EDI X12 837I Institutional Claim Parser & Free Validator
Automated institutional claim parser for hospital inpatient and outpatient EDI 837I files with UB-04 revenue code mapping. This specification documents the exact field layout, checksum rules, and validation behavior so your integration matches ANSI ASC X12 Standards (005010) without reading the source standard.
⚡ Live EDI X12 837I Institutional Claim Parser & Free Validator Interactive Workbench
Test real-time validation and schema parsing for EDI X12 837I Institutional Claim Parser & Free Validator directly in your browser. Runs in sub-5ms with zero setup.
{
"status": "Click RUN VALIDATION to execute on the Cloudflare edge..."
}
Quick Summary: Automated institutional claim parser for hospital inpatient and outpatient EDI 837I files with UB-04 revenue code mapping. Validates strictly against ANSI ASC X12 Standards (005010) with sub-5ms in-memory response times.
Specification & Structural Breakdown
Technical Summary: Validates strictly against ANSI ASC X12 Standards (005010). Payloads are parsed in memory and return clean, typed JSON in milliseconds with zero data logged.
The ANSI X12 837I transaction set is utilized by hospitals, skilled nursing facilities, inpatient hospices, and institutional providers to bill health plans.
Captures SV2 institutional service lines containing 4-digit UB-04 Revenue Codes, HCPCS rates, unit measures, and total revenue charges.
Extracts DRG (Diagnosis Related Group) classification codes, admission date/hour, discharge status codes (DTP/CL1), and principal/secondary surgical procedure codes.
| Segment | Description | Key Elements Extracted | Usage |
|---|---|---|---|
| CL1 | Claim Codes | CL101 (Admission Type), CL102 (Admission Source), CL103 (Discharge Status) | Institutional mandatory |
| DTP | Date or Time Period | DTP01 (435=Admission, 096=Discharge), DTP03 (Date Timestamp) | Length of stay tracking |
| SV2 | Institutional Service Line | SV201 (Revenue Code: 0250), SV202 (HC:CPT), SV203 (Charge) | Hospital charge breakdown |
| HI | Institutional Diagnosis & DRG | HI01-1 (DR: DRG Code), HI02-1 (BJ: Principal ICD-10-PCS Procedure) | Inpatient reimbursement |
Parsed JSON Response Model
The edge microservice transforms input payloads into strongly-typed hierarchical JSON envelopes with sub-5ms latency:
{
"transactionSet": "837I",
"facility": {
"name": "METROPOLITAN HOSPITAL",
"npi": "1447283940"
},
"claim": {
"accountNumber": "HOSP-2026-99",
"admissionDate": "20260815",
"dischargeDate": "20260818",
"admissionType": "1",
"dischargeStatus": "01",
"revenueLines": [
{
"revenueCode": "0250",
"procedureCode": "99223",
"chargeAmount": 3200,
"units": 3
}
]
}
}
Sample file
Copy or download this validated ANSI X12 5010 sample. It is parsed by the production engine in the test suite, so it works as a fixture as-is.
ISA*00* *00* *ZZ*SUBMITTER1 *ZZ*RECEIVER01 *260830*1200*^*00501*000000001*0*P*:~GS*HC*SENDER*RECEIVER*20260830*1200*1*X*005010X223A2~ST*837*0001*005010X223A2~BHT*0019*00*CLAIM002*20260830*1200*CH~NM1*41*2*GENERAL HOSPITAL*****46*1234567890~NM1*40*2*RECEIVER*****46*9876543210~HL*1**20*1~NM1*85*2*GENERAL HOSPITAL*****XX*1234567893~HL*2*1*22*0~NM1*IL*1*DOE*JOHN****MI*W123456780~CLM*CLM002*5000.00***11:A1:1*Y*A*Y*Y~HI*ABK:J18~LX*1~SV1*HC:99223*5000.00*UN*1***1~SE*13*0001~GE*1*1~IEA*1*000000001~
Copy-Paste Integration Code (6 Languages)
Integrate EDI X12 837I Institutional Claim Parser & Free Validator directly into your production application with native, zero-dependency code snippets in cURL, Node.js, Python, Go, C#, and a ready-to-paste Claude prompt. Get a free API key → (no credit card required):
curl --request POST \
--url "https://api.stanzaapi.com/x12-parser/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://api.stanzaapi.com/x12-parser/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://api.stanzaapi.com/x12-parser/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://api.stanzaapi.com/x12-parser/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))
}using System;
using System.Net.Http;
using System.Text;
using System.Threading.Tasks;
class Program
{
static async Task Main()
{
using var client = new HttpClient();
client.DefaultRequestHeaders.Add("x-api-key", Environment.GetEnvironmentVariable("API_KEY") ?? "YOUR_API_KEY");
var json = @"{""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~""}";
var payload = new StringContent(json, Encoding.UTF8, "application/json");
var response = await client.PostAsync("https://api.stanzaapi.com/x12-parser/api/v1/x12/parse", payload);
var content = await response.Content.ReadAsStringAsync();
Console.WriteLine(content);
}
}Integrate the StanzaAPI x12-parser micro-API.
