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255Insurance Underwriting Information Services

This Draft Standard for Trial Use contains the format and establishes the data contents of the Insurance Underwriting Information Services Transaction Set (255) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to request specific services from information providers in support of the insurance underwriting process. In addition, the standard can be used between trading partners to request/receive status information on outstanding requests.

  • 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

  • CUR
    Currency
    O可选(Optional)
    Repeat 1

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

  • NM1Loop1Individual or Organizational Name LOOPO可选(Optional)Repeat 9
    NM1N3N4REFPER
    • NM1
      Individual or Organizational Name
      M必须(Mandatory)
      Repeat 1

      To supply the full name of an individual or organizational entity

    • N3
      Address Information
      O可选(Optional)
      Repeat 2

      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 Identification
      O可选(Optional)
      Repeat 9

      To specify identifying information

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat 3

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

  • ACTLoop1Account Identification LOOPM必须(Mandatory)Repeat > 1
    ACTAM1PWKREFPERDTMMSGNM1Loop2
    • ACT
      Account Identification
      M必须(Mandatory)
      Repeat 1

      To specify account information

    • AM1
      Informational Values
      O可选(Optional)
      Repeat 9

      To specify a code and the amount, quantity associated with it, or both

    • PWK
      Paperwork
      O可选(Optional)
      Repeat 1

      To identify the type and transmission of paperwork or supporting information

    • REF
      Reference Identification
      O可选(Optional)
      Repeat 9

      To specify identifying information

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat 3

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

    • DTM
      Date/Time Reference
      O可选(Optional)
      Repeat 9

      To specify pertinent dates and times

    • MSG
      Message Text
      O可选(Optional)
      Repeat 9

      To provide a free-form format that allows the transmission of text information

    • NM1Loop2Individual or Organizational Name LOOPM必须(Mandatory)Repeat > 1
      NM1N2N3N4ASIPERDMGINDCD2MSGEFILoop1PO1Loop1
      • NM1
        Individual or Organizational Name
        M必须(Mandatory)
        Repeat 1

        To supply the full name of an individual or organizational entity

      • N2
        Additional Name Information
        O可选(Optional)
        Repeat 3

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

      • N3
        Address Information
        O可选(Optional)
        Repeat 3

        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

      • ASI
        Action or Status Indicator
        O可选(Optional)
        Repeat 1

        To indicate the action to be taken with the information provided or the status of the entity described

      • PER
        Administrative Communications Contact
        O可选(Optional)
        Repeat 3

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

      • DMG
        Demographic Information
        O可选(Optional)
        Repeat 1

        To supply demographic information

      • IND
        Additional Individual Demographic Information
        O可选(Optional)
        Repeat 1

        To provide additional demographic information to the receiving school, institution, or agency to assist in identifying the particular student

      • CD2
        Multi-Valued Characteristics
        O可选(Optional)
        Repeat 9

        To provide characteristics that may have multiple values

      • MSG
        Message Text
        O可选(Optional)
        Repeat 9

        To provide a free-form format that allows the transmission of text information

      • EFILoop1Electronic Format Identification LOOPO可选(Optional)Repeat > 1
        EFIBIN
        • EFI
          Electronic Format Identification
          M必须(Mandatory)
          Repeat 1

          To provide basic information about the electronic format of the interchange data

        • BIN
          Binary Data
          O可选(Optional)
          Repeat 1

          To transfer binary data in a single data segment and allow identification of the end of the data segment through a count; there is no identification of the internal structure of the binary data in this segment

      • PO1Loop1Baseline Item Data LOOPO可选(Optional)Repeat > 1
        PO1ASIDMAREFDTPMSGLSLoop1
        • PO1
          Baseline Item Data
          M必须(Mandatory)
          Repeat 1

          To specify basic and most frequently used line item data

        • ASI
          Action or Status Indicator
          O可选(Optional)
          Repeat 1

          To indicate the action to be taken with the information provided or the status of the entity described

        • DMA
          Additional Demographic Information
          O可选(Optional)
          Repeat 9

          To supply additional demographic identification

        • REF
          Reference Identification
          O可选(Optional)
          Repeat 9

          To specify identifying information

        • DTP
          Date or Time or Period
          O可选(Optional)
          Repeat 9

          To specify any or all of a date, a time, or a time period

        • MSG
          Message Text
          O可选(Optional)
          Repeat 9

          To provide a free-form format that allows the transmission of text information

        • LSLoop1Loop Header LOOPO可选(Optional)Repeat 1
          LSLXLoop1LE
          • LS
            Loop Header
            M必须(Mandatory)
            Repeat 1

            To indicate that the next segment begins a loop

          • LXLoop1Assigned Number LOOPO可选(Optional)Repeat > 1
            LXNM1N2N3N4INDEMSPERCN1DTPCD2REFPWKMSG
            • LX
              Assigned Number
              M必须(Mandatory)
              Repeat 1

              To reference a line number in a transaction set

            • NM1
              Individual or Organizational Name
              M必须(Mandatory)
              Repeat 1

              To supply the full name of an individual or organizational entity

            • N2
              Additional Name Information
              O可选(Optional)
              Repeat 3

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

            • N3
              Address Information
              O可选(Optional)
              Repeat 3

              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

            • IND
              Additional Individual Demographic Information
              O可选(Optional)
              Repeat 1

              To provide additional demographic information to the receiving school, institution, or agency to assist in identifying the particular student

            • EMS
              Employment Position
              O可选(Optional)
              Repeat 1

              To describe employment position

            • PER
              Administrative Communications Contact
              O可选(Optional)
              Repeat 3

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

            • CN1
              Contract Information
              O可选(Optional)
              Repeat 1

              To specify basic data about the contract or contract line item

            • DTP
              Date or Time or Period
              O可选(Optional)
              Repeat 9

              To specify any or all of a date, a time, or a time period

            • CD2
              Multi-Valued Characteristics
              O可选(Optional)
              Repeat 9

              To provide characteristics that may have multiple values

            • REF
              Reference Identification
              O可选(Optional)
              Repeat 9

              To specify identifying information

            • PWK
              Paperwork
              O可选(Optional)
              Repeat 1

              To identify the type and transmission of paperwork or supporting information

            • MSG
              Message Text
              O可选(Optional)
              Repeat 9

              To provide a free-form format that allows the transmission of text information

          • LE
            Loop Trailer
            M必须(Mandatory)
            Repeat 1

            To indicate that the loop immediately preceding this segment is complete

  • 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 00306
STTransaction Set Header
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

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