Download OpenAPI specification:
EDI Converter API for converting/parsing 835, 837 and other healthcare EDI and NCPDP telecom transactions to JSON or CSV.
{- "version": "2.10",
- "buildDateTime": "2024-11-26T12:23:10.875",
- "licenseInfo": {
- "expiration": "2025-11-21",
- "entitlements": [
- "EDI"
], - "isSignatureValid": true,
- "licenseFile": "/./etc/edi-license.bin",
- "expired": false
}
}Converts X12 EDI input to CSV. You can post the EDI file's content as text or use multi-part request to upload files.
See Python and curl examples in our GitHub repo.
See also introduction to the CSV conversion API here.
You can find output examples for all formats here.
Converts X12 EDI input into comma-separated (CSV) flat file format. EDI can be posted as text in the body of the request or uploaded using multi-part/form-data request.
The output is streamed as the input is parsed.
See data dictionary for more details about the response schema, including mapping to X12 EDI elements.
The CSV output is highly customizable. See this guide for more details.
| schemaFileName | string Default: "csv_conversion.yaml" Name of the file containing the CSV conversion schemas. See this document for more details. |
| schemaName | string Default: "lines-with-header-repeat-first-row" Name of the 'schema' (configuration) for CSV conversion in the CSV schema file. See this document for more details. |
| ediFileName | string The name of the EDI file submitted as text. This name will be propagated to the |
| warningsInResponse | boolean Default: false Write EDI parsing warnings to the response stream. Warnings are written into the first column and start with "WARNING:" prefix. If not set, warnings are only written to logs. See User Guide for more details. |
| maxWarnings | integer Default: 50 Maximum number of EDI parsing warnings per file before raising Too Many Warnings" error and stopping. |
| chunkSize | integer <int32> Default: 200 How many claims or payments to parse at a time |
| files required | Array of strings <binary> [ items <binary > ] |
# Post EDI as text curl -X POST -H "Content-Type: text/plain" \ --data-binary @../edi_files/835/835.edi \ "$API_URL/edi/csv?ediFileName=837.edi" # Upload EDI files using multipart request curl -F files=@"../edi_files/837/837-1.dat" -F files=@"../edi_files/837/837-2.dat" \ $API_URL/edi/csv
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1.21-1.664L11.46.637a1.748 1.748 0 0 1 1.08 0Zm-.617 1.426-8.25 2.676a.249.249 0 0 0-.173.237V10c0 5.46 3.28 9.483 8.43 11.426a.199.199 0 0 0 .14 0C17.22 19.483 20.5 15.461 20.5 10V4.976a.25.25 0 0 0-.173-.237l-8.25-2.676a.253.253 0 0 0-.154 0Z"></path> </svg> <div> <div class="color-fg-default h4"> GitHub Advanced Security </div> Find and fix vulnerabilities </div> </a></li> <li> <a class="HeaderMenu-dropdown-link d-block no-underline position-relative py-2 Link--secondary d-flex flex-items-center Link--has-description pb-lg-3" data-analytics-event="{"location":"navbar","action":"actions","context":"product","tag":"link","label":"actions_link_product_navbar"}" href="https://github.com/features/actions"> <svg aria-hidden="true" height="24" viewBox="0 0 24 24" version="1.1" width="24" data-view-component="true" class="octicon octicon-workflow color-fg-subtle mr-3"> <path d="M1 3a2 2 0 0 1 2-2h6.5a2 2 0 0 1 2 2v6.5a2 2 0 0 1-2 2H7v4.063C7 16.355 7.644 17 8.438 17H12.5v-2.5a2 2 0 0 1 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20H10.75A1.75 1.75 0 0 1 9 18.25v-1.465a.75.75 0 0 1 1.5 0v1.465c0 .138.112.25.25.25h5.5a.75.75 0 0 1 .53.22l2.72 2.72v-2.19a.75.75 0 0 1 .75-.75h2a.25.25 0 0 0 .25-.25v-9.5Z"></path> </svg> <div> <div class="color-fg-default h4"> Discussions </div> Collaborate outside of code </div> </a></li> <li> <a class="HeaderMenu-dropdown-link d-block no-underline position-relative py-2 Link--secondary d-flex flex-items-center