UNHMESSAGE HEADERM 1

1Mandatory A service segment starting and uniquely identifying a message. The message type code for the Insurance claim assessment and reporting message is ICASRP.
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.
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0054
Message release number
Mandatoryan0..3
Release number within the current message version number.
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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.
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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 MESSAGEM 1

1Mandatory To specify the function of the message, such as claim notification, assessment request, assessment report.
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.
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4343
RESPONSE TYPE CODE
Conditionalan0..3
Code specifying the type of acknowledgment required or transmitted.
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ATTATTRIBUTEC 9

9Conditional To specify the type of transaction within the specified message function.
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.

CUXCURRENCIESC 1

1Conditional To specify the currency of the transaction.
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.
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DTMDATE/TIME/PERIODC 9

9Conditional To specify dates related to the transaction, such as the date processed.
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

QRSQUERY AND RESPONSEC 9

9Conditional To provide the response to coded questions related to the transaction.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

FTXFREE TEXTC 9

9Conditional To provide additional text information related to the transaction, such as transaction description.
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

GRP1 PNA GRP2M 9

9Mandatory A group of segments to specify parties related to the transaction communication together with any related references.

PNAPARTY IDENTIFICATIONM 1

1Mandatory To specify one party related to the business transaction, such as message originator, ultimate recipient and software supplier.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

GRP2 RFF DTMC 9

9Conditional A group of segments to identify components of software used in the application system that created the business transaction contained within this message, together with any relevant dates.

RFFREFERENCEM 1

1Mandatory To provide a reference that identifies one software component provided by the software supplier together with the version of the software.
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/PERIODC 9

9Conditional To specify dates related to the software component, such as effective date and date applied to system.
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

GRP3 EVE IDE ATT DTM RFF PCD QRS QTY FTX GRP4 GRP6M 99

99Mandatory A group of segments to describe an event or incident that gave rise to the claim as well as the claim itself. One claim results from one major incident, but there may be many sub- incidents that need to be defined, e.g. during a storm there may be lightning damage, flood damage and fire damage caused by electrical short circuit etc.

EVEEVENTM 1

1Mandatory To identify and describe one event or incident related to the claim.
9635
EVENT DETAILS CODE QUALIFIER
Conditionalan0..3
Code qualifying the event details.
Show all standard codes
C004
EVENT CATEGORY
Conditional
To specify the event category.
9637
Event category description code
Conditionalan0..3
Code specifying the event category.
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
9636
Event category description
Conditionalan0..70
Free form description of the event category.
C030
EVENT TYPE
Conditional
To specify the type of event.
9171
Event type description code
Conditionalan0..3
Code specifying an event 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
9170
Event type description
Conditionalan0..70
Free form description of the event type.
C063
EVENT IDENTIFICATION
Conditional
To identify an event.
9173
Event description code
Conditionalan0..35
Code specifying an event.
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
9172
Event
Conditionalan0..256
Free form description of the event.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

IDEIDENTITYC 9

9Conditional To provide identification numbers for the incident which may be used to link the incident to specific items of damage.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the incident, such as incident scale.
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.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates relating to the incident, such as incident date or start and end date when the incident occurred over a period of time.
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 9

9Conditional To specify references relating to the incident such as intermediary's claim reference, insurer's claim number.
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 9

9Conditional To specify percentages relating to the incident such as percentage of responsibility.
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

QRSQUERY AND RESPONSEC 9

9Conditional To specify the response to coded questions about the incident.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

QTYQUANTITYC 9

9Conditional To specify quantities relating to the incident, such as number of injured parties, number of witnesses.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

FTXFREE TEXTC 9

9Conditional To provide text information about the incident, such as incident description.
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

GRP4 TCC IDE ATT MOA PCD FTX GRP5C 9

9Conditional A group of segments to specify and describe the costs and charges relating to the incident.

TCCCHARGE/RATE CALCULATIONSM 1

1Mandatory To specify one type of cost or charge relating to the incident.
C200
CHARGE
Conditional
Identification of a charge by code and/or by name.
8023
Freight and other charges description identifier
Conditionalan0..17
Code identifying freight and other charges.
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
8022
Freight and other charges description
Conditionalan0..26
Free form description of freight and other charges.
4237
Payment arrangement code
Conditionalan0..3
Code specifying the arrangements for a payment.
Show all standard codes
7140
Item identifier
Conditionalan0..35
To identify an item.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C528
COMMODITY/RATE DETAIL
Conditional
Identification of commodity/rates.
7357
Commodity identification code
Conditionalan0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
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
C554
RATE/TARIFF CLASS DETAIL
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Conditionalan0..9
Code specifying an applicable rate or tariff class.
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

IDEIDENTITYC 9

9Conditional To specify one type of cost or charge relating to the incident.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the cost charge, such as method of calculation.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts for the cost or charge, such as amount including tax, discount amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the cost or charge, such as tax percentage.
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

FTXFREE TEXTC 9

9Conditional To provide text information about the cost or charge, such as explanation of cost or charge.
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

GRP5 COT IDE ATT MOA PCD RFF FTXC 99

99Conditional A group of segments to identify and describe contributions and/or recoveries relating to a cost or charge, and to identify who the recovery is to be made against.

