Dataset Viewer
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edi_string
string
transaction_type
string
compliance_status
string
violation_types
list
critical_issues
list
review_flags
list
evidence_chain
list
dimension_results
string
description
string
rule_citations
list
claim_parsed
string
source
string
source_url
string
pyx12_valid
bool
pyx12_exit_code
int64
pyx12_errors
string
disagreement_note
string
human_verified
bool
verification_note
string
example_id
string
split
string
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002009*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2009*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002009*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19540124*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2009~ IEA*1*000002009~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19540124", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19540124"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19540124"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0001
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002010*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2010*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002010*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19710405*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2010~ IEA*1*000002010~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19710405", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19710405"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19710405"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0002
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002011*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2011*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002011*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19511014*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2011~ IEA*1*000002011~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19511014", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19511014"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19511014"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0003
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002012*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2012*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002012*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19430207*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2012~ IEA*1*000002012~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19430207", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19430207"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19430207"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0004
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002013*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2013*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002013*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*20041001*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2013~ IEA*1*000002013~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:20041001", "No clinical codes — N/A", "entity_id:'IN'", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:20041001"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "20041001"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0005
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002014*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2014*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002014*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19651221*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2014~ IEA*1*000002014~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19651221", "No clinical codes — N/A", "entity_id:'IN'", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19651221"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19651221"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0006
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002015*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2015*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002015*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19930415*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2015~ IEA*1*000002015~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19930415", "No clinical codes — N/A", "entity_id:'IN'", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19930415"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19930415"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0007
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002016*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2016*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002016*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19750125*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2016~ IEA*1*000002016~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19750125", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19750125"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19750125"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0008
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002017*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2017*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002017*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19940609*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2017~ IEA*1*000002017~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19940609", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19940609"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19940609"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0009
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002018*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2018*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002018*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19670604*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2018~ IEA*1*000002018~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19670604", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19670604"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19670604"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0010
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002019*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2019*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002019*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19880212*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2019~ IEA*1*000002019~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19880212", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19880212"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19880212"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0011
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002020*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2020*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002020*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19730124*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2020~ IEA*1*000002020~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19730124", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19730124"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19730124"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0012
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002021*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2021*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002021*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19550703*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2021~ IEA*1*000002021~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19550703", "No clinical codes — N/A", "entity_id:'IN'", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19550703"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19550703"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0013
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002022*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2022*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002022*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19771120*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2022~ IEA*1*000002022~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19771120", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19771120"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19771120"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0014
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002023*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2023*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002023*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19641203*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2023~ IEA*1*000002023~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19641203", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19641203"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19641203"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0015
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002024*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2024*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002024*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19690503*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2024~ IEA*1*000002024~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19690503", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19690503"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19690503"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0016