Link--has-description" data-analytics-event="{"location":"navbar","action":"code_search","context":"product","tag":"link","label":"code_search_link_product_navbar"}" href="https://github.com/features/code-search"> <svg aria-hidden="true" height="24" viewBox="0 0 24 24" version="1.1" width="24" data-view-component="true" class="octicon octicon-code-square color-fg-subtle mr-3"> <path d="M10.3 8.24a.75.75 0 0 1-.04 1.06L7.352 12l2.908 2.7a.75.75 0 1 1-1.02 1.1l-3.5-3.25a.75.75 0 0 1 0-1.1l3.5-3.25a.75.75 0 0 1 1.06.04Zm3.44 1.06a.75.75 0 1 1 1.02-1.1l3.5 3.25a.75.75 0 0 1 0 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0 0 1 .25.25v4.146a.25.25 0 0 1-.427.177L13.03 4.03 9.28 7.78a.751.751 0 0 1-1.042-.018.751.751 0 0 1-.018-1.042l3.75-3.75-1.543-1.543A.25.25 0 0 1 10.604 1Z"></path> </svg> </a></li> </ul> </div> </div> </div> </li> <li class="HeaderMenu-item position-relative flex-wrap flex-justify-between flex-items-center d-block d-lg-flex flex-lg-nowrap flex-lg-items-center js-details-container js-header-menu-item"> <button type="button" class="HeaderMenu-link border-0 width-full width-lg-auto px-0 px-lg-2 py-lg-2 no-wrap d-flex flex-items-center flex-justify-between js-details-target" aria-expanded="false"> Solutions <svg opacity="0.5" aria-hidden="true" height="16" viewBox="0 0 16 16" version="1.1" width="16" data-view-component="true" class="octicon octicon-chevron-down HeaderMenu-icon ml-1"> <path d="M12.78 5.22a.749.749 0 0 1 0 1.06l-4.25 4.25a.749.749 0 0 1-1.06 0L3.22 6.28a.749.749 0 1 1 1.06-1.06L8 8.939l3.72-3.719a.749.749 0 0 1 1.06 0Z"></path> </svg> </button> <div 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use case</span> <ul class="list-style-none f5" aria-labelledby="solutions-by-use-case-heading"> <li> <a class="HeaderMenu-dropdown-link d-block no-underline position-relative py-2 Link--secondary" data-analytics-event="{"location":"navbar","action":"devsecops","context":"solutions","tag":"link","label":"devsecops_link_solutions_navbar"}" href="/solutions/use-case/devsecops"> DevSecOps </a></li> <li> <a class="HeaderMenu-dropdown-link d-block no-underline position-relative py-2 Link--secondary" data-analytics-event="{"location":"navbar","action":"devops","context":"solutions","tag":"link","label":"devops_link_solutions_navbar"}" href="/solutions/use-case/devops"> DevOps </a></li> <li> <a class="HeaderMenu-dropdown-link d-block no-underline position-relative py-2 Link--secondary" data-analytics-event="{"location":"navbar","action":"ci_cd","context":"solutions","tag":"link","label":"ci_cd_link_solutions_navbar"}" href="/solutions/use-case/ci-cd"> CI/CD </a></li> <li> <a 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value="pO+Gm+thgxUuXu3gdQFuYL3tPXaDb37S+uKJ7kgVn2lKwrIfy2IolzCfPsI6SYRQ3LJ07gB1suMl+CoO/5lUWw==" /> <p>We read every piece of feedback, and take your input very seriously.</p> <textarea name="feedback" class="form-control width-full mb-2" style="height: 120px" id="feedback"></textarea> <input name="include_email" id="include_email" aria-label="Include my email address so I can be contacted" class="form-control mr-2" type="checkbox"> <label for="include_email" style="font-weight: normal">Include my email address so I can be contacted</label> </form></div> </scrollable-region> <div data-view-component="true" class="Overlay-footer Overlay-footer--alignEnd"> <button data-close-dialog-id="feedback-dialog" type="button" data-view-component="true" class="btn"> Cancel </button> <button form="code-search-feedback-form" data-action="click:qbsearch-input#submitFeedback" type="submit" data-view-component="true" class="btn-primary btn"> Submit feedback </button> </div> </dialog></dialog-helper> 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Converts X12 EDI input to JSON. EDI can be posted as text in the body of the request or uploaded using multi-part/form-data request.
The response is a JSON array or NDJSON (new-line delimited JSON).
The output is streamed as the input is parsed.
