UNHMESSAGE HEADERM 1

1Mandatory A service segment starting and uniquely identifying a message. The message type code for the Insurance premium payment message is PRPAID.
0062
MESSAGE REFERENCE NUMBER
Mandatoryan0..14
Unique message reference assigned by the sender.
S009
MESSAGE IDENTIFIER
Mandatory
Identification of the type, version, etc. of the message being interchanged.
0065
Message type
Mandatoryan0..6
Code identifying a type of message and assigned by its controlling agency.
Show all standard codes
0052
Message version number
Mandatoryan0..3
Version number of a message type.
Show all standard codes
0054
Message release number
Mandatoryan0..3
Release number within the current message version number.
Show all standard codes
0051
Controlling agency, coded
Mandatoryan0..3
Code identifying a controlling agency.
Show all standard codes
0057
Association assigned code
Conditionalan0..6
Code, assigned by the association responsible for the design and maintenance of the message type concerned, which further identifies the message.
0110
Code list directory version number
Conditionalan0..6
Version number of the code list directory.
0113
Message type sub-function identification
Conditionalan0..6
Code identifying a sub-function of a message type.
Show all standard codes
0068
COMMON ACCESS REFERENCE
Conditionalan0..35
Reference serving as a key to relate all subsequent transfers of data to the same business case or file.
S010
STATUS OF THE TRANSFER
Conditional
Statement that the message is one in a sequence of transfers relating to the same topic.
0070
Sequence of transfers
Mandatoryn0..2
Number assigned by the sender indicating the transfer sequence of a message related to the same topic. The message could be an addition or a change to an earlier transfer related to the same topic.
0073
First and last transfer
Conditionala1
Indication used for the first and last message in a sequence of messages related to the same topic.
Show all standard codes
S016
MESSAGE SUBSET IDENTIFICATION
Conditional
Identification of a message subset by its identifier, version, release and source.
0115
Message subset identification
Mandatoryan0..14
Coded identification of a message subset, assigned by its controlling agency.
0116
Message subset version number
Conditionalan0..3
Version number of the message subset.
0118
Message subset release number
Conditionalan0..3
Release number within the message subset version number.
0051
Controlling agency, coded
Conditionalan0..3
Code identifying a controlling agency.
Show all standard codes
S017
MESSAGE IMPLEMENTATION GUIDELINE IDENTIFICATION
Conditional
Identification of a message implementation guideline by its identifier, version, release and source.
0121
Message implementation guideline identification
Mandatoryan0..14
Coded identification of the message implementation guideline, assigned by its controlling agency.
0122
Message implementation guideline version number
Conditionalan0..3
Version number of the message implementation guideline.
0124
Message implementation guideline release number
Conditionalan0..3
Release number within the message implementation guideline version number.
0051
Controlling agency, coded
Conditionalan0..3
Code identifying a controlling agency.
Show all standard codes
S018
SCENARIO IDENTIFICATION
Conditional
Identification of a scenario.
0127
Scenario identification
Mandatoryan0..14
Code identifying scenario.
0128
Scenario version number
Conditionalan0..3
Version number of a scenario.
0130
Scenario release number
Conditionalan0..3
Release number within the scenario version number.
0051
Controlling agency, coded
Conditionalan0..3
Code identifying a controlling agency.
Show all standard codes

BGMBEGINNING OF MESSAGEC 1

1Conditional A segment for specifying message name and function.
C002
DOCUMENT/MESSAGE NAME
Conditional
Identification of a type of document/message by code or name. Code preferred.
1001
Document name code
Conditionalan0..3
Code specifying the document name.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
1000
Document name
Conditionalan0..35
Name of a document.
C106
DOCUMENT/MESSAGE IDENTIFICATION
Conditional
Identification of a document/message by its number and eventually its version or revision.
1004
Document identifier
Conditionalan0..35
To identify a document.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
1225
MESSAGE FUNCTION CODE
Conditionalan0..3
Code indicating the function of the message.
Show all standard codes
4343
RESPONSE TYPE CODE
Conditionalan0..3
Code specifying the type of acknowledgment required or transmitted.
Show all standard codes

GEIPROCESSING INFORMATIONM 1

1Mandatory A segment containing the indication of the type of the Insurance Premium Payment message.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

RFFREFERENCEM 9

9Mandatory A segment containing identifying numbers of the Insurance Premium Payment message or of the statement or the bordereau.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

DTMDATE/TIME/PERIODM 9

9Mandatory A segment specifying dates related to the Insurance Premium Payment message or to the statement or the bordereau.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

ICDINSURANCE COVER DESCRIPTIONC 1

1Conditional The main class of business for premiums or claims within the message.
C330
INSURANCE COVER TYPE
Mandatory
To provide the insurance cover type.
4497
Insurance cover type code
Mandatoryan0..3
Code specifying the meaning of the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C331
INSURANCE COVER DETAILS
Mandatory
To provide the insurance cover details.
4495
Insurance cover description code
Conditionalan0..17
Code specifying the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.