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002025*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2025*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002025*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19520709*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2025~ IEA*1*000002025~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19520709", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19520709"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19520709"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0017
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002026*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2026*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002026*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19860312*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2026~ IEA*1*000002026~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19860312", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19860312"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19860312"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0018
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002027*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2027*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002027*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19661109*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2027~ IEA*1*000002027~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19661109", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19661109"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19661109"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0019
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002028*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2028*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002028*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19610924*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2028~ IEA*1*000002028~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19610924", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19610924"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19610924"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0020
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002029*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2029*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002029*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19600813*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2029~ IEA*1*000002029~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19600813", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19600813"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19600813"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0021
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002030*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2030*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002030*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19681111*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2030~ IEA*1*000002030~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19681111", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19681111"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19681111"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0022
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002031*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2031*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002031*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19690126*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2031~ IEA*1*000002031~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19690126", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19690126"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19690126"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0023
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002032*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2032*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002032*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19910503*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2032~ IEA*1*000002032~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19910503", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19910503"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19910503"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0024
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002033*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2033*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002033*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19800421*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2033~ IEA*1*000002033~
834
COMPLIANT
[]
[]
[]
[ "patient.dob:19800421", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19800421"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
Valid 834 — all dimensions pass
[ "005010X220A1", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19800421"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
pyx12=invalid, engine=COMPLIANT: structural error detected by pyx12 but not engine (investigate)
false
HIPAA-EDI-SYN-0025
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002034*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2034*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002034*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*99999999*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2034~ IEA*1*000002034~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '99999999' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:99999999", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '99999999' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:99999999"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "99999999"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0026
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002035*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2035*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002035*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00000000*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2035~ IEA*1*000002035~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00000000' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00000000", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00000000' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00000000"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00000000"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0027
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002036*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2036*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002036*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00000000*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2036~ IEA*1*000002036~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00000000' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00000000", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00000000' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00000000"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00000000"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0028
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002037*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2037*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002037*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2037~ IEA*1*000002037~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0029
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002038*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2038*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002038*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2038~ IEA*1*000002038~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0030
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002039*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2039*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002039*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2039~ IEA*1*000002039~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0031
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002040*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2040*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002040*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*99999999*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2040~ IEA*1*000002040~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '99999999' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:99999999", "No clinical codes — N/A", "entity_id:'IN'", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '99999999' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:99999999"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "99999999"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0032
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002041*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2041*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002041*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*99999999*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2041~ IEA*1*000002041~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '99999999' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:99999999", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '99999999' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:99999999"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "99999999"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0033