See data dictionary for more details about the response schema, including mapping to X12 EDI elements.
| ndjson | |
| splitTran | boolean Default: false Parse by claim/payment as opposed to an entire transaction. Set it to 'true' for 837/835 transactions. Must be set to 'false' for all other transactions. |
| descriptions | boolean Default: true Provide descriptions for all codes (ICD, CPT, NDC). Descriptions can increase the size of the response. This option defaults to true. |
| ediFileName | string The name of the EDI file submitted as text. This name will be propagated to the |
| warningsInResponse | boolean Default: false Write EDI parsing warnings to the response stream as 'warning' objects. If not set, warnings are only written to logs. See User Guide for more details. |
| maxWarnings | integer Default: 50 Maximum number of EDI parsing warnings per file before raising "Too Many Warnings" error and stopping. |
| chunkSize | integer <int32> Default: 200 How many claims, payments or transactions to parse at a time |
| convertToSegments | string Convert to the EDI loop and segment tree instead of the list of claims, payments, and other objects |
| files required | Array of strings <binary> [ items <binary > ] |
# Post EDI as text curl -X POST -H "Content-Type: text/plain" \ --data-binary @../edi_files/837/837.edi \ "$API_URL/edi/json?splitTran=true&ndjson=true&ediFileName=837.edi" # Upload EDI files using multipart request curl -F files=@"../edi_files/837/837-1.dat" -F files=@"../edi_files/837/837-2.dat" \ "$API_URL/edi/json?splitTran=true&ndjson=true"
[- {
- "id": "685d6a78b5939c4ba8ce15fd",
- "objectType": "PAYMENT",
- "patientControlNumber": "7722337",
- "chargeAmount": 226,
- "paymentAmount": 132,
- "facilityCode": {
- "subType": "FACILITY_TYPE",
- "code": "11",
- "desc": "Hospital; inpatient"
}, - "placeOfServiceType": "INPATIENT",
- "frequencyCode": {
- "subType": "FREQUENCY_CODE",
- "code": "1",
- "desc": "Original claim"
}, - "statementDateFrom": "2022-09-15",
- "statementDateTo": "2022-09-16",
- "serviceDateFrom": "2019-03-24",
- "serviceDateTo": "2019-03-25",
- "subscriber": {
- "person": {
- "entityRole": "INSURED_SUBSCRIBER",
- "entityType": "INDIVIDUAL",
- "identificationType": "MEMBER_ID",
- "identifier": "SJD11111",
- "lastNameOrOrgName": "DOE",
- "firstName": "John"
}
}, - "patient": {
- "person": {
- "entityRole": "PATIENT",
- "entityType": "INDIVIDUAL",
- "lastNameOrOrgName": "DOE",
- "firstName": "SALLY"
}
}, - "otherSubscribers": [
- {
- "person": {
- "entityRole": "OTHER_SUBSCRIBER",
- "entityType": "INDIVIDUAL",
- "lastNameOrOrgName": "Smith",
- "firstName": "Jane"
}
}
], - "claimStatusCode": "1",
- "claimStatus": "PRIMARY",
- "patientResponsibilityAmount": 10,
- "claimFilingIndicatorCode": "12",
- "insurancePlanType": "PPO",
- "payerControlNumber": "119932404007801",
- "drg": {
- "subType": "DRG",
- "code": "025"
}, - "drgWeight": 0.5,
- "dischargeFraction": 0.4,
- "otherClaimRelatedIds": [
- {
- "qualifierCode": "F8",
- "type": "ORIGINAL_REFERENCE_NUMBER",
- "identification": "12345"
}, - {
- "qualifierCode": "EA",
- "type": "MEDICAL_RECORD_NUMBER",
- "identification": "12345"
}
], - "supplementalAmounts": [
- {
- "qualifierCode": "AU",
- "type": "COVERAGE_AMOUNT",
- "amount": 132
}, - {
- "qualifierCode": "D8",
- "type": "DISCOUNT_AMOUNT",
- "amount": 100
}
], - "supplementalQuantities": [
- {
- "qualifierCode": "CA",
- "type": "COVERED",
- "quantity": 4
}
], - "payer": {
- "entityRole": "PAYER",
- "entityType": "BUSINESS",
- "lastNameOrOrgName": "DELTA DENTAL OF ABC",
- "address": {
- "line": "225 MAIN STREET",
- "city": "CENTERVILLE",
- "stateCode": "PA",
- "zipCode": "17111"
}, - "contacts": [
- {
- "name": "JANE DOE",
- "contactNumbers": [
- {
- "type": "PHONE",
- "number": "9005555555"
}, - {
- "type": "EXTENSION",
- "number": "123"
}
]
}, - {
- "contactNumbers": [
- {
- "type": "URL",
- "number": "myplan.com/policies"
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "2U",
- "type": "PAYER_IDENTIFICATION_NUMBER",
- "identification": "0101"
}, - {
- "qualifierCode": "HI",
- "type": "HEALTH_INDUSTRY_NUMBER",
- "identification": "0202"
}
]
}, - "payee": {
- "entityRole": "PAYEE",
- "entityType": "BUSINESS",
- "identificationType": "EIN",
- "identifier": "999994703",
- "taxId": "050595",
- "lastNameOrOrgName": "BAN DDS LLC",
- "address": {
- "line": "225 MAIN STREET",
- "city": "CENTERVILLE",
- "stateCode": "PA",
- "zipCode": "17111"
}, - "additionalIds": [
- {
- "qualifierCode": "PQ",
- "type": "PAYEE_IDENTIFICATION_NUMBER",
- "identification": "0505"
}
]
}, - "adjustments": [
- {
- "group": "CONTRACTUAL",
- "reasonCode": "197",
- "reason": {
- "subType": "CARC",
- "code": "197",
- "desc": "Precertification/authorization/notification/pre-treatment absent."
