EDI Rules Files

Validation rules can be created or modified with HIPAA EDI Rules Creator Studio.

The following HIPAA 5010 and 4010 EDI validation rules are absolutely free in our 30 day trial download

HIPAA Implementation Guide Descriptions

5010 HIPAA EDI Rules Files

RULES FILE NAME VERSION PRICE CURRENCY
(837P) Health Care Claim: Professional 005010X222 Free USD
(837I) Health Care Claim: Institutional  005010X223A1 Free USD
(837D) Health Care Claim: Dental 005010X224 (Original + A1) Free USD
(837D) Health Care Claim: Dental 005010X224 (A2) Free USD
(820) Payroll Deducted/Group Premium Payment Ins. Products 005010X218 Free USD
(820) Health Insurance Related Payments 005010X306 Free USD
(834) Benefit Enrollment and Maintenance 005010X220 Free USD
(835) Health Care Claim Advice 005010X221 Free USD
(276) Health Care Claim Status Request 005010X212 Free USD
(277) Health Care Claim Status Response 005010X212 Free USD
(278) Health Care Services Review 005010X217 Free USD
(270) Health Care Claim Eligibility Request 005010X279A1 Free USD
(271) Health Care Claim Eligibility Response 005010X279A1 Free USD
(999) Implementation Acknowledgement 005010X231A1 Free USD
(277 CA) Health Care Claim Acknowledgment 005010X231A1 Free USD

4010A1 HIPAA EDI Rules Files

RULES FILE NAME VERSION PRICE CURRENCY
(820) Payroll Deducted and Other Group Premium Payment for Insurance Products 004010X061A1 Free USD
(837) Health Care Claim: Professional 004010X098A1 Free USD
(997) Functional Acknowledgement 004010X098A1 Free USD
(270 Eligibility Coverage or Benefit Inquiry 004010X092A1 Free USD
(271) Eligibility Coverage or Benefit Information 004010X092A1 Free USD
(835) Health Care Payment Advice 004010X091A1 Free USD
(837) Health Care Claim: Institutional 004010X096A1 Free USD
(834) Benefit Enrollment and Maintenance 004010X095A Free USD
(277) Health Care Claim Status Notification 004010X093A1 Free USD
(276) Health Care Claim Status Notification 004010X093A1 Free USD

EDI Implementation Guides can be purchased at The Washington Publishing Company www.wpc-edi.com