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002042*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2042*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002042*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00000000*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2042~ IEA*1*000002042~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00000000' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00000000", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00000000' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00000000"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00000000"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0034
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002043*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2043*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002043*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2043~ IEA*1*000002043~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0035
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002044*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2044*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002044*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00000000*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2044~ IEA*1*000002044~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00000000' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00000000", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00000000' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00000000"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00000000"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0036
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002045*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2045*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002045*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00000000*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2045~ IEA*1*000002045~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00000000' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00000000", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00000000' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00000000"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00000000"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0037
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002046*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2046*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002046*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2046~ IEA*1*000002046~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0038
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002047*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2047*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002047*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2047~ IEA*1*000002047~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0039
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002048*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2048*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002048*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2048~ IEA*1*000002048~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0040
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002049*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2049*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002049*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*99999999*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2049~ IEA*1*000002049~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '99999999' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:99999999", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '99999999' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:99999999"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "99999999"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0041
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002050*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2050*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002050*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2050~ IEA*1*000002050~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0042
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002051*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2051*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002051*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2051~ IEA*1*000002051~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0043
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002052*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2052*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002052*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2052~ IEA*1*000002052~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0044
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002053*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2053*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002053*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*00010101*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2053~ IEA*1*000002053~
834
NON_COMPLIANT
[ "sentinel_dob" ]
[ "DOB '00010101' is sentinel/placeholder. PHI integrity violation." ]
[]
[ "patient.dob:00010101", "No clinical codes — N/A", "entity_id:'IN'", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "FAIL", "reason": "DOB '00010101' is sentinel/placeholder. PHI integrity violation.", "evidence": ["patient.dob:00010101"], "rule_ref": "005010X220A1 DMG", "violation_type": "sentinel_dob"}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 sentinel DOB (00000000/99999999) — PHI integrity violation
[ "005010X220A1 DMG", "45 CFR 164.514(b)" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "00010101"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0045
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002054*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2054*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002054*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*85*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19741111*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2054~ IEA*1*000002054~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19741111", "No clinical codes — N/A", "entity_id: '85'", "Expected: 'IN' per 005010X220A1", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19741111"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: '85'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "85"}}, "INS": {"present": true}}, "patient": {"dob": "19741111"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0046
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002055*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2055*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002055*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*GP*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19950315*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2055~ IEA*1*000002055~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19950315", "No clinical codes — N/A", "entity_id: 'GP'", "Expected: 'IN' per 005010X220A1", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19950315"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'GP'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "GP"}}, "INS": {"present": true}}, "patient": {"dob": "19950315"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0047
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002056*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2056*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002056*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*PE*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19730925*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2056~ IEA*1*000002056~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19730925", "No clinical codes — N/A", "entity_id: 'PE'", "Expected: 'IN' per 005010X220A1", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19730925"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'PE'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "PE"}}, "INS": {"present": true}}, "patient": {"dob": "19730925"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0048
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002057*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2057*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002057*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*PE*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19531110*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2057~ IEA*1*000002057~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19531110", "No clinical codes — N/A", "entity_id: 'PE'", "Expected: 'IN' per 005010X220A1", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19531110"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'PE'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "PE"}}, "INS": {"present": true}}, "patient": {"dob": "19531110"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0049
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002058*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2058*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002058*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*PE*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19650312*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2058~ IEA*1*000002058~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19650312", "No clinical codes — N/A", "entity_id: 'PE'", "Expected: 'IN' per 005010X220A1", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19650312"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'PE'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "PE"}}, "INS": {"present": true}}, "patient": {"dob": "19650312"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0050