}, - "amount": 2000,
- "quantity": 1
}, - {
- "group": "CONTRACTUAL",
- "reasonCode": "45",
- "reason": {
- "subType": "CARC",
- "code": "45",
- "desc": "Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement."
}, - "amount": 30000
}, - {
- "group": "PATIENT_RESPONSIBILITY",
- "reasonCode": "132",
- "reason": {
- "subType": "CARC",
- "code": "132",
- "desc": "Prearranged demonstration project adjustment."
}, - "amount": 259
}
], - "coverageExpirationDate": "2022-10-01",
- "claimReceivedDate": "2022-11-24",
- "serviceProvider": {
- "entityRole": "RENDERING",
- "entityType": "INDIVIDUAL",
- "identificationType": "NPI",
- "identifier": "1811901945",
- "lastNameOrOrgName": "BAN",
- "firstName": "ERIN",
- "additionalIds": [
- {
- "qualifierCode": "1C",
- "type": "MEDICARE_PROVIDER_NUMBER",
- "identification": "12345678"
}
]
}, - "crossoverCarrier": {
- "entityRole": "CROSSOVER_CARRIER",
- "entityType": "INDIVIDUAL",
- "identificationType": "CMS_PLAN_ID",
- "identifier": "9876",
- "lastNameOrOrgName": "ACME INSURANCE"
}, - "correctedPayer": {
- "entityRole": "PAYER",
- "entityType": "BUSINESS",
- "identificationType": "CMS_PLAN_ID",
- "identifier": "8765",
- "lastNameOrOrgName": "ACME INSURANCE"
}, - "correctedInsured": {
- "entityRole": "CORRECTED_INSURED",
- "entityType": "INDIVIDUAL",
- "identificationType": "INSURED_CHANGED_ID",
- "identifier": "SJD999",
- "lastNameOrOrgName": "Due"
}, - "serviceLines": [
- {
- "sourceLineId": "A123",
- "healthcarePolicyId": "1234\"5",
- "chargeAmount": 46,
- "paidAmount": 25,
- "supplementalAmounts": [
- {
- "qualifierCode": "B6",
- "type": "ALLOWED_ACTUAL",
- "amount": 25
}
], - "supplementalQuantities": [
- {
- "qualifierCode": "ZL",
- "type": "MEDICARE_MEDICAID_CAT_2",
- "quantity": 3.75
}
], - "serviceDateFrom": "2019-03-24",
- "unitCount": 3.1,
- "originalUnitCount": 3.5,
- "procedure": {
- "subType": "ADA",
- "code": "D0120",
- "desc": "PERIODIC ORAL EVALUATION ESTABLISHED PATIENT",
- "modifiers": [
- {
- "subType": "HCPCS_MODIFIER",
- "code": "02"
}, - {
- "subType": "HCPCS_MODIFIER",
- "code": "28"
}
]
}, - "revenueCode": {
- "subType": "REVENUE_CODE",
- "code": "0022",
- "desc": "Skilled nursing facility prospective payment system (HIPPS)"
}, - "originalProcedure": {
- "subType": "ADA",
- "code": "D0140",
- "desc": "LIMITED ORAL EVALUATION - PROBLEM FOCUSED",
- "modifiers": [
- {
- "subType": "HCPCS_MODIFIER",
- "code": "1"
}
]
}, - "adjustments": [
- {
- "group": "CONTRACTUAL",
- "reasonCode": "131",
- "reason": {
- "subType": "CARC",
- "code": "131",
- "desc": "Claim specific negotiated discount."
}, - "amount": 21
}
], - "remarkCodes": [
- "M1",
- "M2"
], - "remarks": [
- {
- "subType": "RARC",
- "code": "M1",
- "desc": "X-ray not taken within the past 12 months or near enough to the start of treatment."
}, - {
- "subType": "RARC",
- "code": "M2",
- "desc": "Not paid separately when the patient is an inpatient."