GRP1 NAD CTA COM RFFM 9

9Mandatory A group of segments providing identification, names and addresses, contacts and references of the parties involved in the exchange of the message.

NADNAME AND ADDRESSM 1

1Mandatory A segment for identifying either by names and addresses, or by codes, the parties and their function in the exchange of the Insurance Premium Payment message.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C058
NAME AND ADDRESS
Conditional
Unstructured name and address: one to five lines.
3124
Name and address description
Mandatoryan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
C080
PARTY NAME
Conditional
Identification of a transaction party by name, one to five lines. Party name may be formatted.
3036
Party name
Mandatoryan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3045
Party name format code
Conditionalan0..3
Code specifying the representation of a party name.
Show all standard codes
C059
STREET
Conditional
Street address and/or PO Box number in a structured address: one to four lines.
3042
Street and number or post office box identifier
Mandatoryan0..35
To identify a street and number and/or Post Office box number.
3042
Street and number or post office box identifier
Conditionalan0..35
To identify a street and number and/or Post Office box number.
3042
Street and number or post office box identifier
Conditionalan0..35
To identify a street and number and/or Post Office box number.
3042
Street and number or post office box identifier
Conditionalan0..35
To identify a street and number and/or Post Office box number.
3164
CITY NAME
Conditionalan0..35
Name of a city.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity name code
Conditionalan0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity name
Conditionalan0..70
Name of a country sub-entity.
3251
POSTAL IDENTIFICATION CODE
Conditionalan0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

CTACONTACT INFORMATIONC 1

1Conditional A segment giving additional contact information of the party specified in the NAD segment.
3139
CONTACT FUNCTION CODE
Conditionalan0..3
Code specifying the function of a contact (e.g. department or person).
Show all standard codes
C056
DEPARTMENT OR EMPLOYEE DETAILS
Conditional
Code and/or name of a department or employee. Code preferred.
3413
Department or employee name code
Conditionalan0..17
Code specifying the name of a department or employee.
3412
Department or employee name
Conditionalan0..35
Name of a department or employee.

COMCOMMUNICATION CONTACTC 3

3Conditional A segment specifying the communication channel and number for the contact specified in the CTA.
C076
COMMUNICATION CONTACT
Mandatory
Communication number of a department or employee in a specified channel.
3148
Communication address identifier
Mandatoryan0..512
To identify a communication address.
3155
Communication address code qualifier
Mandatoryan0..3
Code qualifying the communication address.
Show all standard codes

RFFREFERENCEC 9

9Conditional A segment for additional identifying references of the party specified in the NAD.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

GRP2 DOC GRP3 DTM NAD GRP4 RFF GRP5 GRP6 CUXC 9999

9999Conditional A group of segments providing detailed information concerning individual insurance premiums.

DOCDOCUMENT/MESSAGE DETAILSM 1

1Mandatory A segment providing a unique identification of an Insurance Premium message or a statement line.
C002
DOCUMENT/MESSAGE NAME
Mandatory
Identification of a type of document/message by code or name. Code preferred.
1001
Document name code
Conditionalan0..3
Code specifying the document name.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
1000
Document name
Conditionalan0..35
Name of a document.
C503
DOCUMENT/MESSAGE DETAILS
Conditional
Identification of document/message by number, status, source and/or language.
1004
Document identifier
Conditionalan0..35
To identify a document.
1373
Document status code
Conditionalan0..3
Code specifying the status of a document.
Show all standard codes
1366
Document source description
Conditionalan0..70
Free form description of the source of a document.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
3153
COMMUNICATION MEDIUM TYPE CODE
Conditionalan0..3
Code specifying the type of communication medium.
Show all standard codes
1220
DOCUMENT COPIES REQUIRED QUANTITY
Conditionaln0..2
Quantity of document copies required.
1218
DOCUMENT ORIGINALS REQUIRED QUANTITY
Conditionaln0..2
Quantity of document originals required.

