EDI X12 837I Institutional Health Care Claim Parser & Validator
Automated institutional claim parser for hospital inpatient and outpatient EDI 837I files with UB-04 revenue code mapping.
Quick Technical Summary: Automated institutional claim parser for hospital inpatient and outpatient EDI 837I files with UB-04 revenue code mapping. Implementation conforms to ANSI ASC X12 Standards (005010).
Specification & Structural Breakdown
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 |
Test EDI X12 837I Institutional Health Care Claim Parser & Validator 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": "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
}
]
}
}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, 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.
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