}
], - "serviceIds": [
- {
- "qualifierCode": "RB",
- "type": "RATE_CODE_NUMBER",
- "identification": "100"
}, - {
- "qualifierCode": "1S",
- "type": "APG_NUMBER",
- "identification": "101"
}, - {
- "qualifierCode": "APC",
- "type": "AMBULATORY_PAYMENT",
- "identification": "102"
}
], - "renderingProviderIds": [
- {
- "qualifierCode": "HPI",
- "type": "CMS_NPI",
- "identification": "P123"
}, - {
- "qualifierCode": "1C",
- "type": "MEDICARE_PROVIDER_NUMBER",
- "identification": "P234"
}
]
}, - {
- "chargeAmount": 25,
- "paidAmount": 14,
- "supplementalAmounts": [
- {
- "qualifierCode": "B6",
- "type": "ALLOWED_ACTUAL",
- "amount": 14
}
], - "serviceDateFrom": "2019-03-24",
- "procedure": {
- "subType": "ADA",
- "code": "D0220",
- "desc": "INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE"
}, - "adjustments": [
- {
- "group": "CONTRACTUAL",
- "reasonCode": "131",
- "reason": {
- "subType": "CARC",
- "code": "131",
- "desc": "Claim specific negotiated discount."
}, - "amount": 11
}
]
}, - {
- "chargeAmount": 22,
- "paidAmount": 10,
- "supplementalAmounts": [
- {
- "qualifierCode": "B6",
- "type": "ALLOWED_ACTUAL",
- "amount": 10
}
], - "serviceDateFrom": "2019-03-24",
- "procedure": {
- "subType": "ADA",
- "code": "D0230",
- "desc": "INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE"
}, - "adjustments": [
- {
- "group": "CONTRACTUAL",
- "reasonCode": "131",
- "reason": {
- "subType": "CARC",
- "code": "131",
- "desc": "Claim specific negotiated discount."
}, - "amount": 12
}
]
}, - {
- "chargeAmount": 60,
- "paidAmount": 34,
- "supplementalAmounts": [
- {
- "qualifierCode": "B6",
- "type": "ALLOWED_ACTUAL",
- "amount": 34
}
], - "serviceDateFrom": "2019-03-24",
- "procedure": {
- "subType": "ADA",
- "code": "D0274",
- "desc": "BITEWINGS - FOUR RADIOGRAPHIC IMAGES"
}, - "adjustments": [
- {
- "group": "CONTRACTUAL",
- "reasonCode": "131",
- "reason": {
- "subType": "CARC",
- "code": "131",
- "desc": "Claim specific negotiated discount."
}, - "amount": 26
}
]
}, - {
- "chargeAmount": 99,
- "paidAmount": 59,
- "serviceDateFrom": "2019-03-24",
- "unitCount": 1,
- "originalUnitCount": 2,
- "revenueCode": {
- "subType": "REVENUE_CODE",
- "code": "0022",
- "desc": "Skilled nursing facility prospective payment system (HIPPS)"
}, - "originalRevenueCode": {
- "subType": "REVENUE_CODE",
- "code": "0023",
- "desc": "Home health prospective payment system (HIPPS)"
}
}, - {
- "chargeAmount": 73,
- "paidAmount": 49,
- "supplementalAmounts": [
- {
- "qualifierCode": "B6",
- "type": "ALLOWED_ACTUAL",
- "amount": 49
}, - {
- "qualifierCode": "KH",
- "type": "DEDUCTION",
- "amount": 50
}
], - "serviceDateFrom": "2019-03-24",
- "serviceDateTo": "2019-03-25",
- "procedure": {
- "subType": "ADA",
- "code": "D1110",
- "desc": "PROPHYLAXIS - ADULT"
}, - "adjustments": [
- {
- "group": "CONTRACTUAL",
- "reasonCode": "131",
- "reason": {
- "subType": "CARC",
- "code": "131",
- "desc": "Claim specific negotiated discount."
}, - "amount": 24
}, - {
- "group": "CONTRACTUAL",
- "reasonCode": "3",
- "reason": {
- "subType": "CARC",
- "code": "3",
- "desc": "Co-payment Amount"
}, - "amount": 25
}, - {
- "group": "OTHER",
- "reasonCode": "131",
- "reason": {
- "subType": "CARC",
- "code": "131",
- "desc": "Claim specific negotiated discount."