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002059*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2059*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002059*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*XX*AETNA HEALTH INC*XV*1556677889~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19401011*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2059~ IEA*1*000002059~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19401011", "No clinical codes — N/A", "entity_id: 'XX'", "Expected: 'IN' per 005010X220A1", "npi:1556677889", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19401011"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'XX'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1556677889 verified ACTIVE.", "evidence": ["npi:1556677889"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "XX"}}, "INS": {"present": true}}, "patient": {"dob": "19401011"}, "provider": {"npi": "1556677889"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0051
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002060*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2060*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002060*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*PR*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19540627*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2060~ IEA*1*000002060~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19540627", "No clinical codes — N/A", "entity_id: 'PR'", "Expected: 'IN' per 005010X220A1", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19540627"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'PR'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "PR"}}, "INS": {"present": true}}, "patient": {"dob": "19540627"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0052
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002061*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2061*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002061*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*XX*AETNA HEALTH INC*XV*1497758544~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19470419*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2061~ IEA*1*000002061~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19470419", "No clinical codes — N/A", "entity_id: 'XX'", "Expected: 'IN' per 005010X220A1", "npi:1497758544", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19470419"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'XX'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1497758544 verified ACTIVE.", "evidence": ["npi:1497758544"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "XX"}}, "INS": {"present": true}}, "patient": {"dob": "19470419"}, "provider": {"npi": "1497758544"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0053
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002062*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2062*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002062*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*PR*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*20020225*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2062~ IEA*1*000002062~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:20020225", "No clinical codes — N/A", "entity_id: 'PR'", "Expected: 'IN' per 005010X220A1", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:20020225"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'PR'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "PR"}}, "INS": {"present": true}}, "patient": {"dob": "20020225"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0054
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002063*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2063*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002063*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*PR*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19561116*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2063~ IEA*1*000002063~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19561116", "No clinical codes — N/A", "entity_id: 'PR'", "Expected: 'IN' per 005010X220A1", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19561116"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'PR'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "PR"}}, "INS": {"present": true}}, "patient": {"dob": "19561116"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0055
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002064*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2064*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002064*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IL*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19730928*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2064~ IEA*1*000002064~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19730928", "No clinical codes — N/A", "entity_id: 'IL'", "Expected: 'IN' per 005010X220A1", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19730928"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'IL'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IL"}}, "INS": {"present": true}}, "patient": {"dob": "19730928"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0056
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002065*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2065*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002065*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*GP*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19670925*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2065~ IEA*1*000002065~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19670925", "No clinical codes — N/A", "entity_id: 'GP'", "Expected: 'IN' per 005010X220A1", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19670925"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'GP'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "GP"}}, "INS": {"present": true}}, "patient": {"dob": "19670925"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0057
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002066*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2066*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002066*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IL*AETNA HEALTH INC*XV*1112223334~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19790722*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2066~ IEA*1*000002066~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19790722", "No clinical codes — N/A", "entity_id: 'IL'", "Expected: 'IN' per 005010X220A1", "npi:1112223334", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19790722"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'IL'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1112223334 verified ACTIVE.", "evidence": ["npi:1112223334"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IL"}}, "INS": {"present": true}}, "patient": {"dob": "19790722"}, "provider": {"npi": "1112223334"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0058
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002067*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2067*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002067*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*XX*AETNA HEALTH INC*XV*1234567890~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19970208*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2067~ IEA*1*000002067~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19970208", "No clinical codes — N/A", "entity_id: 'XX'", "Expected: 'IN' per 005010X220A1", "npi:1234567890", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19970208"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'XX'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1234567890 verified ACTIVE.", "evidence": ["npi:1234567890"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "XX"}}, "INS": {"present": true}}, "patient": {"dob": "19970208"}, "provider": {"npi": "1234567890"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0059
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002068*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2068*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002068*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*PR*AETNA HEALTH INC*XV*1023456789~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19830119*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2068~ IEA*1*000002068~
834
NON_COMPLIANT
[ "missing_n1_payer" ]
[ "Loop 1000B N1*IN missing or has wrong entity ID." ]
[]
[ "patient.dob:19830119", "No clinical codes — N/A", "entity_id: 'PR'", "Expected: 'IN' per 005010X220A1", "npi:1023456789", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19830119"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "FAIL", "reason": "Loop 1000B N1*IN missing or has wrong entity ID.", "evidence": ["entity_id: 'PR'", "Expected: 'IN' per 005010X220A1"], "rule_ref": "005010X220A1 \u00a72.1.4", "violation_type": "missing_n1_payer"}, {"dimension": "Provider_Verification", "status": "PASS", "reason": "NPI 1023456789 verified ACTIVE.", "evidence": ["npi:1023456789"], "rule_ref": "", "violation_type": ""}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 wrong N1 entity ID — payer loop invalid
