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EDI Generation
EDI Paisan can generate properly formatted EDI files from simple CSV input. No EDI expertise required — just fill in your data and download compliant files.
Supported Transactions
| Transaction | Purpose | Status |
|---|---|---|
| 270 | Eligibility Inquiry | ✅ Available |
| 837P | Professional Claim | ✅ Available |
| 837I | Institutional Claim | 🔜 Coming Soon |
How It Works
- Download a template — Get the CSV template for your transaction type
- Fill in your data — Enter patient/member information
- Upload to EDI Paisan — The generator validates your data
- Download EDI — Get your properly formatted X12 file
Benefits
- No EDI expertise needed — Just fill in a spreadsheet
- Automatic validation — Catch errors before submission
- Proper formatting — Generates compliant X12 with correct structure
- Batch processing — Generate multiple transactions from one file
270 Eligibility Inquiry
Generate eligibility requests to verify patient coverage before providing services.
Use cases:
- Pre-service verification
- Batch eligibility checks
- Prior authorization preparation
→ 270 CSV Schema — Field definitions, validation rules, sample templates
837P Professional Claim
Generate professional claim submissions for healthcare services.
Use cases:
- New claim submission
- Corrected/replacement claims
- Batch claim generation
→ 837P Flat File Format — Field definitions, validation rules
Configuration
Generator Settings
Configure your submitter and receiver information in Settings:
| Setting | Description |
|---|---|
| Submitter ID | Your organization's EDI ID |
| Submitter Name | Your organization name |
| Receiver ID | Clearinghouse/payer EDI ID |
| Control Numbers | Auto-incrementing or manual |
Delimiters
Default delimiters (standard X12):
| Delimiter | Character | Description |
|---|---|---|
| Element | * | Separates data elements |
| Segment | ~ | Ends each segment |
| Component | : | Separates sub-elements |
| Repetition | ^ | Separates repeated elements |
Tier Features
| Feature | Free | Pro | Enterprise |
|---|---|---|---|
| Generate 270 | ✅ | ✅ | ✅ |
| Generate 837P | ❌ | ✅ | ✅ |
| Max rows per file | 50 | 500 | Unlimited |
| Batch processing | ❌ | ✅ | ✅ |
| API access | ❌ | ❌ | ✅ |
Related Documentation
- 270 CSV Schema — Eligibility inquiry format
- File Viewer — View generated files
- Validation — Understanding validation rules