}, - "amount": 27
}
]
}, - {
- "chargeAmount": 60,
- "paidAmount": 59,
- "serviceDateFrom": "2019-03-24",
- "unitCount": 10.5,
- "originalUnitCount": 9.2,
- "drug": {
- "subType": "NDC",
- "code": "00002143481",
- "desc": "Trulicity (Dulaglutide)",
- "formattedCode": "0002-1434-81"
}, - "originalDrug": {
- "subType": "NDC",
- "code": "00002143482",
- "desc": "Trulicity (Dulaglutide)",
- "formattedCode": "0002-1434-82"
}
}
], - "transaction": {
- "id": "685d6a78b5939c4ba8ce15ad",
- "controlNumber": "35681",
- "transactionType": "PAYMENT",
- "productionDate": "2019-03-14",
- "totalPaymentAmount": 132,
- "creditOrDebitFlagCode": "C",
- "paymentMethodType": "CHECK",
- "receiverAccountNumber": "456",
- "paymentDate": "2019-03-31",
- "checkOrEftTraceNumber": "12345",
- "payerIdentifier": "1512345678",
- "transactionSetIdentifierCode": "835",
- "fileInfo": {
- "name": "835-all-fields.dat",
- "url": "file:/edi-samples/edi_files/835/835-all-fields.dat",
- "lastModifiedDateTime": "2025-02-28T13:00:41.379-05:00",
- "fileType": "EDI"
}, - "sender": {
- "entityRole": "PAYER",
- "entityType": "BUSINESS",
- "lastNameOrOrgName": "DELTA DENTAL OF ABC",
- "address": {
- "line": "225 MAIN STREET",
- "city": "CENTERVILLE",
- "stateCode": "PA",
- "zipCode": "17111"
}, - "contacts": [
- {
- "name": "JANE DOE",
- "contactNumbers": [
- {
- "type": "PHONE",
- "number": "9005555555"
}, - {
- "type": "EXTENSION",
- "number": "123"
}
]
}, - {
- "contactNumbers": [
- {
- "type": "URL",
- "number": "myplan.com/policies"
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "2U",
- "type": "PAYER_IDENTIFICATION_NUMBER",
- "identification": "0101"
}, - {
- "qualifierCode": "HI",
- "type": "HEALTH_INDUSTRY_NUMBER",
- "identification": "0202"
}
]
}, - "receiver": {
- "entityRole": "PAYEE",
- "entityType": "BUSINESS",
- "identificationType": "EIN",
- "identifier": "999994703",
- "taxId": "050595",
- "lastNameOrOrgName": "BAN DDS LLC",
- "address": {
- "line": "225 MAIN STREET",
- "city": "CENTERVILLE",
- "stateCode": "PA",
- "zipCode": "17111"
}, - "additionalIds": [
- {
- "qualifierCode": "PQ",
- "type": "PAYEE_IDENTIFICATION_NUMBER",
- "identification": "0505"
}
]
}
}
}
]Parses X12 EDI and returns returns an array of claims (837), payments (835) or segments (all other transactions). The parsing is done entirely in memory, so this endpoint is only suitable for small files. Fully synchronous; the entire file is parsed before returning the response. For large files use 'api/edi' endpoints instead.
See Python example here.
| asSegments | boolean Default: false Return JSON representation of loops and segments. This is the default mode for non-835, non-837 transactions. |
| gen999 | boolean Default: false Generate 999–Functional Group Acknowledgement Report for all parsed transactions. The resulting EDI is available in the "ackEdi" field of the response |
Text in X12 EDI format
{- "claims": [
- {
- "id": "string",
- "objectType": "string",
- "patientControlNumber": "string",
- "chargeAmount": 0.1,
- "patientPaidAmount": 0.1,
- "facilityCode": {
- "code": "string",
- "desc": "string"
}, - "frequencyCode": {
- "code": "string",
- "desc": "string"
}, - "serviceDateFrom": "2019-08-24",
- "serviceDateTo": "2019-08-24",
- "subscriber": {
- "payerResponsibilitySequence": "string",
- "relationshipType": "string",
- "groupOrPolicyNumber": "string",
- "groupName": "string",
- "claimFilingIndicatorCode": "string",
- "insurancePlanType": "string",
- "person": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "birthDate": "2019-08-24",
- "gender": "string",
- "address": {
- "line": "string",
- "line2": "string",
- "city": "string",
- "stateCode": "string",
- "zipCode": "string",
- "countryCode": "string"
}, - "contacts": [
- {
- "name": "string",
- "contactNumbers": [
- {
- "type": "string",
- "number": "string"
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
]
}, - "deathDate": "2019-08-24",
- "weight": 0.1,
- "pregnancyIndicator": "string",
- "propertyCasualtyClaimNumber": "string",
- "payer": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "address": {
- "line": "string",
- "line2": "string",
- "city": "string",
- "stateCode": "string",
- "zipCode": "string",
- "countryCode": "string"