COTCONTRIBUTION DETAILSM 1

1Mandatory To identify one contribution or recovery relating to the cost or charge.
5047
CONTRIBUTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying a contribution.
Show all standard codes
C953
CONTRIBUTION TYPE
Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
Mandatoryan0..3
Code specifying a type of contribution scheme.
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
5048
Contribution type description
Conditionalan0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
Conditional
To specify an instruction.
4403
Instruction type code qualifier
Mandatoryan0..3
Code qualifying the type of instruction.
Show all standard codes
4401
Instruction description code
Conditionalan0..3
Code specifying an instruction.
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
4400
Instruction description
Conditionalan0..35
Free form description of an instruction.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C960
REASON FOR CHANGE
Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
Conditionalan0..3
Code specifying the reason for a change.
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
4294
Change reason description
Conditionalan0..35
Free form description of the reason for change.

IDEIDENTITYC 9

9Conditional To specify the identity number of a party to whom this contribution or recovery applies.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To provide coded attributes relating to the contribution or recovery, such as contribution or recovery status.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the contribution or recovery, such as amount of contribution to the cost charge.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge.
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

RFFREFERENCEC 9

9Conditional To specify references for the contribution or recovery.
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.

FTXFREE TEXTC 9

9Conditional To provide text information about the contribution or recovery.
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

GRP6 COD IDE ADR ATT COM DTM MOA PCD QRS QTY RFF FTX GRP7C 99

99Conditional To provide text information about the contribution or recovery.

CODCOMPONENT DETAILSM 1

1Mandatory Provides a coded identification of one type of claim or incident component, such as policy cover, addresses.
C823
TYPE OF UNIT/COMPONENT
Conditional
To identify the type of unit/component of an object (e.g. lock, door, tyre).
7505
Unit or component type description code
Conditionalan0..3
Code specifying a type of unit or component.
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
7504
Unit or component type description
Conditionalan0..35
Free form description of a type of unit or component.
C824
COMPONENT MATERIAL
Conditional
To identify the material of which a component is composed (e.g. steel, plastics).
7507
Component material description code
Conditionalan0..3
Code specifying a component material.
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
7506
Component material description
Conditionalan0..35
Free form description of a component material.

IDEIDENTITYC 9

9Conditional To reference the object or party to which the cover applies.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ADRADDRESSC 1

1Conditional To specify a geographic limit on a policy cover, which may be expressed as a location, an address or a country or the address(es) of the incident.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
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.
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.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
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
3224
Location name
Conditionalan0..256
Name of the location.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes related to the cover component, such as cover type, usage.
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.

COMCOMMUNICATION CONTACTC 9

9Conditional To specify communication numbers for the address.
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

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates related to the cover, such as cover inception date, end 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

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts related to the cover, such as cover limit.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages related to the cover, such as cover index.
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

QRSQUERY AND RESPONSEC 9

9Conditional To specify the response to coded questions concerning the cover.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

QTYQUANTITYC 9

9Conditional To specify quantities related to the cover, such as number of claims allowed.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

RFFREFERENCEC 9

9Conditional To specify references related to 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.

FTXFREE TEXTC 9

9Conditional To specify text information about the cover, such as cover description, usage description.
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

GRP7 PCC ATT DTM MOA PCD QRS QTY FTX GRP8C 999

999Conditional A group of segments to describe the components relating to the cover which are used to calculate the claim.

PCCPREMIUM CALCULATION COMPONENT DETAILSM 1

1Mandatory To specify one type of component used in the claim calculation, such as excess, cover condition.
C820
PREMIUM CALCULATION COMPONENT
Conditional
To identify the component affecting premium calculation.
4521
Premium calculation component identifier
Conditionalan0..17
To identify a component affecting premium calculation.
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
4522
PREMIUM CALCULATION COMPONENT VALUE CATEGORY IDENTIFIER
Conditionalan0..35
To identify the value category of a premium calculation component.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes related to the claim calculation component, such as claim calculated by code.
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.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates relating to the claim calculation, such as condition valid 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

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the claim calculation, such as excess amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages related to the claim calculation component, such as excess percentage.
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

QRSQUERY AND RESPONSEC 9

9Conditional To specify the response to coded questions about the claim calculation component.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

QTYQUANTITYC 9

9Conditional To specify quantities relating to the claim calculation component.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

FTXFREE TEXTC 9

9Conditional To provide text information about the claim calculation component, such as condition wording.
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

GRP8 TCC IDE ATT MOA PCD FTX GRP9C 99

99Conditional A group of segments to specify and describe the costs and charges resulting from the claim calculation.

TCCCHARGE/RATE CALCULATIONSM 1

1Mandatory To specify one type of cost or charge relating to the cover.
C200
CHARGE
Conditional
Identification of a charge by code and/or by name.
8023
Freight and other charges description identifier
Conditionalan0..17
Code identifying freight and other charges.
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
8022
Freight and other charges description
Conditionalan0..26
Free form description of freight and other charges.
4237
Payment arrangement code
Conditionalan0..3
Code specifying the arrangements for a payment.
Show all standard codes
7140
Item identifier
Conditionalan0..35
To identify an item.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C528
COMMODITY/RATE DETAIL
Conditional
Identification of commodity/rates.
7357
Commodity identification code
Conditionalan0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
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
C554
RATE/TARIFF CLASS DETAIL
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Conditionalan0..9
Code specifying an applicable rate or tariff class.
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

IDEIDENTITYC 9

9Conditional To reference the object or party that the cost or charge applies to.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the claim calculation, such as method of calculation.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts for the claim calculation component, such as cost or charge amount, discount amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the claim calculation component, such as cost or charge discount percentage.
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

FTXFREE TEXTC 9

9Conditional To provide text information about the claim calculation component, such as explanation of cost or charge.
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

GRP9 COT IDE ATT MOA PCD RFF FTXC 99

99Conditional A group of segments to identify and describe contributions or recoveries relating to a claim calculation component.