GRP3 GEI FTXC 1

1Conditional A group of segments providing the paid/partly paid/not paid indicator and the reason for partly or non payment.

GEIPROCESSING INFORMATIONM 1

1Mandatory A segment providing the paid/partly paid/not paid indicator.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

FTXFREE TEXTC 1

1Conditional A segment providing the reason for partly or non payment.
4451
TEXT SUBJECT CODE QUALIFIER
Mandatoryan0..3
Code qualifying the subject of the text.
Show all standard codes
4453
FREE TEXT FUNCTION CODE
Conditionalan0..3
Code specifying the function of free text.
Show all standard codes
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
Conditionalan0..3
Code specifying the format of free text.
Show all standard codes

DTMDATE/TIME/PERIODC 9

9Conditional A segment specifying dates related to the insurance premium.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

NADNAME AND ADDRESSC 9

9Conditional A segment specifying the policy holder or the insured.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C058
NAME AND ADDRESS
Conditional
Unstructured name and address: one to five lines.
3124
Name and address description
Mandatoryan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
3124
Name and address description
Conditionalan0..35
Free form description of a name and address line.
C080
PARTY NAME
Conditional
Identification of a transaction party by name, one to five lines. Party name may be formatted.
3036
Party name
Mandatoryan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3036
Party name
Conditionalan0..35
Name of a party.
3045
Party name format code
Conditionalan0..3
Code specifying the representation of a party name.
Show all standard codes
C059
STREET
Conditional
Street address and/or PO Box number in a structured address: one to four lines.
3042
Street and number or post office box identifier
Mandatoryan0..35
To identify a street and number and/or Post Office box number.
3042
Street and number or post office box identifier
Conditionalan0..35
To identify a street and number and/or Post Office box number.
3042
Street and number or post office box identifier
Conditionalan0..35
To identify a street and number and/or Post Office box number.
3042
Street and number or post office box identifier
Conditionalan0..35
To identify a street and number and/or Post Office box number.
3164
CITY NAME
Conditionalan0..35
Name of a city.
C819
COUNTRY SUB-ENTITY DETAILS
Conditional
To specify a part of a country (eg county or part of a city).
3229
Country sub-entity name code
Conditionalan0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
3228
Country sub-entity name
Conditionalan0..70
Name of a country sub-entity.
3251
POSTAL IDENTIFICATION CODE
Conditionalan0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

GRP4 MOA DTM PCDC 99

99Conditional A group of segments providing total amounts of an Insurance Premium message or of a statement line. These amounts are detailed amounts for the bordereau or for the statement.

MOAMONETARY AMOUNTM 1

1Mandatory A segment specifying premiums, taxes, fees, commissions and other amounts coming from the Insurance Premium message or from the statement line.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

DTMDATE/TIME/PERIODC 1

1Conditional A segment specifying dates related to the insurance premium.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

PCDPERCENTAGE DETAILSC 1

1Conditional A segment specifying the commission rate for commission amounts.
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show all standard codes
5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes

RFFREFERENCEM 9

9Mandatory A segment specifying references to documents to which the insurance premium relates.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

GRP5 ICD MOA RFF PCDC 99

99Conditional To specify the covers that apply to the bordereau line.

ICDINSURANCE COVER DESCRIPTIONM 1

1Mandatory A segment specifying the main class of business of the insurance premium.
C330
INSURANCE COVER TYPE
Mandatory
To provide the insurance cover type.
4497
Insurance cover type code
Mandatoryan0..3
Code specifying the meaning of the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C331
INSURANCE COVER DETAILS
Mandatory
To provide the insurance cover details.
4495
Insurance cover description code
Conditionalan0..17
Code specifying the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.

MOAMONETARY AMOUNTC 99

99Conditional To specify the monetary amount associated with the cover such as claim amounts.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

RFFREFERENCEC 9

9Conditional A segment to specify references for the cover.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

PCDPERCENTAGE DETAILSC 1

1Conditional To specify the percentage of co-insurance for the cover.
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show all standard codes
5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes

GRP6 ATT PCDC 9

9Conditional A group of segments providing details about the collection of the insurance premium.