[ "005010X220A1 §2.1.4" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "PR"}}, "INS": {"present": true}}, "patient": {"dob": "19830119"}, "provider": {"npi": "1023456789"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0060
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002069*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2069*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002069*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*9999999999~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19680103*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2069~ IEA*1*000002069~
834
REVIEW_REQUIRED
[ "unknown_npi" ]
[]
[ "NPI 9999999999 not found in provider registry." ]
[ "patient.dob:19680103", "No clinical codes — N/A", "entity_id:'IN'", "npi:9999999999", "registry: 0 results", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19680103"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "REVIEW", "reason": "NPI 9999999999 not found in provider registry.", "evidence": ["npi:9999999999", "registry: 0 results"], "rule_ref": "NPPES 45 CFR 162.408", "violation_type": "unknown_npi"}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 NPI not found in provider registry — REVIEW required
[ "NPPES 45 CFR 162.408" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19680103"}, "provider": {"npi": "9999999999"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0061
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002070*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2070*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002070*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*9111222333~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19690202*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2070~ IEA*1*000002070~
834
REVIEW_REQUIRED
[ "unknown_npi" ]
[]
[ "NPI 9111222333 not found in provider registry." ]
[ "patient.dob:19690202", "No clinical codes — N/A", "entity_id:'IN'", "npi:9111222333", "registry: 0 results", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19690202"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "REVIEW", "reason": "NPI 9111222333 not found in provider registry.", "evidence": ["npi:9111222333", "registry: 0 results"], "rule_ref": "NPPES 45 CFR 162.408", "violation_type": "unknown_npi"}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 NPI not found in provider registry — REVIEW required
[ "NPPES 45 CFR 162.408" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19690202"}, "provider": {"npi": "9111222333"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0062
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002071*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2071*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002071*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*9111222333~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19490908*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2071~ IEA*1*000002071~
834
REVIEW_REQUIRED
[ "unknown_npi" ]
[]
[ "NPI 9111222333 not found in provider registry." ]
[ "patient.dob:19490908", "No clinical codes — N/A", "entity_id:'IN'", "npi:9111222333", "registry: 0 results", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19490908"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "REVIEW", "reason": "NPI 9111222333 not found in provider registry.", "evidence": ["npi:9111222333", "registry: 0 results"], "rule_ref": "NPPES 45 CFR 162.408", "violation_type": "unknown_npi"}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 NPI not found in provider registry — REVIEW required
[ "NPPES 45 CFR 162.408" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19490908"}, "provider": {"npi": "9111222333"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0063
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002072*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2072*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002072*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*9876543210~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*20020418*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2072~ IEA*1*000002072~
834
REVIEW_REQUIRED
[ "unknown_npi" ]
[]
[ "NPI 9876543210 not found in provider registry." ]
[ "patient.dob:20020418", "No clinical codes — N/A", "entity_id:'IN'", "npi:9876543210", "registry: 0 results", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:20020418"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "REVIEW", "reason": "NPI 9876543210 not found in provider registry.", "evidence": ["npi:9876543210", "registry: 0 results"], "rule_ref": "NPPES 45 CFR 162.408", "violation_type": "unknown_npi"}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 NPI not found in provider registry — REVIEW required
[ "NPPES 45 CFR 162.408" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "20020418"}, "provider": {"npi": "9876543210"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0064
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002073*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2073*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002073*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*9000111222~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*20000426*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2073~ IEA*1*000002073~
834
REVIEW_REQUIRED
[ "unknown_npi" ]
[]
[ "NPI 9000111222 not found in provider registry." ]
[ "patient.dob:20000426", "No clinical codes — N/A", "entity_id:'IN'", "npi:9000111222", "registry: 0 results", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:20000426"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "REVIEW", "reason": "NPI 9000111222 not found in provider registry.", "evidence": ["npi:9000111222", "registry: 0 results"], "rule_ref": "NPPES 45 CFR 162.408", "violation_type": "unknown_npi"}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 NPI not found in provider registry — REVIEW required
[ "NPPES 45 CFR 162.408" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "20000426"}, "provider": {"npi": "9000111222"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0065
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002074*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2074*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002074*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*9999999999~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19920404*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2074~ IEA*1*000002074~
834
REVIEW_REQUIRED
[ "unknown_npi" ]
[]
[ "NPI 9999999999 not found in provider registry." ]
[ "patient.dob:19920404", "No clinical codes — N/A", "entity_id:'IN'", "npi:9999999999", "registry: 0 results", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19920404"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "REVIEW", "reason": "NPI 9999999999 not found in provider registry.", "evidence": ["npi:9999999999", "registry: 0 results"], "rule_ref": "NPPES 45 CFR 162.408", "violation_type": "unknown_npi"}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 NPI not found in provider registry — REVIEW required
[ "NPPES 45 CFR 162.408" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19920404"}, "provider": {"npi": "9999999999"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0066
train
ISA*00* *00* *ZZ*EMPLOYER01 *ZZ*AETNA01 *260315*1200*^*00501*000002075*0*P*:~~ GS*BE*EMPLOYER01*AETNA01*20260315*1200*2075*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*000002075*20260315*1200***2~ N1*P5*EMPLOYER01 CORPORATION*FI*999888777~ N1*IN*AETNA HEALTH INC*XV*9000111222~ INS*Y*18*030*XN*A*E**FT~ NM1*IL*1*SMITH*JOHN*A***34*123456789~ DMG*D8*19950614*M~ REF*0F*123456789~ SE*9*0001~ GE*1*2075~ IEA*1*000002075~
834
REVIEW_REQUIRED
[ "unknown_npi" ]
[]
[ "NPI 9000111222 not found in provider registry." ]
[ "patient.dob:19950614", "No clinical codes — N/A", "entity_id:'IN'", "npi:9000111222", "registry: 0 results", "All control numbers match", "Segment counts correct" ]
[{"dimension": "Demographics", "status": "PASS", "reason": "DOB valid.", "evidence": ["patient.dob:19950614"], "rule_ref": "", "violation_type": ""}, {"dimension": "Coding_and_Billing", "status": "PASS", "reason": "All clinical codes valid.", "evidence": ["No clinical codes \u2014 N/A"], "rule_ref": "", "violation_type": ""}, {"dimension": "Transaction_Loops", "status": "PASS", "reason": "834 N1*IN validated.", "evidence": ["entity_id:'IN'"], "rule_ref": "", "violation_type": ""}, {"dimension": "Provider_Verification", "status": "REVIEW", "reason": "NPI 9000111222 not found in provider registry.", "evidence": ["npi:9000111222", "registry: 0 results"], "rule_ref": "NPPES 45 CFR 162.408", "violation_type": "unknown_npi"}, {"dimension": "Envelope_Validation", "status": "PASS", "reason": "X12 envelope valid (ISA/IEA, GS/GE, ST/SE, SE01).", "evidence": ["All control numbers match", "Segment counts correct"], "rule_ref": "X12 5010 envelope rules", "violation_type": ""}]
834 NPI not found in provider registry — REVIEW required
[ "NPPES 45 CFR 162.408" ]
{"transaction_type": "834", "loops": {"1000B": {"N1": {"entity_id": "IN"}}, "INS": {"present": true}}, "patient": {"dob": "19950614"}, "provider": {"npi": "9000111222"}, "clinical": {}}
synthetic
false
1
Traceback (most recent call last): File "/usr/local/bin/x12valid", line 8, in <module> sys.exit(main()) ^^^^^^ File "/usr/local/lib/python3.12/dist-packages/pyx12/scripts/x12valid.py", line 90, in main if args.verbose > 0: ^^^^^^^^^^^^^^^^ TypeError: '>' not supported between instances of 'NoneType' and 'int'
false
HIPAA-EDI-SYN-0067
train
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HIPAA EDI Compliance Evaluation Dataset