COTCONTRIBUTION DETAILSM 1

1Mandatory To identify one contribution or recovery relating to the claim calculation.
5047
CONTRIBUTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying a contribution.
Show all standard codes
C953
CONTRIBUTION TYPE
Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
Mandatoryan0..3
Code specifying a type of contribution scheme.
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
5048
Contribution type description
Conditionalan0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
Conditional
To specify an instruction.
4403
Instruction type code qualifier
Mandatoryan0..3
Code qualifying the type of instruction.
Show all standard codes
4401
Instruction description code
Conditionalan0..3
Code specifying an instruction.
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
4400
Instruction description
Conditionalan0..35
Free form description of an instruction.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C960
REASON FOR CHANGE
Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
Conditionalan0..3
Code specifying the reason for a change.
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
4294
Change reason description
Conditionalan0..35
Free form description of the reason for change.

IDEIDENTITYC 9

9Conditional To reference a party to whom this contribution or recovery relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To provide coded attributes related to the contribution or recovery, such as contribution or recovery status.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts related to the contribution or recovery, such as amount of contribution to the cost charge.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge.
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

RFFREFERENCEC 9

9Conditional To specify references relating to the contribution or recovery.
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.

FTXFREE TEXTC 9

9Conditional To provide text information about the contribution or recovery.
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

GRP10 ICD IDE ATT DTM MOA RFF QRS FTXC 999

999Conditional A group of segments to identify and describe the policy which is the subject of the claim.

ICDINSURANCE COVER DESCRIPTIONM 1

1Mandatory To identify the insurance product specified in the policy.
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.

IDEIDENTITYC 9

9Conditional To provide identification numbers for the policy as specified by the intermediary, insurer and client.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes related to the policy, such as policy product code, scheme code.
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.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates related to the policy, such as inception date, expiry 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

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts related to the policy, such as indemnity limit.
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 To specify references related to the policy, such as policy number, policy wording version number.
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.

QRSQUERY AND RESPONSEC 9

9Conditional To provide the response to coded questions relating to the policy.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

FTXFREE TEXTC 9

9Conditional To provide text information related to the policy.
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

GRP11 DOC IDE ATT ADR EFI RFF DTM MOA QRS QTY FTXC 99

99Conditional A group of segments to identify and describe external documents relating to the claim. The information within this group describe the characteristics of the document not the content of the document.

DOCDOCUMENT/MESSAGE DETAILSM 1

1Mandatory To specify one type of document which is external to the message.
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.

IDEIDENTITYC 9

9Conditional To reference a party or object to which the document relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the document, such as document status code.
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.

ADRADDRESSC 9

9Conditional To specify addresses relating to the document, such as place of issue.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
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.
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.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
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
3224
Location name
Conditionalan0..256
Name of the location.

EFIEXTERNAL FILE LINK IDENTIFICATIONC 1

1Conditional To specify a link to an external file that is related to the document.
C077
FILE IDENTIFICATION
Mandatory
To identify a file.
1508
File name
Conditionalan0..35
Name of a file.
7008
Item description
Conditionalan0..256
Free form description of an item.
C099
FILE DETAILS
Conditional
To define details relevant to a file.
1516
File format name
Mandatoryan0..17
Name of a file format.
1056
Version identifier
Conditionalan0..9
To identify a version.
1503
Data format description code
Conditionalan0..3
Code specifying the data format.
Show all standard codes
1502
Data format description
Conditionalan0..35
Free form description of the data format.
1050
SEQUENCE POSITION IDENTIFIER
Conditionalan0..10
To identify a position in a sequence.
9450
FILE COMPRESSION TECHNIQUE NAME
Conditionalan0..35
Name of a file compression technique.

RFFREFERENCEC 9

9Conditional To specify references relating to the document, such as document reference, previous document reference.
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/PERIODC 9

9Conditional To specify dates relating to the document, such as date requested, date received.
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

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the document.
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

QRSQUERY AND RESPONSEC 9

9Conditional To specify the response to coded questions relating to the document.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

QTYQUANTITYC 9

9Conditional To specify quantities relating to the document, such as number of pages, number of copies.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

FTXFREE TEXTC 9

9Conditional To provide text information about the document, such as document description.
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

GRP12 PNA IDE ATT DTM MEA RFF QRS PCD FTX GRP13M 99

99Mandatory A group of segments to describe parties related to the claim, such as the insured, intermediary, insurer.

PNAPARTY IDENTIFICATIONM 1

1Mandatory To identify one party related to a claim described within this message.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
3403
NAME TYPE CODE
Conditionalan0..3
Code specifying the type of name.
Show all standard codes
3397
NAME STATUS CODE
Conditionalan0..3
Code specifying the status of a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
C816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show all standard codes
3398
Name component description
Conditionalan0..70
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show all standard codes
3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show all standard codes
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes

IDEIDENTITYC 9

9Conditional To specify identification numbers for the party which are used to link the party to other entities within the message.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 99

99Conditional To specify coded attributes related to the party, such as value added tax status code, marital status code.
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.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates related to the party, such as date of birth, date of death.
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

MEAMEASUREMENTSC 9

9Conditional To provide measurements relating to the party, such as level of blood alcohol.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the purpose of the measurement.
Show all standard codes
C502
MEASUREMENT DETAILS
Conditional
Identification of measurement type.
6313
Measured attribute code
Conditionalan0..3
Code specifying the attribute measured.
Show all standard codes
6321
Measurement significance code
Conditionalan0..3
Code specifying the significance of a measurement.
Show all standard codes
6155
Non-discrete measurement name code
Conditionalan0..17
Code specifying the name of a non-discrete measurement.
Show all standard codes
6154
Non-discrete measurement name
Conditionalan0..70
Name of a non-discrete measurement.
C174
VALUE/RANGE
Conditional
Measurement value and relevant minimum and maximum values of the measurement range.
6411
Measurement unit code
Mandatoryan0..8
Code specifying the unit of measurement.
6314
Measure
Conditionalan0..18
To specify the value of a measurement.
6162
Range minimum quantity
Conditionaln0..18
To specify the minimum value of a range.
6152
Range maximum quantity
Conditionaln0..18
To specify the maximum value of a range.
6432
Significant digits quantity
Conditionaln0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

RFFREFERENCEC 9

9Conditional To specify references related to the party, such as value added tax registration number.
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.

