EDI Validation Rules
Validation rules can be created or modified with EDI Rules Creator Studio.
The following 5010 and 4010 EDI validation rules are absolutely free in our 30 day trial download
5010 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 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