Endpoint: POST https://api.stanzaapi.com/x12-parser/api/v1/x12/parse
Auth header: x-api-key: YOUR_API_KEY
Content-Type: application/json
Request body:
{
"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~"
}
Rules:
- Send the request with a 2-second timeout.
- Parse the standard envelope { success, data, meta: { latency_ms, version } }.
- On failure, read { success: false, error, code } and branch on the code.
- Do not retry 4xx responses; surface the error code to the caller.
- Treat invalid-but-well-formed payloads as HTTP 200 with data.valid === false.Frequently Asked Questions & Technical Notes
Yes, both inpatient (UB-04 11X/12X) and outpatient (UB-04 13X/85X) billing structures are fully supported.
Yes, 3-digit and 4-digit revenue codes (e.g. 0250 Pharmacy, 0450 Emergency Room) are extracted into clean string attributes.
Related Healthcare EDI ANSI X12 Parser API Formats
Explore sibling specifications and standards in the same developer cluster:
EDI 835 Remittance Advice (ERA) Parser, Viewer & Format Guide
High-speed ANSI 835 ERA parser extracting payer payments, deductible/coinsurance CAS adjustments, CARC/RARC codes, and PLB provider adjustments in sub-3ms.
View Format →EDI X12 837P Professional Health Care Claim Parser & Validator
Instant sub-5ms parsing of ANSI X12 837P (5010X222A1) professional medical claims into structured JSON with full Hierarchical Loop (HL) resolution.
View Format →EDI X12 270 Eligibility Inquiry Parser & Validator
Parse inbound real-time and batch HIPAA 270 eligibility check requests into structured JSON payloads in under 3ms.
View Format →EDI 835 Electronic Remittance Advice (ERA) to CSV/Excel Converter
Convert cryptic ANSI X12 835 Electronic Remittance Advice (ERA) files into flat tabular CSV and Excel-ready formats for accounting, reconciliation, and revenue cycle reporting.
View Format →EDI X12 271 Eligibility & Benefit Response Parser
Extract copays, remaining deductibles, out-of-pocket maximums, and in-network coverage terms from 271 EDI response streams.
View Format →Free Online ANSI X12 EDI to JSON Converter & Inspector
Instant, zero-install ANSI X12 EDI to JSON converter running on Cloudflare Workers edge isolates. Converts 837P, 837I, 835, 270/271, 834, and B2B transactions into clean typed JSON in sub-5ms.
View Format →EDI X12 834 Benefit Enrollment and Maintenance Parser
Process employer benefit enrollments, terminations, and demographic modifications with high-speed 834 EDI to JSON parsing.
View Format →CARC 109 Denial Code (Claim Not Covered by Payer / Sent to Wrong Contractor) | ANSI 835 EDI Spec
Comprehensive healthcare EDI technical reference and denial resolution guide for Claim Adjustment Reason Code 109 (Claim Not Covered by Payer / Sent to Wrong Contractor) under ANSI ASC X12 835 005010X221A1.
View Format →Complementary Enterprise APIs
Seamlessly orchestrate data pipelines across adjacent financial, regulatory, and supply-chain protocols:
FDA DSCSA Drug Serialization →
Verify pharmaceutical 2D DataMatrix barcodes, NDC verification, and EPCIS compliance.
FDA AccessGUDID & IMDRF UDI Decoder →
Decode medical device identifiers (DI + PI) conforming to 21 CFR 801.20 and EU MDR.
ISO 20022 Financial Messaging →
Transform enterprise remittance workflows between X12 835 ERA and ISO 20022 camt.053.