QRSQUERY AND RESPONSEC 9

9Conditional To provide the response to coded questions about the party.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages related to the party, such as party proportion of risk.
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

FTXFREE TEXTC 9

9Conditional To provide text information relating to the party.
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

GRP13 COD IDE ADR FII ATT COM DTM EMP MOA QRS QTY RFF FTXC 99

99Conditional A group of segments to describe components relating to the party that may be used in validating the claim, such as addresses, employment, convictions, financial account.

CODCOMPONENT DETAILSM 1

1Mandatory Provides a coded identification of one type of input or output component related to the party.
C823
TYPE OF UNIT/COMPONENT
Conditional
To identify the type of unit/component of an object (e.g. lock, door, tyre).
7505
Unit or component type description code
Conditionalan0..3
Code specifying a type of unit or component.
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
7504
Unit or component type description
Conditionalan0..35
Free form description of a type of unit or component.
C824
COMPONENT MATERIAL
Conditional
To identify the material of which a component is composed (e.g. steel, plastics).
7507
Component material description code
Conditionalan0..3
Code specifying a component material.
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
7506
Component material description
Conditionalan0..35
Free form description of a component material.

IDEIDENTITYC 9

9Conditional To provide identification numbers for the party component that may be used to link the component to other entities.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ADRADDRESSC 1

1Conditional To specify address details for a party.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
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.
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.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
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
3224
Location name
Conditionalan0..256
Name of the location.

FIIFINANCIAL INSTITUTION INFORMATIONC 1

1Conditional To provide a set of financial account details for a party.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show all standard codes
C078
ACCOUNT HOLDER IDENTIFICATION
Conditional
Identification of an account holder by account number and/or account holder name in one or two lines. Number preferred.
3194
Account holder identifier
Conditionalan0..35
To identify the holder of an account.
3192
Account holder name
Conditionalan0..35
Name of the holder of an account.
3192
Account holder name
Conditionalan0..35
Name of the holder of an account.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
C088
INSTITUTION IDENTIFICATION
Conditional
Identification of a financial institution by code branch number, or name and name of place. Code or branch number preferred.
3433
Institution name code
Conditionalan0..11
Code specifying the name of an institution.
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
3434
Institution branch identifier
Conditionalan0..17
To identify a branch of an institution.
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
3432
Institution name
Conditionalan0..70
Name of an institution.
3436
Institution branch location name
Conditionalan0..70
Name of the location of a branch of an institution.
3207
COUNTRY NAME CODE
Conditionalan0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the party component, such as offence code, type of blood alcohol test code.
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.

COMCOMMUNICATION CONTACTC 9

9Conditional To provide communication details relating to a party component, such as telephone and fax numbers at address.
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

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates relating to the party component, such as start date at address, length of sentence.
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

EMPEMPLOYMENT DETAILSC 9

9Conditional To provide one set of employment details for a party.
9003
EMPLOYMENT DETAILS CODE QUALIFIER
Mandatoryan0..3
Code qualifying the employment details.
Show all standard codes
C948
EMPLOYMENT CATEGORY
Conditional
Code and/or description of an employment category.
9005
Employment category description code
Conditionalan0..3
Code specifying the employment category.
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
9004
Employment category description
Conditionalan0..35
Free form description of the employment category.
C951
OCCUPATION
Conditional
Description of an occupation.
9009
Occupation description code
Conditionalan0..3
Code specifying an occupation.
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
9008
Occupation description
Conditionalan0..35
Free form description of an occupation.
9008
Occupation description
Conditionalan0..35
Free form description of an occupation.
C950
QUALIFICATION CLASSIFICATION
Conditional
Qualification classification description and/or code. This specifies the trade, skill, professional or similar qualification category.
9007
Qualification classification description code
Conditionalan0..3
Code specifying a qualification classification.
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
9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.
9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.
3494
JOB TITLE DESCRIPTION
Conditionalan0..35
Free form description of a job title.
9035
QUALIFICATION APPLICATION AREA CODE
Conditionalan0..3
Code specifying the application area of a qualification.
Show all standard codes

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the party component, such as fine amount.
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

QRSQUERY AND RESPONSEC 9

9Conditional To provide the response to coded questions relating to the party component.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

QTYQUANTITYC 9

9Conditional To specify quantities relating to the party component, such as total licence penalty points.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

RFFREFERENCEC 9

9Conditional To specify references relating to the party component, such as conviction reference, financial account number.
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.

FTXFREE TEXTC 9

9Conditional To provide text information relating to the party component, such as offence description, employment description.
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

GRP14 ROD IDE RFF MOA PCD TAX DTM LOC ATT MEA QTY QRS RTE FTX GRP15 GRP17M 99

99Mandatory A group of segments to describe the risk objects that are the subject of the claim.

