*1***1~SE*11*0001~GE*1*1~IEA*1*000000001~"
})
});
const data = await response.json();
console.log(data);import requests
import json
url = "https://healthcare-edi-ansi-x12-parser-837p-835-271.stanzaapi.com/api/v1/x12/parse"
headers = {
"Content-Type": "application/json",
"x-api-key": "YOUR_API_KEY"
}
payload = {
"raw": "ISA*00* *00* *ZZ*SUBMITTER1 *ZZ*RECEIVER01 *260830*1200*^*00501*000000001*0*P*:~GS*HC*SENDER*RECEIVER*20260830*1200*1*X*005010X222A1~ST*837*0001*005010X222A1~BHT*0019*00*CLAIM001*20260830*1200*CH~NM1*41*2*DR DOE CLINIC*****46*1234567890~PER*IC*SUPPORT*TE*8005551212~HL*1**20*1~NM1*85*2*DR DOE CLINIC*****XX*1992837465~HL*2*1*22*0~NM1*IL*1*SMITH*JANE****MI*W123456780~CLM*CLM001*150.00***11::1*Y*A*Y*Y~LX*1~SV1*HC:99213*150.00*UN*1***1~SE*11*0001~GE*1*1~IEA*1*000000001~"
}
response = requests.post(url, json=payload, headers=headers)
print(response.json())package main
import (
"bytes"
"fmt"
"io"
"net/http"
"os"
)
func main() {
url := "https://healthcare-edi-ansi-x12-parser-837p-835-271.stanzaapi.com/api/v1/x12/parse"
payload := []byte(`{"raw":"ISA*00* *00* *ZZ*SUBMITTER1 *ZZ*RECEIVER01 *260830*1200*^*00501*000000001*0*P*:~GS*HC*SENDER*RECEIVER*20260830*1200*1*X*005010X222A1~ST*837*0001*005010X222A1~BHT*0019*00*CLAIM001*20260830*1200*CH~NM1*41*2*DR DOE CLINIC*****46*1234567890~PER*IC*SUPPORT*TE*8005551212~HL*1**20*1~NM1*85*2*DR DOE CLINIC*****XX*1992837465~HL*2*1*22*0~NM1*IL*1*SMITH*JANE****MI*W123456780~CLM*CLM001*150.00***11::1*Y*A*Y*Y~LX*1~SV1*HC:99213*150.00*UN*1***1~SE*11*0001~GE*1*1~IEA*1*000000001~"}`)
req, _ := http.NewRequest("POST", url, bytes.NewBuffer(payload))
req.Header.Add("Content-Type", "application/json")
req.Header.Add("x-api-key", os.Getenv("API_KEY"))
res, err := http.DefaultClient.Do(req)
if err != nil {
panic(err)
}
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}Frequently Asked Questions & Technical Notes
Yes. The parser supports both single-encounter real-time 270 transactions and multi-patient batch inquiry files.
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