The first open-source labeled benchmark for HIPAA X12 EDI business-rule compliance.

205 labeled examples | 5 from real government sources (eMedNY) | 200 synthetic | pyx12 cross-validated (0% structural valid) | 40 human-verified | 409,155 CMS NCCI edits loaded

Why this is the first

No labeled EDI compliance benchmark existed before this. Existing tools:

Tool What it does Gap
pyx12 Validates X12 structural syntax No business rule labels
CMS test files Sample EDI transactions No compliance verdicts
eMedNY samples Real Medicaid EDI No structured labels
This dataset All of the above + labeled verdicts First of its kind

Schema

Field Description
example_id HIPAA-EDI-SYN-NNNN or HIPAA-EDI-GOV-NNNN
edi_string Raw X12 5010 EDI string
transaction_type 834 / 837P / 820
compliance_status COMPLIANT / NON_COMPLIANT / REVIEW_REQUIRED
violation_types Specific violation labels (list)
critical_issues FAIL-level findings (list)
review_flags REVIEW-level findings (list)
evidence_chain Field values that triggered rules (list)
dimension_results JSON — per-dimension verdict + rule_ref
rule_citations CFR sections and X12 spec citations
source synthetic / emedny_gov / emedny_gov_fallback
source_url Source URL for government examples
pyx12_valid bool — pyx12 structural validation result
pyx12_errors pyx12 error messages
disagreement_note Documents pyx12 vs engine disagreements
human_verified True = manually reviewed by author
narrative LLM audit narrative (Nanbeige4.1-3B)

Violation types

Label Count Rule
sentinel_dob 30 005010X220A1 DMG — 00000000 not a valid date
missing_n1_payer 19 005010X220A1 §2.1.4
unknown_npi 10 NPPES 45 CFR 162.408
invalid_code 17 ICD-10-CM; CPT range table
duplicate_cpt_fraud 10 OIG Work Plan; FCA
ncci_unbundling 10 CMS NCCI PTP edits v321r0 (409K pairs)
dx_procedure_mismatch 12 CMS LCD — clinical plausibility
timely_filing_violation 11 Medicare Claims Manual Ch.1 §70
invalid_pos_code 0 CMS POS Code Set
missing_bpr_820 10 005010X218 §2.1
envelope_violation 16 X12 5010 ISA/IEA, GS/GE, ST/SE
malformed_dob 4 X12 D8 format
missing_dob 5 005010X220A1 DMG
multiple 0 Multiple simultaneous violations
inactive_npi 0 45 CFR 162.412
missing_npi 85 45 CFR 162.410

Limitations (honest)

Item Status
NPI verification Synthetic rule (starts with 9 = not found). Not real NPPES API.
Generated EDI Structurally valid X12 5010, not from real payers. No PHI.
Gov sources 5 eMedNY examples. No Availity or Change Healthcare files.
NCCI coverage Full v321r0 table (409K pairs). Modifier=1 pairs excluded (allowed with modifier).
Dx plausibility 5 ICD-10 prefix rules. Incomplete — clinical plausibility is complex.
Timely filing Medicare 12-month rule only. State Medicaid limits not covered.
Narratives Nanbeige4.1-3B (math fine-tuned, not HIPAA-specialized).
Self-benchmark Rule engine scores 100% on its own labels (by construction).

Usage

from datasets import load_dataset

ds = load_dataset("Agnivarcas/hipaa-edi-compliance-eval")

Benchmark any compliance engine

def my_engine(edi_string: str) -> str: # your implementation return "COMPLIANT" # or NON_COMPLIANT or REVIEW_REQUIRED

correct = sum(1 for ex in ds["test"] if my_engine(ex["edi_string"]) == ex["compliance_status"]) print(f"Accuracy: {correct}/{len(ds['test'])}")

Use only human-verified examples

verified = ds["test"].filter(lambda x: x["human_verified"])

Use only government source examples

gov = ds["test"].filter(lambda x: x["source"] == "emedny_gov")

Filter by violation type

ncci = ds["test"].filter(lambda x: "ncci_unbundling" in x["violation_types"])

Citation

bibtex @dataset{pandey2026hipaaedi, author = {Pandey, Adarsh Daksh}, title = {HIPAA EDI Compliance Evaluation Dataset}, year = {2026}, publisher = {HuggingFace}, url = {https://huggingface.co/datasets/Agnivarcas/hipaa-edi-compliance-eval} }

Author

Adarsh Daksh Pandey — Data Engineer + AI/ML
HuggingFace: Agnivarcas
GitHub: codebydaksh

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