HIPAA X12 to FHIR Conversion Package.
Production-grade HIPAA X12 to FHIR R4 conversion package for on-premises and API deployments. Claims, remittance, eligibility, claim status, enrollment, and premium payment.
Runs on the AnyToAny Engine. 40-200ms processing. FHIR Provenance included for audit traceability.
Want to see input/output? Convert X12 to FHIR with sample data (no PHI).
CMS-0057-F compliance deadline: January 1, 2027. For 278 Prior Authorization with Da Vinci PAS v2.1.0, see the CMS-0057-F Compliance Suite.
This production X12 to FHIR software is used by payers, TPAs, and clearinghouses to modernize legacy EDI into FHIR R4 APIs. Convert X12 837 claims, 835 remittance, 278 prior authorization, and five other transaction sets on-premises with sub-200ms latency.
Target FHIR R4 Resources
Every conversion produces a validated FHIR R4 Bundle with a Provenance resource for audit trail.
Supported HIPAA Transactions
837 Claims (P/I/D)
- 837 Professional to FHIR Claim Bundle
- 837 Institutional to FHIR Claim Bundle
- 837 Dental to FHIR Claim Bundle
- Provenance included for audit trail
835 Payment/Remittance
- 835 to FHIR ExplanationOfBenefit
- 835 to PaymentReconciliation
- Line-level detail preservation
270/271 Eligibility
- 270 to CoverageEligibilityRequest
- 271 to CoverageEligibilityResponse
- Coverage resource generation
276/277 Claim Status
- 276/277 to FHIR claim status resources
- Configurable mapping (Claim/ClaimResponse)
- Real-time status tracking
834 Enrollment
- 834 to FHIR Coverage
- Member enrollment/disenrollment
- Dependent and subscriber handling
820 Premium Payment
- 820 to FHIR payment resources
- PaymentNotice/PaymentReconciliation
- Remittance detail preservation
Want to see real input and output? Convert X12 to FHIR with sample data (no PHI). Or explore the full Live Sandbox.
Performance Benchmarks
Designed for real-time API use cases. Benchmark latencies compatible with healthcare integration workflows.
| Transaction | Avg Time | Throughput |
|---|---|---|
| 270/271 Eligibility | 40-60ms | 1,500+/sec |
| 837 Claims | 80-150ms | 800+/sec |
| 835 Remittance | 100-200ms | 600+/sec |
| 276/277, 834, 820 | 50-100ms | 1,000+/sec |
Don't have X12 278 infrastructure? Use the RMap Module to generate Da Vinci PAS FHIR bundles directly from a simple CSV format. Same compliance output, simpler implementation.
Licensing
AnyToAny Engine
Required. Core conversion engine providing the single-pass architecture, IFD/OFD processing, and runtime environment.
HIPAA X12 to FHIR Package
This package. 837, 835, 270/271, 276/277, 834, 820 to FHIR R4 conversion with Provenance.
RMap Module
Alternative. Skip X12 complexity. Generate Da Vinci PAS FHIR bundles from CSV -- same compliance output, simpler implementation.
Modular pricing. The AnyToAny Engine is the core product required for all conversions. Each module is licensed separately based on your requirements. For 278 Prior Authorization, see the CMS-0057-F Compliance Suite.