RODRISK OBJECT TYPEM 1

1Mandatory To identify one risk object that is the subject of the claim.
C851
RISK OBJECT TYPE
Conditional
Specification of a type of risk object.
7179
Risk object type identifier
Conditionalan0..17
Code identifying a type of risk object.
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
C852
RISK OBJECT SUB-TYPE
Conditional
To provide identification details for a risk object sub-type.
7177
Risk object sub-type description identifier
Conditionalan0..17
Code identifying the object sub-type of a risk.
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
7176
Risk object sub-type description
Conditionalan0..70
Free form description of the object sub-type of a risk.

IDEIDENTITYC 9

9Conditional To provide identification numbers for the risk object that may be used to link the object to other entities within the message, such as cover.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

RFFREFERENCEC 9

9Conditional To specify reference numbers for the risk object, such as vehicle identification number, chassis number.
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.

MOAMONETARY AMOUNTC 99

99Conditional To specify monetary amounts relating to the risk object, such as sum insured, replacement value.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the risk object.
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

TAXDUTY/TAX/FEE DETAILSC 1

1Conditional To specify tax/fee details relating to the risk object.
5283
DUTY OR TAX OR FEE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the function of a duty or tax or fee.
Show all standard codes
C241
DUTY/TAX/FEE TYPE
Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty or tax or fee type name code
Conditionalan0..3
Code specifying a type of duty, tax or fee.
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
5152
Duty or tax or fee type name
Conditionalan0..35
Name of a type of duty, tax or fee.
C533
DUTY/TAX/FEE ACCOUNT DETAIL
Conditional
Indication of account reference for duties, taxes and/or fees.
5289
Duty or tax or fee account code
Mandatoryan0..6
Code specifying a duty or tax or fee account.
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
5286
DUTY OR TAX OR FEE ASSESSMENT BASIS QUANTITY
Conditionalan0..15
To specify the basis on which a duty or tax or fee will be assessed.
C243
DUTY/TAX/FEE DETAIL
Conditional
Rate of duty/tax/fee applicable to commodities or of tax applicable to services.
5279
Duty or tax or fee rate code
Conditionalan0..7
Code specifying a rate of a duty or tax or fee.
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
5278
Duty or tax or fee rate
Conditionalan0..17
Rate of a duty or tax or fee.
5273
Duty or tax or fee rate basis code
Conditionalan0..12
Code specifying the basis for a duty or tax or fee rate.
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
5305
DUTY OR TAX OR FEE CATEGORY CODE
Conditionalan0..3
Code specifying a duty or tax or fee category.
Show all standard codes
3446
PARTY TAX IDENTIFIER
Conditionalan0..20
To identify a number assigned to a party by a tax authority.
1227
CALCULATION SEQUENCE CODE
Conditionalan0..3
Code specifying a calculation sequence.
Show all standard codes

DTMDATE/TIME/PERIODC 99

99Conditional To specify dates relating to the risk object, such as date first registered, date inspected.
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

LOCPLACE/LOCATION IDENTIFICATIONC 9

9Conditional To specify a place/location related to the risk object.
3227
LOCATION FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code identifying the function of a location.
Show all standard codes
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
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
3224
Location name
Conditionalan0..256
Name of the location.
C519
RELATED LOCATION ONE IDENTIFICATION
Conditional
Identification the first related location by code or name.
3223
First related location name code
Conditionalan0..25
Code specifying first related location.
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
3222
First related location name
Conditionalan0..70
Name of first related location.
C553
RELATED LOCATION TWO IDENTIFICATION
Conditional
Identification of second related location by code or name.
3233
Second related location name code
Conditionalan0..25
Code specifying the second related location.
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
3232
Second related location name
Conditionalan0..70
Name of the second related location.
5479
RELATION CODE
Conditionalan0..3
Code specifying a relation.

ATTATTRIBUTEC 99

99Conditional To specify coded attributes relating to the risk object, such as body type code, nature of occupancy.
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.

MEAMEASUREMENTSC 9

9Conditional To specify measurements relating to the risk object, such as length, width, floor area.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the purpose of the measurement.
Show all standard codes
C502
MEASUREMENT DETAILS
Conditional
Identification of measurement type.
6313
Measured attribute code
Conditionalan0..3
Code specifying the attribute measured.
Show all standard codes
6321
Measurement significance code
Conditionalan0..3
Code specifying the significance of a measurement.
Show all standard codes
6155
Non-discrete measurement name code
Conditionalan0..17
Code specifying the name of a non-discrete measurement.
Show all standard codes
6154
Non-discrete measurement name
Conditionalan0..70
Name of a non-discrete measurement.
C174
VALUE/RANGE
Conditional
Measurement value and relevant minimum and maximum values of the measurement range.
6411
Measurement unit code
Mandatoryan0..8
Code specifying the unit of measurement.
6314
Measure
Conditionalan0..18
To specify the value of a measurement.
6162
Range minimum quantity
Conditionaln0..18
To specify the minimum value of a range.
6152
Range maximum quantity
Conditionaln0..18
To specify the maximum value of a range.
6432
Significant digits quantity
Conditionaln0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

QTYQUANTITYC 9

9Conditional To specify quantities relating to the risk object, such as number of occupants, number of seats.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

QRSQUERY AND RESPONSEC 99

99Conditional To provide the response to coded questions about the risk object.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

RTERATE DETAILSC 9

9Conditional To specify rate details relating to the risk object.
C128
RATE DETAILS
Mandatory
Rate per unit and rate basis.
5419
Rate type code qualifier
Mandatoryan0..3
Code qualifying the type of rate.
Show all standard codes
5420
Unit price basis rate
Mandatoryn0..15
To specify the rate per unit specified in the unit price basis.
5284
Unit price basis quantity
Conditionaln0..9
To specify the basis for a unit price.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes

FTXFREE TEXTC 9

9Conditional To provide text descriptions relating to the risk object, such as object description, business usage of building description.
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

GRP15 TCC IDE ATT MOA PCD FTX GRP16C 99

99Conditional A group of segments to specify and describe the cost and charges relating to the risk object.

