141Product Service Claim Response

This Draft Standard for Trial Use contains the format and establishes the data contents of the Product Service Claim Response Transaction Set (141) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to transmit the status of a product service claim and the items accepted and rejected for payment from the product service claim. Each product service claim submission could have represented the repair of several individual products and each pair could have consisted of several repair actions involving parts and labor.

  • ST
    Transaction Set Header
    M必须(Mandatory)
    Repeat 1

    To indicate the start of a transaction set and to assign a control number

  • BGN
    Beginning Segment
    M必须(Mandatory)
    Repeat 1

    To indicate the beginning of a transaction set.

  • QTY
    Quantity
    O可选(Optional)
    Repeat 3

    To specify quantity information.

  • N9
    Reference Number
    O可选(Optional)
    Repeat > 1

    To transmit identifying numbers and descriptive information as specified by the reference number qualifier

  • N1Loop1Name LOOPM必须(Mandatory)Repeat 2
    N1N2N3N4REFPER
    • N1
      Name
      M必须(Mandatory)
      Repeat 1

      To identify a party by type of organization, name and code

    • N2
      Additional Name Information
      O可选(Optional)
      Repeat 2

      To specify additional names or those longer than 35 characters in length

    • N3
      Address Information
      O可选(Optional)
      Repeat 4

      To specify the location of the named party

    • N4
      Geographic Location
      O可选(Optional)
      Repeat 1

      To specify the geographic place of the named party

    • REF
      Reference Numbers
      O可选(Optional)
      Repeat 2

      To specify identifying numbers.

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat 2

      To identify a person or office to whom administrative communications should be directed

  • LXLoop1Assigned Number LOOPM必须(Mandatory)Repeat > 1
    LXREFPCSDTMMSGAMT
    • LX
      Assigned Number
      M必须(Mandatory)
      Repeat 1

      To reference a line number in a transaction set.

    • REF
      Reference Numbers
      M必须(Mandatory)
      Repeat 8

      To specify identifying numbers.

    • PCS
      Product Claim Status
      O可选(Optional)
      Repeat 1

      To convey the status of a product service claim or claims or to supply adjustment reason codes and amounts as needed for an entire claim or for a particular item within the claim

    • DTM
      Date/Time Reference
      O可选(Optional)
      Repeat > 1

      To specify pertinent dates and times

    • MSG
      Message Text
      O可选(Optional)
      Repeat > 1

      To provide a free form format that would allow the transmission of text information.

    • AMT
      Monetary Amount
      O可选(Optional)
      Repeat 1

      To indicate the total monetary amount.

  • TDSLoop1Total Monetary Value Summary LOOPO可选(Optional)Repeat 1
    TDSCUR
    • TDS
      Total Monetary Value Summary
      M必须(Mandatory)
      Repeat 1

      To specify the total invoice discounts and amounts

    • CUR
      Currency
      O可选(Optional)
      Repeat 1

      To specify the currency (dollars, pounds, francs, etc.) used in a transaction

  • SE
    Transaction Set Trailer
    M必须(Mandatory)
    Repeat 1

    To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments).

Segment
X12 EDI Release 00303
To indicate the start of a transaction set and to assign a control number
Elements
  • ST01143Transaction Set Identifier Code
    ID
    M必须(Mandatory)
    Min 3 / Max 3

    Code uniquely identifying a Transaction Set.

    Codes (320)
  • ST02329Transaction Set Control Number
    AN
    M必须(Mandatory)
    Min 4 / Max 9

    Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

  • ST031705Implementation Convention Preference
    AN
    O可选(Optional)
    Min 1 / Max 9