HIPAA EDI Development Suite

EDI Rules Creator

It was really nice to be able to use the EDI Rules Creator Studio to test the changes and receive detailed errors and warnings until I got it working”


EDI Rules Creator Studio enables developers to quickly create and test EDI validation rules


Main Features

  • Easily create, view and modify EDI rules
  • Includes a Rules Tester to test rules
  • Create highly customized rules for different lines of business
  • Configure code lists (both external and internal) for extreme file validation.  For example (states, zip code, CPT, ICD, NDC codes, etc)
  • Use Regular Expressions to validate data
  • Includes all 4010 and 5010 pre-created HIPAA Validation Rules files
  • Plus much more

Related Tutorials

What are EDI Rules?

EDI rule files enables you to check whether your EDI file has the correct structure and values based on the HIPAA implementation guides.  They enable the EDIValidator component to:

  • Verify correct loop, segment and element structure
  • Verify that data elements have correct formats and values
  • Verify that loops, segments, elements are used properly
  • Output correct error and warning messages
  • Load EDI data into a structure that can then be used to get the data

The EDIValidator component is able to correctly parse, load and validate different EDI implementations based on EDI rule files.

A general X12 EDI specifications contains loops, segments, elements, composite elements, element codes lists,  accepted element data patterns (Formats) etc.  EDI Rules Creator Studio uses these same terminologies when creating rule files.


EDI Rules Structure


Test EDI rules with Rules Tester


Create Simple and Complex Validation Rules


Easily add Loops, Segment and Elements


Complete control of segments with just a right click


Add Segment Usages, Accepted Values and Formats


Add Elements



Add, edit and configure Internal and External Code Lists used in validation of element data


Configure complex segment rules


A list of pre-created EDI Rules file can be found here. Our technical support specialists are always there to help you if you have any questions.

HIPAA EDI Implementation Guides can be purchased at www.wpc-edi.com

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