TCCCHARGE/RATE CALCULATIONSM 1

1Mandatory To identify one charge or cost related to the risk object. To identify one charge or cost related to the risk object.
C200
CHARGE
Conditional
Identification of a charge by code and/or by name.
8023
Freight and other charges description identifier
Conditionalan0..17
Code identifying freight and other charges.
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
8022
Freight and other charges description
Conditionalan0..26
Free form description of freight and other charges.
4237
Payment arrangement code
Conditionalan0..3
Code specifying the arrangements for a payment.
Show all standard codes
7140
Item identifier
Conditionalan0..35
To identify an item.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C528
COMMODITY/RATE DETAIL
Conditional
Identification of commodity/rates.
7357
Commodity identification code
Conditionalan0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
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
C554
RATE/TARIFF CLASS DETAIL
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Conditionalan0..9
Code specifying an applicable rate or tariff class.
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

IDEIDENTITYC 9

9Conditional To reference a party to whom the charge relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the cost or charge, such as method of calculation.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the cost or charge, such as tax amount, discount amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the cost or charge.
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

FTXFREE TEXTC 9

9Conditional To provide text descriptions relating to the cost or charge.
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

GRP16 COT IDE ATT MOA PCD RFF FTXC 99

99Conditional A group of segments to identify and describe contributions or recoveries relating to the risk object cost or charge.

COTCONTRIBUTION DETAILSM 1

1Mandatory To identify one contribution or recovery related to the cost or charge.
5047
CONTRIBUTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying a contribution.
Show all standard codes
C953
CONTRIBUTION TYPE
Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
Mandatoryan0..3
Code specifying a type of contribution scheme.
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
5048
Contribution type description
Conditionalan0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
Conditional
To specify an instruction.
4403
Instruction type code qualifier
Mandatoryan0..3
Code qualifying the type of instruction.
Show all standard codes
4401
Instruction description code
Conditionalan0..3
Code specifying an instruction.
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
4400
Instruction description
Conditionalan0..35
Free form description of an instruction.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C960
REASON FOR CHANGE
Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
Conditionalan0..3
Code specifying the reason for a change.
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
4294
Change reason description
Conditionalan0..35
Free form description of the reason for change.

IDEIDENTITYC 9

9Conditional To reference a party to whom this contribution or recovery relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the contribution or recovery, such as contribution or recovery status code.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the contribution or recovery, such as contribution or recovery amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the contribution or recovery, such as percentage of insurer's responsibility.
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

RFFREFERENCEC 9

9Conditional To specify references relating to the contribution or recovery.
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.

FTXFREE TEXTC 9

9Conditional To provide text descriptions relating to the contribution or recovery.
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

GRP17 COD IDE ADR ATT COM DAM DTM MEA MOA PCD QRS QTY RFF FTX GRP18 GRP20C 999

999Conditional A group of segments to describe components relating to the risk object and its assessment, such as address, part/task detail, loss/damage, valuation, security, interest.

CODCOMPONENT DETAILSM 1

1Mandatory Provides a coded identification of one type of component related to the risk object.
C823
TYPE OF UNIT/COMPONENT
Conditional
To identify the type of unit/component of an object (e.g. lock, door, tyre).
7505
Unit or component type description code
Conditionalan0..3
Code specifying a type of unit or component.
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
7504
Unit or component type description
Conditionalan0..35
Free form description of a type of unit or component.
C824
COMPONENT MATERIAL
Conditional
To identify the material of which a component is composed (e.g. steel, plastics).
7507
Component material description code
Conditionalan0..3
Code specifying a component material.
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
7506
Component material description
Conditionalan0..35
Free form description of a component material.

IDEIDENTITYC 9

9Conditional To provide identification numbers for the risk object component which may be used to link the component to other entities.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ADRADDRESSC 1

1Conditional To specify addresses relating to the risk object.
C817
ADDRESS USAGE
Conditional
To describe the usage of an address.
3299
Address purpose code
Conditionalan0..3
Code specifying the purpose of an address.
Show all standard codes
3131
Address type code
Conditionalan0..3
Code specifying the type of an address.
Show all standard codes
3475
Address status code
Conditionalan0..3
Code specifying the status of an address.
Show all standard codes
C090
ADDRESS DETAILS
Conditional
To specify the details of an address.
3477
Address format code
Mandatoryan0..3
Code specifying the format of an address.
Show all standard codes
3286
Address component description
Mandatoryan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3286
Address component description
Conditionalan0..70
Free form description of the component of an address.
3164
CITY NAME
Conditionalan0..35
Name of a city.
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.
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.
C517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location name code
Conditionalan0..35
Code specifying the name of the location.
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
3224
Location name
Conditionalan0..256
Name of the location.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the risk object component, such as severity of damage code, security device code.
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.