ATTATTRIBUTEM 1

1Mandatory A segment providing the type of insurance premium, the collection details and the co-insurance information.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying an attribute function.
Show all standard codes
C955
ATTRIBUTE TYPE
Conditional
Identification of the type of attribute.
9021
Attribute type description code
Conditionalan0..17
Coded specifying an attribute type.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9020
Attribute type description
Conditionalan0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
Conditionalan0..17
Code specifying an attribute.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9018
Attribute description
Conditionalan0..256
Free form description of an attribute.

PCDPERCENTAGE DETAILSC 1

1Conditional A segment specifying the percentage of the total premium of a co-insurance contract, covered by this insurance premium.
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show all standard codes
5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes

CUXCURRENCIESC 1

1Conditional A segment specifying currencies and relevant details for the rate of exchange.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show all standard codes
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show all standard codes
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
5402
CURRENCY EXCHANGE RATE
Conditionaln0..12
To specify the rate at which one specified currency is expressed in another specified currency.
6341
EXCHANGE RATE CURRENCY MARKET IDENTIFIER
Conditionalan0..3
To identify an exchange rate currency market.
Show all standard codes

UNSSECTION CONTROLM 1

1Mandatory A mandatory service segment to be placed before the first user segment in the summary section to avoid segment collision.
0081
SECTION IDENTIFICATION
Mandatorya1
Identification of the separation of sections of a message.
Show all standard codes

GRP7 MOA GEI DTM RFF ATT ICD CUXC 99

99Conditional A group of segments providing total amounts of the bordereau or of the statement.

MOAMONETARY AMOUNTM 1

1Mandatory A segment specifying total amounts.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show all standard codes
5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
Show all standard codes

GEIPROCESSING INFORMATIONC 1

1Conditional A segment specifying the totalization criterion paid/partly paid/not paid.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show all standard codes
C012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show all standard codes
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
7187
PROCESS TYPE DESCRIPTION CODE
Conditionalan0..17
Code specifying a type of process.
Show all standard codes

DTMDATE/TIME/PERIODC 1

1Conditional A segment specifying the totalization criterion expressed by a date.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show all standard codes
2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show all standard codes

RFFREFERENCEC 1

1Conditional A segment specifying a policy number as totalisation criterion.
C506
REFERENCE
Mandatory
Identification of a reference.
1153
Reference code qualifier
Mandatoryan0..3
Code qualifying a reference.
Show all standard codes
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
4000
Reference version identifier
Conditionalan0..35
To identify the version of a reference.
1060
Revision identifier
Conditionalan0..6
To identify a revision.

ATTATTRIBUTEC 1

1Conditional A segment specifying the type of premium and/or collection specifications as totalization criterion.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying an attribute function.
Show all standard codes
C955
ATTRIBUTE TYPE
Conditional
Identification of the type of attribute.
9021
Attribute type description code
Conditionalan0..17
Coded specifying an attribute type.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9020
Attribute type description
Conditionalan0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
Conditionalan0..17
Code specifying an attribute.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
9018
Attribute description
Conditionalan0..256
Free form description of an attribute.

ICDINSURANCE COVER DESCRIPTIONC 1

1Conditional A segment specifying the type of insurance as totalization criterion.
C330
INSURANCE COVER TYPE
Mandatory
To provide the insurance cover type.
4497
Insurance cover type code
Mandatoryan0..3
Code specifying the meaning of the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
C331
INSURANCE COVER DETAILS
Mandatory
To provide the insurance cover details.
4495
Insurance cover description code
Conditionalan0..17
Code specifying the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show all standard codes
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.

CUXCURRENCIESC 1

1Conditional A segment specifying the currency as a totalization criterion.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show all standard codes
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show all standard codes
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
Conditionalan0..3
Code qualifying the type of currency.
Show all standard codes
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
5402
CURRENCY EXCHANGE RATE
Conditionaln0..12
To specify the rate at which one specified currency is expressed in another specified currency.
6341
EXCHANGE RATE CURRENCY MARKET IDENTIFIER
Conditionalan0..3
To identify an exchange rate currency market.
Show all standard codes

UNTMESSAGE TRAILERM 1

1Mandatory A service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message.
0074
NUMBER OF SEGMENTS IN A MESSAGE
Mandatoryn0..10
The number of segments in a message body, plus the message header segment and message trailer segment.
0062
MESSAGE REFERENCE NUMBER
Mandatoryan0..14
Unique message reference assigned by the sender.