X12 837 Claim Summary
CLM01/CLM02, HI diagnoses, SV1/SV2/SV3 lines, DTP*472 dates; line charges must sum to CLM02.
Clinical safety notice: Zero real patient data (PHI/PII) may be entered into this browser utility. Use synthetic test payloads only. Local-first deterministic processing; nothing leaves your browser.
How it works
Delimiters come from the 106-character ISA. Each CLM opens a claim (CLM01 patient control number, CLM02 total charge, CLM05-1 place of service or bill type). HI composites become qualifier:code diagnoses. SV1 (professional: SV101 procedure, SV102 charge, SV104 units), SV2 (institutional: SV201 revenue code, SV202 procedure, SV203 charge, SV205 units) and SV3 (dental: SV301 procedure, SV302 charge) become service lines; DTP*472 sets the line service date. Amounts are compared in integer cents: the sum of line charges must equal CLM02. A claim with no service lines is an error; a claim with no HI is a warning. ST01 must be 837 and SE01 must equal the ST to SE segment count. The format is read from ST03 (X222 professional, X223 institutional, X224 dental).
Operational disclaimer. Results reflect deterministic parsing of user-provided datasets; verify against institutional standards and regulatory frameworks.
Deterministic local--first client-side execution; data transmission is zero. Provided as-is without warranty under the 1% value-saved licensing model.