Segment
X12 EDI Release 00401
To identify a loss or damage claim and to indicate its status
Elements
  • F1101373Date
    DT
    M必须(Mandatory)
    Min 8 / Max 8

    Date expressed as CCYYMMDD

  • F1102127Reference Identification
    AN
    M必须(Mandatory)
    Min 1 / Max 30

    Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

  • F1103127Reference Identification
    AN
    O可选(Optional)
    Min 1 / Max 30

    Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

  • F1104610Amount
    N
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount

  • F1105610Amount
    N
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount

  • F1106546Status Code
    ID
    M必须(Mandatory)

    Code identifying the status of a claim, policy or real estate transaction

    Codes (148)
  • F1107373Date
    DT
    M必须(Mandatory)
    Min 8 / Max 8

    Date expressed as CCYYMMDD

  • F1108548Decline/Amend Reason Code
    ID
    O可选(Optional)

    Code indicating the reason for declination or amendment

    Codes (59)
  • F1109100Currency Code
    ID
    O可选(Optional)
    Min 3 / Max 3

    Code (Standard ISO) for country in whose currency the charges are specified

  • F1110128Reference Identification Qualifier
    ID
    O可选(Optional)

    Code qualifying the Reference Identification

    Codes (1503)