X12 EDI Tools

A comprehensive Python library for working with X12 EDI (Electronic Data Interchange) files, commonly used in healthcare for claims processing, eligibility verification, and other administrative transactions.

Installation

Install the X12 EDI Tools library using pip:

pip install x12-edi-tools

Key Components

X12Parser

Parses X12 files into Python objects.

from x12_edi_tools.x12_parser import X12Parser

parser = X12Parser()
parsed_data = parser.parse("path/to/x12_file.edi")
print(parsed_data)

X12Generator

Generates X12 files from Python objects.

from x12_edi_tools.x12_generator import X12Generator

generator = X12Generator()
x12_content = generator.generate(data_dict)
with open("output.edi", "w") as f:
    f.write(x12_content)

X12Validator

Validates X12 files against standard formats and custom rules.

from x12_edi_tools.x_12_validator import X12Validator

validator = X12Validator()
is_valid, errors = validator.validate("path/to/x12_file.edi")
if not is_valid:
    print("Validation errors:", errors)

DentalClaimProcessor

Processes dental claims (837D transactions).

from x12_edi_tools.dental_claim_processor import DentalClaimProcessor

processor = DentalClaimProcessor()
claims = processor.process("path/to/837D_file.edi")
for claim in claims:
    print(f"Claim ID: {claim.claim_id}, Patient: {claim.patient_name}")

EligibilityChecker

Handles eligibility inquiries and responses (270/271 transactions).

from x12_edi_tools.eligibility_checker import EligibilityChecker

checker = EligibilityChecker()
request = checker.create_270_request(patient_data)
response = checker.process_271_response(response_data)
print(f"Patient eligible: {response.is_eligible}")

RemittanceAdviceParser

Parses remittance advice (835) transactions.

from x12_edi_tools.remittance_advise_parser import RemittanceAdviceParser

parser = RemittanceAdviceParser()
remittance = parser.parse("path/to/835_file.edi")
print(f"Total paid: ${remittance.total_paid}")

X12Converter

Converts X12 data to and from other formats like JSON and CSV.

from x12_edi_tools.x_12_converter import X12Converter

converter = X12Converter()
json_data = converter.to_json("path/to/x12_file.edi")
csv_data = converter.to_csv("path/to/x12_file.edi")

X12Encryptor

Encrypts and decrypts X12 data for secure transmission and storage.

from x12_edi_tools.x_12_encryptor import X12Encryptor

encryptor = X12Encryptor("your-secret-key")
encrypted_data = encryptor.encrypt("path/to/x12_file.edi")
decrypted_data = encryptor.decrypt(encrypted_data)

X12DatabaseIntegrator

Facilitates integration of X12 data with databases.

from x12_edi_tools.x_12_database_integrator import X12DatabaseIntegrator

integrator = X12DatabaseIntegrator("database_connection_string")
integrator.store_transaction("path/to/x12_file.edi")
transactions = integrator.retrieve_transactions(date_range)

X12Logger

Provides detailed logging of X12 operations for auditing and troubleshooting.

from x12_edi_tools.x_12_logger import X12Logger

logger = X12Logger("path/to/log/directory")
logger.log_parse("837", "path/to/837_file.edi", parse_result)
logger.log_generate("835", "path/to/835_file.edi", generation_data)

Contributing

Contributions are welcome! Please feel free to submit a Pull Request.

Contact

Don Johnson - dj@codetestcode.io

Project Link: https://github.com/donjohnson/x12-edi-tools