PilotFish EDI: Fast, Compliant X12 Interfaces with SNIP 1-7 Validation
PilotFish delivers comprehensive X12 EDI integration for healthcare, HIPAA/CMS regulatory compliance and supply chain requirements. Automated EDI interface configuration, validation, inline testing and drag & drop data mapping speed trading partner exchange and interoperability. Analysts can be used to configure and maintain interfaces, to reduce developer load. PilotFish’s modular architecture with unlimited scalability and flexibility future-proofs your investment.
Standards & formats: HL7, FHIR, XML, X12 EDI, JSON, CSV and flat files.
Compliance: SNIP 1–7 checks enforce integrity for inbound and outbound X12.
Scale: Modular architecture with horizontal scale for high-volume throughput.
Learn more about X12 EDI & SNIP validation.
PilotFish clients span Data Analytics companies, Revenue Cycle and Recovery Providers, Insurance Payers, Third-Party Administrators (TPAs), Clearinghouses, Health Information Exchanges (HIEs), Pharmacies, Pharmacy and Employee Benefit Managers (PBMs).
EDI Workflow Example of Clearinghouse Utilizing PilotFish Integration Platform
PilotFish provides a unified, automated approach to X12 EDI transaction processing. Key components of the PilotFish eiConsole IDE for X12 include: EDI Format Builder, validation processor, drag & drop data mapping and pre-built transformation maps for common use cases.
PilotFish, as a licensed distribution partner of X12, includes artifacts of the X12 standard as a component of the eiConsole for X12 EDI transactions. PilotFish offers External Code Set Maintenance on over 49 code sets (e.g., CPT, ICD-10, MUE) for simpler updates and validation.
How PilotFish Streamlines EDI Data Exchange Across Healthcare
Healthcare solution providers in virtually every area of healthcare benefit immediately from PilotFish’s robust approach to X12 EDI transaction processing: The most complex data mapping and data transformations can be accomplished in minutes, with no coding or scripting required.
Key PilotFish EDI Capabilities
- Ease-of-Use: The PilotFish graphical automated interface assembly line and visual point, click, drag & drop Data Mapper make EDI interface configuration easy and intuitive.
- Validation: PilotFish’s built-in rules-driven EDI SNIP Validation Processor and support for SNIP Types 1-7 ensure accurate data to meet required standards.
- EDI Format Builder: PilotFish includes an EDI Format Builder that loads a rich data dictionary for EDI transactions, includes field-level documentation and friendly field names.
- Data Mapping: PilotFish allows users to browse and search the hierarchy of any X12 EDI message during data mapping. Makes it easier to map data to the specific requirements of the endpoint system.
- Human Readable Text: PilotFish automatically converts any encountered compact-consistent code values into human-readable text. Makes it easier to read and understand the data.
- Scale: PilotFish can scale to interface large X12 transactions through parallelized batch processing – speeds up processing time, reduces the risk of errors.
- Reuse: PilotFish interface, workflow and component reusability allow building once for immense savings, reduced complexity and rapid implementations.
Quick Start: Users can import vendor-specific transaction samples to create a baseline for mapping. This allows faster, more straightforward data mapping to the specific requirements of the endpoint system.
PilotFish Trading Partner Management: Greater Efficiency, Accuracy and Control
PilotFish’s Trading Partner Management System (TPMS) simplifies EDI trading partner onboarding by providing a secure, browser-based interface for:
- managing configuration data
- generating X12-compliant envelopes
- maintaining audit trails
With advanced filtering, detailed logging and SNIP validation visibility, TPMS enhances transparency, reduces errors and accelerates time-to-value for both internal teams and external partners.
