pyx12 4.0.0rc5

HIPAA X12 validator, parser and converter

Pyx12

Pyx12 is a HIPAA X12 document parser, validator and converter. It reads an ANSI X12 data file and validates it against a representation of the X12 Implementation Guidelines. By default, it creates a 997 response for 4010 and a 999 response for 5010. It can create an HTML representation of the X12 document and can translate to and from an XML representation of the data file.

Usage

As a command line X12 validator

x12valid.exe <filename>

Fixes common X12 structural errors. Can add or remove line breaks. Can fix loop and segment counting.

x12norm.exe --fix --eol <filename>

Code Examples

Iterate over a loop.  Alter children. Show changes

    src = pyx12.x12context.X12ContextReader(param, errh, fd_in)
    for datatree in src.iter_segments('2300'):
        # do something with a 2300 claim loop
        # we have access to the 2300 loop and all its children
        for loop2400 in datatree.select('2400'):
            print(loop2400.get_value('SV101'))
            # update something
            loop2400.set_value('SV102', 'xx')
            # delete something
            if loop2400.exists('PWK'):
                loop2400.delete('PWK')
        # iterate over all the child segments
        for seg_node in datatree.iterate_segments():
            print(seg_node.format())

Install

uv pip install pyx12

Contributing

The most useful contributions are new implementation-guide maps — either upgrading an existing 4010 map to its 5010 counterpart, or adding support for an X12 transaction pyx12 doesn't yet cover. Pyx12's design already handles the engine; the bottleneck is map coverage.

Where the maps live

XML maps live under pyx12/map/, one file per (transaction, version) pair, named like <transaction>.<version>.<X-number>[.A<n>].xml — e.g. 834.4010.X095.A1.xml, 837.5010.X222.A1.xml. The index that pyx12 consults at runtime is pyx12/map/maps.xml; each entry binds a (vriic, fic[, tspc]) triple to a map filename:

Name	Abbreviation	X12 Element
Interchange Control Version Number	ICVN	ISA12
Version / Release / Industry Identifier Code	VRIIC	GS08
Functional Identifier Code	FIC	GS01
Transaction Set Purpose Code (used only for 278)	TSPC	BHT02

Converting a 4010 map to 5010

Several 4010 maps don't yet have 5010 siblings — the candidates are listed in the commented-out block in maps.xml (270/271 eligibility, 276/277 claim status, 277U, 278 services review, 837D dental, 841). To add one:

1. Get the 5010 implementation guide for the transaction from X12.org or its HIPAA companion guide.

2. Copy the existing 4010 map as a starting point — cp pyx12/map/270.4010.X092.A1.xml pyx12/map/270.5010.X279.A1.xml (the X-number changes between versions).

3. Walk the IG diff and apply structural changes: new loops, new segments, renamed elements, added or removed code values, changed usage flags, changed max_use, changed repeat, changed syntax rules. The 834.4010 ↔ 834.5010 pair is a good reference for the typical scope of changes.

4. Update the <valid_codes> lists from the 5010 code list. Many external-code references (<external>) stay pointed at the same bundled list in codes.xml but the lists themselves may need refreshing — see the commit history for codes.xml for the pattern.

5. Register the new file under the <version icvn="00501"> block in maps.xml:

   <map vriic="005010X279A1" fic="HS" abbr="270">270.5010.X279.A1.xml</map>
   

6. Add a fixture and a test. Tests live under pyx12/test/; the simplest pattern is a test_x12n_document.py entry that runs x12n_document against a sample file from the IG and compares the 997/999 output, or a focused test_map_if_load.py entry that just confirms the map parses cleanly.

Adding a new X12 IG

The same shape applies — pyx12 is HIPAA-focused but the map engine is transaction-agnostic. Drop a new XML map into pyx12/map/, register it in maps.xml with the right (icvn, vriic, fic[, tspc]), and you're in. If the transaction uses code lists that aren't already bundled, add them under <codeset> blocks in codes.xml and reference them from your map's <external> elements.

Running the project

# Set up the dev environment
uv sync --extra dev

# Tests
uv run pytest

# Type check
uv run mypy

# Format & sort imports
uv run ruff format pyx12/
uv run ruff check --select I --fix pyx12/

A green pytest and mypy --strict run is required for CI to pass. PRs welcome via github.com/azoner/pyx12.

Licensing

Pyx12 uses a BSD license. The full license text is included with the source code for the package.