COMCOMMUNICATION CONTACTC 9

9Conditional To specify communication numbers for the address, such as telephone, fax numbers.
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

DAMDAMAGEC 9

9Conditional To specify the damage to the risk object.
7493
DAMAGE DETAILS CODE QUALIFIER
Mandatoryan0..3
Code qualifying the damage details.
Show all standard codes
C821
TYPE OF DAMAGE
Conditional
To specify the type of damage to an object.
7501
Damage type description code
Conditionalan0..3
Code specifying the type of damage to an object.
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
7500
Damage type description
Conditionalan0..35
Free form description of the type of damage to an object.
C822
DAMAGE AREA
Conditional
To specify where the damage is on an object.
7503
Damage area description code
Conditionalan0..4
Code specifying where the damage is on an object.
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
7502
Damage area description
Conditionalan0..35
Free form description of where the damage is on an object.
C825
DAMAGE SEVERITY
Conditional
To specify the severity of damage to an object.
7509
Damage severity description code
Conditionalan0..3
Code specifying the severity of damage.
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
7508
Damage severity description
Conditionalan0..35
Free form description of the severity of damage.
C826
ACTION
Conditional
To indicate an action which has been taken or is to be taken (e.g. in relation to a certain object).
1229
Action request/notification description code
Conditionalan0..3
Code specifying the action to be taken or already taken.
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
1228
Action request/notification description
Conditionalan0..35
Free form description of the action to be taken or already taken.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates relating to the risk object component, such as start date at address.
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

MEAMEASUREMENTSC 9

9Conditional To specify measurements relating to the risk object component.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the purpose of the measurement.
Show all standard codes
C502
MEASUREMENT DETAILS
Conditional
Identification of measurement type.
6313
Measured attribute code
Conditionalan0..3
Code specifying the attribute measured.
Show all standard codes
6321
Measurement significance code
Conditionalan0..3
Code specifying the significance of a measurement.
Show all standard codes
6155
Non-discrete measurement name code
Conditionalan0..17
Code specifying the name of a non-discrete measurement.
Show all standard codes
6154
Non-discrete measurement name
Conditionalan0..70
Name of a non-discrete measurement.
C174
VALUE/RANGE
Conditional
Measurement value and relevant minimum and maximum values of the measurement range.
6411
Measurement unit code
Mandatoryan0..8
Code specifying the unit of measurement.
6314
Measure
Conditionalan0..18
To specify the value of a measurement.
6162
Range minimum quantity
Conditionaln0..18
To specify the minimum value of a range.
6152
Range maximum quantity
Conditionaln0..18
To specify the maximum value of a range.
6432
Significant digits quantity
Conditionaln0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the risk object component, such as pre-incident value, resultant value.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the risk object component, such as percentage of under insurance, percentage of cost allocation.
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

QRSQUERY AND RESPONSEC 9

9Conditional To specify the response to coded questions relating to the risk object component.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

QTYQUANTITYC 9

9Conditional To specify quantities relating to the risk object component.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

RFFREFERENCEC 9

9Conditional To specify references relating to the risk object component.
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.

FTXFREE TEXTC 9

9Conditional To provide text information for the risk object component, such as specialist valuation description, explanation of a video image.
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

GRP18 TCC IDE ATT MOA PCD FTX GRP19C 99

99Conditional A group of segments to identify and describe costs and charges relating to the loss or damage.

TCCCHARGE/RATE CALCULATIONSM 1

1Mandatory To identify one charge relating to the loss or damage.
C200
CHARGE
Conditional
Identification of a charge by code and/or by name.
8023
Freight and other charges description identifier
Conditionalan0..17
Code identifying freight and other charges.
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
8022
Freight and other charges description
Conditionalan0..26
Free form description of freight and other charges.
4237
Payment arrangement code
Conditionalan0..3
Code specifying the arrangements for a payment.
Show all standard codes
7140
Item identifier
Conditionalan0..35
To identify an item.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C528
COMMODITY/RATE DETAIL
Conditional
Identification of commodity/rates.
7357
Commodity identification code
Conditionalan0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
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
C554
RATE/TARIFF CLASS DETAIL
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Conditionalan0..9
Code specifying an applicable rate or tariff class.
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

IDEIDENTITYC 9

9Conditional To reference a party to whom this cost or charge relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the cost or charge, such as method of calculation.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the cost or charge component, such as cost or charge discount percentage.
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

FTXFREE TEXTC 9

9Conditional To provide text information about the cost or charge component.
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

GRP19 COT IDE ATT MOA PCD RFF FTXC 99

99Conditional A group of segments to identify and describe contribution and recovery details relating to the risk object component cost or charge.

COTCONTRIBUTION DETAILSM 1

1Mandatory To identify one contribution or recovery component relating to the risk object component cost or charge.
5047
CONTRIBUTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying a contribution.
Show all standard codes
C953
CONTRIBUTION TYPE
Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
Mandatoryan0..3
Code specifying a type of contribution scheme.
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
5048
Contribution type description
Conditionalan0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
Conditional
To specify an instruction.
4403
Instruction type code qualifier
Mandatoryan0..3
Code qualifying the type of instruction.
Show all standard codes
4401
Instruction description code
Conditionalan0..3
Code specifying an instruction.
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
4400
Instruction description
Conditionalan0..35
Free form description of an instruction.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C960
REASON FOR CHANGE
Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
Conditionalan0..3
Code specifying the reason for a change.
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
4294
Change reason description
Conditionalan0..35
Free form description of the reason for change.

IDEIDENTITYC 9

9Conditional To reference a party to whom this contribution or recovery relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount.
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

PCDPERCENTAGE DETAILSC 5

5Conditional To specify percentages relating to the contribution or recovery component, such as percentage of insurer's liability.
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

RFFREFERENCEC 9

9Conditional To provide references relating to the contribution or recovery component.
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.

FTXFREE TEXTC 9

9Conditional To provide text information about the contribution or recovery component.
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

GRP20 IMD IDE ATT DTM MEA PCD QRS QTY RFF FTX GRP21C 99

99Conditional A group of segments to identify and describe part or task details relating to the risk object loss/damage component.