PilotFish eiConsole for X12 Technical Capabilities
Transports: AS2, SFTP, FTPS, HTTPS, MLLP, REST, SOAP, Kafka, JMS
Validation: SNIP 1–7, code set checks, TA1/999/277CA acknowledgments
Mapping: Visual map builder, XSLT under the hood, reusable fragments
DevOps: Docker images, Kubernetes-ready, externalized configs, Git-friendly
Security: TLS, cert management, RBAC, audit logs
PilotFish vs Edifecs, MuleSoft and TIBCO (at a glance)
Edifecs is a comprehensive healthcare-specific EDI solution offering advanced, complex data integration features. PilotFish’s solution is far more user-friendly, allowing for faster EDI interface creation with fewer steps. In practice, Edifecs is usually more expensive than PilotFish’s solution and calls for more technical expertise. See Edifecs vs PilotFish for why PilotFish beats Edifecs in EDI Integration, Cost and Speed.
Mulesoft is a general-purpose integration platform that offers a wide range of integration tools and features, including support for EDI transactions. Mulesoft’s EDI capabilities are provided through connectors and APIs that “allow” users to connect to different EDI systems and exchange EDI documents.
In contrast, PilotFish offers a unified, streamlined and automated approach to X12 EDI transaction processing. See MuleSoft vs PilotFish for a more detailed comparison of capabilities and value.
Tibco offers a comprehensive integration platform that includes EDI capabilities. However, Tibco can be more complex and costly than PilotFish’s solution. PilotFish is far more user-friendly, allowing for easy graphical data mapping and transformation without requiring coding or scripting. PilotFish provides much more complete and robust EDI validation and HIPAA EDI compliance checks with greater accuracy at every point than TIBCO—and it does it faster. PilotFish is a smaller cost of investment, feature-rich solution that can do anything (and more) than TIBCO does (and better), backed by a company that is totally focused on integration. See Tibco vs PilotFish for feature matrices and speed benchmarks.
Why PilotFish is the Only Data Integration Solution You Need for EDI and Beyond
- The PilotFish suite of integration products delivers low-friction onboarding, rapid iteration and reliable operations at scale.
- The marriage of PilotFish’s best-of-breed data transformation and mapping components with X12 standards artifacts results in seamless and efficient X12 standards integration.
- With PilotFish, users only need to learn and use one tool for all their integration needs, regardless of the data format or standard.
With PilotFish’s Any to Any Integration, no new platform is needed now or for future data types and use cases.
Resources and Quick Start
Learn more about PilotFish’s EDI tools and resources by clicking on the following links: Building an X12 EDI Interface in 10 Easy Steps, X12 EDI Data Mapping, X12 EDI Healthcare and HIPAA Transactions and X12 EDI Healthcare Supply Chain Transactions.
Take advantage of PilotFish’s eiConsole for X12 EDI by downloading a full, FREE 90-Day Trial Version of our software. With the eiConsole X12 EDI Quick Start Tutorial, users can complete an end-to-end interface in less than 20 minutes and get a real sense of the ease-of-use of PilotFish’s Interface Engine solutions.
FAQ
A comprehensive X12 EDI solution for healthcare and supply chain with SNIP 1–7 validation, automated configuration, testing and drag & drop mapping. Its modular design scales and future-proofs your investment.
Yes. Up to 90% of configurations can be done by non-technical staff using graphical tools, which cuts reliance on developers.
Any-to-any integration across HL7, FHIR, CDA, NCPDP, XML, JSON, CSV and flat files, etc. so no new platform is needed as needs evolve. See product specifications.
TPMS centralizes partner data, generates X12-compliant envelopes, maintains audit trails and exposes SNIP validation for faster, cleaner onboarding.
Automated updates and validation for 49+ code sets like CPT, ICD-10 and MUE to keep interfaces current and compliant. Learn more about External Code Set Maintenance.
If you’re curious about the software features, free trial, or even a demo – we’re ready to answer any and all questions. Please call 813 864 8662 or click the button.
HL7 is the registered trademark of Health Level Seven International.
X12, chartered by the American National Standards Institute for more than 35 years, develops and maintains EDI standards and XML schemas.