}, - "contacts": [
- {
- "name": "string",
- "contactNumbers": [
- {
- "type": "string",
- "number": "string"
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
]
}
}, - "patient": {
- "person": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "birthDate": "2019-08-24",
- "gender": "string",
- "address": {
- "line": "string",
- "line2": "string",
- "city": "string",
- "stateCode": "string",
- "zipCode": "string",
- "countryCode": "string"
}, - "contacts": [
- {
- "name": "string",
- "contactNumbers": [
- {
- "type": "string",
- "number": "string"
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
]
}, - "deathDate": "2019-08-24",
- "weight": 0.1,
- "pregnancyIndicator": "string"
}, - "otherSubscribers": [
- {
- "payerResponsibilitySequence": "string",
- "relationshipType": "string",
- "groupOrPolicyNumber": "string",
- "groupName": "string",
- "claimFilingIndicatorCode": "string",
- "insurancePlanType": "string",
- "person": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "birthDate": "2019-08-24",
- "gender": "string",
- "address": {
- "line": "string",
- "line2": "string",
- "city": "string",
- "stateCode": "string",
- "zipCode": "string",
- "countryCode": "string"
}, - "contacts": [
- {
- "name": "string",
- "contactNumbers": [
- {
- "type": null,
- "number": null
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
]
}, - "adjustments": [
- {
- "group": "string",
- "reasonCode": "string",
- "amount": 0.1,
- "quantity": 0.1
}
], - "payerPaidAmount": 0.1,
- "nonCoveredAmount": 0.1,
- "remainingPatientLiabilityAmount": 0.1,
- "payerPriorAuthorizationNumber": "string",
- "payerReferralNumber": "string",
- "payerClaimControlNumber": "string",
- "payer": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "address": {
- "line": "string",
- "line2": "string",
- "city": "string",
- "stateCode": "string",
- "zipCode": "string",
- "countryCode": "string"
}, - "contacts": [
- {
- "name": "string",
- "contactNumbers": [
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- "contactNumbers": [
- {
- "type": "string",
- "number": "string"
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
]
}, - "responsiblePersons": [
- {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "address": {
- "line": "string",
- "line2": "string",
- "city": "string",
- "stateCode": "string",
- "zipCode": "string",
- "countryCode": "string"
}, - "contacts": [
- {
- "name": "string",
- "contactNumbers": [
- {
- "type": "string",
- "number": "string"
}
]
}
], - "additionalIds": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
]
}
], - "reportingCategories": [
- {
- "name": "string",
- "identifierQualifierCode": "string",
- "identifierType": "string",
- "identifier": "string",
- "date": "2019-08-24",
- "dateTo": "2019-08-24"
}
], - "healthCoverages": [
- {
- "maintenanceTypeCode": "string",
- "insuranceLineCode": "string",
- "planDescription": "string",
- "coverageLevelCode": "string",
- "lateEnrollmentIndicator": "string",
- "coverageDates": [
- {
- "qualifierCode": "string",
- "type": "string",
- "date": "2019-08-24",
- "dateTo": "2019-08-24"
}
], - "contractAmounts": [
- {
- "qualifierCode": "string",
- "type": "string",
- "amount": 0.1
}
], - "groupOrPolicyNumbers": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
], - "priorCoverageMonthCount": "string",
- "providers": [
- {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "address": {
- "line": "string",
- "line2": "string",
- "city": "string",
- "stateCode": "string",
- "zipCode": "string",
- "countryCode": "string"
}, - "contacts": [
- {
- "name": "string",
- "contactNumbers": [
- null
]
}
], - "additionalIds": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
]
}
], - "cobs": [
- {
- "payerResponsibilitySequenceCode": "string",
- "groupOrPolicyNumber": "string",
- "coordinationOfBenefitsCode": "string",
- "additionalIdentifiers": [
- {
- "qualifierCode": "string",
- "type": "string",
- "identification": "string"
}
], - "dateFrom": "2019-08-24",
- "dateTo": "2019-08-24",
- "insurers": [
- {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string",
- "address": {
- "line": null,
- "line2": null,
- "city": null,
- "stateCode": null,
- "zipCode": null,
- "countryCode": null
}, - "contacts": [
