Pro Tier Capabilities

EDI Paisan Pro unlocks the full power of EDI file manipulation — download edited files, split claims by any criteria, export data for your systems, and generate production-ready 837P claims.

The Download Gate

The core difference between Free and Pro is simple: Free lets you view, Pro lets you download.

Everything you can see in the Free tier — parsed segments, financial totals, anonymized data — becomes downloadable with Pro. No more copy protection. No more watermarks. Just clean, usable files.

Pro Features

File Downloads

Download any file you work with in EDI Paisan:

Download Type	Description
EDI Files	Download the original or modified EDI file
Split Chunks	Download individual split file segments
Batch Downloads	Download all split chunks as separate files
Anonymized Files	Download PHI-redacted versions for sharing

Export Options

When downloading EDI files, configure output format:

• Add line breaks — Insert newlines after each segment for readability
• Preserve original — Maintain exact original formatting

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Claim Splitting

Split large EDI files into smaller, targeted chunks. Essential for clearinghouse submissions, provider-specific batching, and file size management.

Universal Split Modes

These modes work with any X12 file type:

Mode	Description	Use Case
By Parts	Divide into N equal parts	File size limits
By Transaction	One file per ST...SE envelope	Transaction-level processing
By Group	One file per GS...GE envelope	Functional group separation
By Interchange	One file per ISA...IEA envelope	Trading partner isolation

837 Claim-Specific Modes

For 837 professional and institutional claims:

Mode	Description	Use Case
By Subscriber	Each subscriber with their claims	Patient-centric workflows
By Claim	Each claim becomes a separate file	Individual claim submission
By Rendering Provider	Group by rendering provider (splits multi-provider claims)	Provider-specific clearinghouses

835 Payment-Specific Modes

For 835 remittance advice files:

Mode	Description	Use Case
By Check	Each check/EFT payment	Check-level reconciliation
By Payment	Each payment becomes a file	Payment posting
By Payer	Group by payer organization	Payer-specific analysis
By Provider	Group by payee/provider	Multi-provider practices

Splitting Options

• Preserve transaction integrity — Never split in the middle of a transaction
• Add line breaks — Format output for readability

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JSON Export

Export parsed EDI data as JSON for integration with your systems:

Export Type	Contents
Full Parse Result	Complete parsed structure with all segments, elements, and hierarchy
Structure Only	Hierarchical structure without raw segment data
File Summary	Statistics, counts, and validation results
Split Result Metadata	Information about split chunks (after splitting)

JSON exports preserve:

• Segment IDs and elements
• Loop hierarchy
• Control numbers
• Validation errors and warnings
• Transaction type metadata

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CSV Exports

Export structured data for Excel, accounting systems, or databases.

835 Payment Data Exports

Export Type	Columns Included
Claims Data	Claim ID, billed amount, paid amount, adjustments, patient info
Service Lines	Procedure codes, dates, charges, allowed amounts, payments
Adjustments	Adjustment reason codes, amounts, claim references

Use Cases

• Import payment data into practice management systems
• Reconcile ERA payments with billed claims
• Analyze denial patterns and adjustment reasons
• Feed data into custom reporting tools

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PDF Reports

Generate printable summaries and reports:

835 Payment Summary Report

Clean, formatted summary of remittance advice:

• Check/EFT details and totals
• Claim-by-claim breakdown
• Adjustment summaries
• Denial highlights

271 Eligibility Summary Report

Readable eligibility response data:

• Patient and subscriber information
• Coverage details and dates
• Benefit summaries
• Co-pay, deductible, and out-of-pocket information

270 Eligibility Inquiry Report

Summary of eligibility inquiry contents:

• Inquiry details and parameters
• Requested information categories
• Subscriber/patient identification

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PHI Anonymization (Download)

The Free tier lets you preview anonymized data. Pro lets you download it.

Feature	Free	Pro
Preview anonymized content	✅	✅
Download anonymized EDI	❌	✅
Export redacted CSVs	❌	✅
Audit package (ZIP)	❌	✅

Audit Package

Download a complete audit package containing:

• Original file reference (no PHI)
• Redacted EDI file
• Redaction summary report
• Manifest of redacted elements

Perfect for compliance documentation and audit trails.

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837P Generation

Generate valid 837P professional claims from flat file data imports.

How It Works

1. Import flat file — Upload CSV or structured data with claim information
2. Configure envelope — Set submitter, receiver, and contact information
3. Preview generated EDI — Review the generated 837P structure
4. Download — Export the complete, valid 837P file

Generator Settings

Configure once, reuse for all imports:

Setting	Description
Submitter ID	Your EDI trading partner ID
Submitter Name	Your organization name
Contact Name	Primary contact for EDI
Phone/Email	Contact information
Receiver ID	Clearinghouse or payer EDI ID
Receiver Name	Destination organization

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Production Control Numbers

Free tier uses preview control numbers. Pro tier uses production-ready, database-backed sequences.

Feature	Free (Preview)	Pro (Production)
Control number source	Random/temporary	Database sequence
Uniqueness guaranteed	❌	✅
Persisted across sessions	❌	✅
Location-specific sequences	❌	✅

How It Works

• ISA13 — 9-digit interchange control numbers
• GS06 — Functional group control numbers
• ST02 — Transaction set control numbers

Each location maintains independent sequences, atomically incremented to ensure uniqueness.

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Who Is Pro For?

Pro is designed for billing staff and healthcare IT professionals who need to:

• Submit claims to clearinghouses
• Process and reconcile 835 payments
• Split large files for submission limits
• Export data for practice management systems
• Generate 837P claims from internal data
• Create anonymized files for support or auditing

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Pricing

$29/month or $290/year (save 17%)

• 14-day free trial, no credit card required
• Cancel anytime
• Instant upgrade/downgrade

Start Free Trial →

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What's Not Included

Pro is for individual users. For teams, multi-location practices, or organizations needing BAA coverage, see Enterprise Tier.

Feature	Pro	Enterprise
All Pro features	✅	✅
Organization management	❌	✅
Multiple locations	❌	✅
Team access control	❌	✅
Audit logging	❌	✅
Business Associate Agreement	❌	✅

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Summary

✅ Pro Tier Includes
All Free tier viewing capabilities
Download EDI files
Split files by any criteria
Export to JSON, CSV, PDF
Anonymized file downloads
837P generation from flat files
Production control numbers
Audit packages

Compare all tiers → | Start Free Trial →