Everything you need to work with healthcare EDI

From viewing and validation to splitting and generation—EDI Paisan has the tools your team needs.

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Core Capabilities

Everything you need to view, validate, and understand EDI files—at no cost.

EDI File Viewing

Three powerful ways to explore your EDI data

Tree View - Navigate hierarchical structure of interchanges, functional groups, and transactions
Raw View - See original EDI text with proper formatting for troubleshooting
Grid View - Tabular display with virtual scrolling for large files

Search & Navigation

Find exactly what you need instantly

Segment search by ID (NM1, CLM, SVC, etc.)
Value search across all elements
Real-time highlighting as you type
Direct navigation to matching segments

Validation & Error Detection

Catch problems before they become rejections

Envelope validation (ISA/IEA, GS/GE, ST/SE pairs)
Control number consistency checks
Segment count validation
Clear error explanations with line numbers

PHI Anonymization

Safely share EDI files without exposing patient data

Patient names, DOB, and addresses
Provider NPIs and Tax IDs
Phone numbers and email addresses
Payment amounts and check numbers (835)

File Summary & Analytics

Get instant insights into your EDI files

Transaction type breakdown (837P, 837I, 835, 270, 271)
Claim and payment counts
File structure overview
JSON export of summary data

Eligibility Verification (270/271)

Verify patient coverage before claims submission

270 Eligibility Inquiry - View provider requests with member and service details
271 Eligibility Response - See coverage status, benefits, copays, and deductibles
Loop-level hierarchy display with HL level visualization (2000A/B/C/D)
Preview eligibility reports with coverage summaries
Pro

Power Features

Unlock splitting, exports, and 837P generation for your production workflows.

File Splitting

11 intelligent splitting modes for any workflow. Every split file gets valid ISA/GS/ST envelopes with unique control numbers.

Export Capabilities

Download as valid X12 EDI, JSON, CSV, or professional PDF reports. Print eligibility summaries (270/271) and payment reports (835). Create redacted audit packages for compliance.

837P Generation from Flat File

Transform pipe-delimited flat files into compliant HIPAA X12 837P claims. 100+ supported fields with smart claim grouping.

Organization Settings

Configure submitter info, receiver settings, export preferences, and location overrides for your workflow.

11 Splitting Modes

Universal Modes

Works with all file types

  • By Interchange - Split at ISA/IEA boundaries
  • By Functional Group - Split at GS/GE boundaries
  • By Transaction - Split at ST/SE boundaries
  • By Parts - Divide into equal chunks

837 Claim-Specific

For professional and institutional claims

  • By Claim - Each CLM segment becomes its own file
  • By Subscriber - Group all claims under each subscriber
  • By Rendering Provider - Separate by who performed the service

835 Remittance-Specific

For remittance advice files

  • By Check - Each check/EFT becomes a separate file
  • By Payment - Each CLP segment gets its own file
  • By Payer - Group payments by payer organization
  • By Provider - Group payments by payee
Enterprise — Coming Soon

Advanced Capabilities

AI-powered insights and integrations for large-scale operations.

AI-Driven Insights

Automated anomaly detection, payment pattern analysis, and denial prediction.

Clearinghouse Integration

Real-time submission monitoring, acknowledgment tracking, and automated resubmission.

API Access

Programmatic access for automation and integration with your existing systems.

Technical Specifications

Max File Size 100MB
Supported Formats 837P, 837I, 835, 270, 271
Browser Support Chrome, Firefox, Safari, Edge
Performance Virtual scrolling for large files
Integrations Clearinghouse support (Enterprise)

Built for Your Workflow

See how teams across healthcare use EDI Paisan

Revenue Cycle Teams

Verify patient eligibility before claim submission, split large clearinghouse batches by provider or facility, export payment data for reconciliation, and validate files before submission.

Healthcare IT Departments

Debug EDI rejection issues, verify envelope structure and control numbers, and anonymize files for testing environments.

Billing Companies

Generate 837P claims from practice management exports, review eligibility responses to understand patient coverage, split client files for individual provider submission, and create audit packages.

Clearinghouse Operations

Inspect incoming and outgoing transactions, validate file structure before forwarding, and split batches for routing.

Ready to get started?

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