- null
], - "additionalIds": [
- null
]
}
]
}
]
}
], - "transaction": {
- "controlNumber": "string",
- "transactionType": "string",
- "purposeCode": "string",
- "originatorApplicationTransactionId": "string",
- "creationDate": "2019-08-24",
- "creationTime": "2019-08-24T14:15:22Z",
- "originalTransactionSetReferenceNumber": "string",
- "actionCode": "string",
- "transactionSetIdentifierCode": "string",
- "implementationConventionReference": "string",
- "fileEffectiveDates": [
- {
- "qualifierCode": "string",
- "type": "string",
- "date": "2019-08-24",
- "dateTo": "2019-08-24"
}
], - "controlTotals": [
- {
- "qualifierCode": "string",
- "type": "string",
- "quantity": 0.1
}
]
}
}
], - "statuses": [
- {
- "id": "string",
- "objectType": "string",
- "patient": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string"
}, - "patientControlNumber": "string",
- "statusInfos": [
- {
- "effectiveDate": "2019-08-24",
- "actionCode": "string",
- "actionType": "string",
- "chargeAmount": 0.1,
- "statusCodeInfos": [
- {
- "categoryCode": "string",
- "statusCode": "string",
- "entityCode": "string"
}
], - "message": "string"
}
], - "payerClaimControlNumber": "string",
- "clearinghouseTraceNumber": "string",
- "billTypeCode": "string",
- "serviceDateFrom": "2019-08-24",
- "serviceDateTo": "2019-08-24",
- "receiver": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string"
}, - "receiverBatchStatus": {
- "traceIdentifier": "string",
- "statusInfos": [
- {
- "effectiveDate": "2019-08-24",
- "actionCode": "string",
- "actionType": "string",
- "chargeAmount": 0.1,
- "statusCodeInfos": [
- {
- "categoryCode": "string",
- "statusCode": "string",
- "entityCode": "string"
}
], - "message": "string"
}
], - "acceptedQuantity": 0.1,
- "acceptedAmount": 0.1,
- "rejectedQuantity": 0.1,
- "rejectedAmount": 0.1
}, - "provider": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string"
}, - "providerBatchStatus": {
- "traceIdentifier": "string",
- "statusInfos": [
- {
- "effectiveDate": "2019-08-24",
- "actionCode": "string",
- "actionType": "string",
- "chargeAmount": 0.1,
- "statusCodeInfos": [
- {
- "categoryCode": "string",
- "statusCode": "string",
- "entityCode": "string"
}
], - "message": "string"
}
], - "acceptedQuantity": 0.1,
- "acceptedAmount": 0.1,
- "rejectedQuantity": 0.1,
- "rejectedAmount": 0.1
}, - "lineStatuses": [
- {
- "controlNumber": "string",
- "chargeAmount": 0.1,
- "unitCount": 0.1,
- "procedure": {
- "code": "string",
- "desc": "string",
- "modifiers": [
- {
- "code": "string",
- "desc": "string"
}
]
}, - "revenueCode": {
- "code": "string",
- "desc": "string"
}, - "prescriptionNumber": "string",
- "serviceDateFrom": "2019-08-24",
- "serviceDateTo": "2019-08-24",
- "statusInfos": [
- {
- "effectiveDate": "2019-08-24",
- "actionCode": "string",
- "actionType": "string",
- "chargeAmount": 0.1,
- "statusCodeInfos": [
- {
- "categoryCode": "string",
- "statusCode": "string",
- "entityCode": "string"
}
], - "message": "string"
}
]
}
], - "transaction": {
- "controlNumber": "string",
- "transactionType": "string",
- "purposeCode": "string",
- "originatorApplicationTransactionId": "string",
- "creationDate": "2019-08-24",
- "creationTime": "2019-08-24T14:15:22Z",
- "traceIdentifier": "string",
- "transactionSetIdentifierCode": "string",
- "implementationConventionReference": "string",
- "receiptDate": "2019-08-24",
- "processDate": "2019-08-24",
- "sender": {
- "entityRole": "string",
- "entityType": "string",
- "identificationType": "string",
- "identifier": "string",
- "lastNameOrOrgName": "string",
- "firstName": "string",
- "middleName": "string"
}
}
}
], - "segments": { },
- "ackEdi": "string",
- "parsingIssues": [
- {
- "severity": "ERROR",
- "message": "string",
- "lineNumber": 0,
- "segmentNumber": 0,
- "loop": "string",
- "ediString": "string"
}
]
}Parses text in NCPDP telecom format and returns JSON with an array of NCPDP transactions.
You can see an example of an NCPDP transaction and the parsing output here.
Additional examples are available from our GitHub repo.
Converts NCPDP input to JSON.
Text in NCPDP Telecom format
curl -H "Content-Type: text/plain" --data-binary @../edi_files/ncpdp/b1_telco_cob.dat "$API_URL/ncpdp/parse"