IMDITEM DESCRIPTIONM 1

1Mandatory To identify one part or task that relates to the risk object loss/damage component.
7077
DESCRIPTION FORMAT CODE
Conditionalan0..3
Code specifying the format of a description.
Show all standard codes
C272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic code
Conditionalan0..3
Code specifying the characteristic of an item.
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
C273
ITEM DESCRIPTION
Conditional
Description of an item.
7009
Item description code
Conditionalan0..17
Code specifying an item.
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
7008
Item description
Conditionalan0..256
Free form description of an item.
7008
Item description
Conditionalan0..256
Free form description of an item.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

IDEIDENTITYC 9

9Conditional To reference a party that relates to this part or task such as service provider.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the part or task item, such as paint system code, category of labour code.
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.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates relating to the part or task item, such as task/service start 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

MEAMEASUREMENTSC 9

9Conditional To specify measurements relating to the part or task item, such as tyre pressure, tyre tread depth.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
Mandatoryan0..3
Code qualifying the purpose of the measurement.
Show all standard codes
C502
MEASUREMENT DETAILS
Conditional
Identification of measurement type.
6313
Measured attribute code
Conditionalan0..3
Code specifying the attribute measured.
Show all standard codes
6321
Measurement significance code
Conditionalan0..3
Code specifying the significance of a measurement.
Show all standard codes
6155
Non-discrete measurement name code
Conditionalan0..17
Code specifying the name of a non-discrete measurement.
Show all standard codes
6154
Non-discrete measurement name
Conditionalan0..70
Name of a non-discrete measurement.
C174
VALUE/RANGE
Conditional
Measurement value and relevant minimum and maximum values of the measurement range.
6411
Measurement unit code
Mandatoryan0..8
Code specifying the unit of measurement.
6314
Measure
Conditionalan0..18
To specify the value of a measurement.
6162
Range minimum quantity
Conditionaln0..18
To specify the minimum value of a range.
6152
Range maximum quantity
Conditionaln0..18
To specify the maximum value of a range.
6432
Significant digits quantity
Conditionaln0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show all standard codes

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the part or task.
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

QRSQUERY AND RESPONSEC 9

9Conditional To specify the response to coded questions about the part or task item.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

QTYQUANTITYC 9

9Conditional To specify quantities relating to the part or task.
C186
QUANTITY DETAILS
Mandatory
Quantity information in a transaction, qualified when relevant.
6063
Quantity type code qualifier
Mandatoryan0..3
Code qualifying the type of quantity.
Show all standard codes
6060
Quantity
Mandatoryan0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
Conditionalan0..8
Code specifying the unit of measurement.

RFFREFERENCEC 9

9Conditional To specify references relating to the part or task.
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.

FTXFREE TEXTC 9

9Conditional To provide text information relating to the part or task, such as evidence of personal injury.
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

GRP21 TCC IDE ATT MOA PCD FTX GRP22C 9

9Conditional A group of segments to identify and describe costs and charges relating to a part or task item.

TCCCHARGE/RATE CALCULATIONSM 1

1Mandatory To identify one charge related to the part or task item.
C200
CHARGE
Conditional
Identification of a charge by code and/or by name.
8023
Freight and other charges description identifier
Conditionalan0..17
Code identifying freight and other charges.
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
8022
Freight and other charges description
Conditionalan0..26
Free form description of freight and other charges.
4237
Payment arrangement code
Conditionalan0..3
Code specifying the arrangements for a payment.
Show all standard codes
7140
Item identifier
Conditionalan0..35
To identify an item.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C528
COMMODITY/RATE DETAIL
Conditional
Identification of commodity/rates.
7357
Commodity identification code
Conditionalan0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
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
C554
RATE/TARIFF CLASS DETAIL
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Conditionalan0..9
Code specifying an applicable rate or tariff class.
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

IDEIDENTITYC 9

9Conditional To reference a party to whom this cost or charge relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the cost or charge, such as method of calculation.
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.

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the cost or charge component, such as cost or charge discount percentage.
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

FTXFREE TEXTC 9

9Conditional To provide text information about the cost or charge component.
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

GRP22 COT IDE ATT MOA PCD RFF FTXC 99

99Conditional A group of segments to identify and describe contribution and recovery details related to the risk object component cost or charge.

COTCONTRIBUTION DETAILSM 1

1Mandatory To identify one contribution or recovery component relating to the risk object cost or charge.
5047
CONTRIBUTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying a contribution.
Show all standard codes
C953
CONTRIBUTION TYPE
Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
Mandatoryan0..3
Code specifying a type of contribution scheme.
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
5048
Contribution type description
Conditionalan0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
Conditional
To specify an instruction.
4403
Instruction type code qualifier
Mandatoryan0..3
Code qualifying the type of instruction.
Show all standard codes
4401
Instruction description code
Conditionalan0..3
Code specifying an instruction.
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
4400
Instruction description
Conditionalan0..35
Free form description of an instruction.
C203
RATE/TARIFF CLASS
Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
Mandatoryan0..9
Code specifying an applicable rate or tariff class.
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
5242
Rate or tariff class description
Conditionalan0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
5275
Supplementary rate or tariff code
Conditionalan0..6
Code specifying a supplementary rate or tariff.
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
C960
REASON FOR CHANGE
Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
Conditionalan0..3
Code specifying the reason for a change.
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
4294
Change reason description
Conditionalan0..35
Free form description of the reason for change.

IDEIDENTITYC 9

9Conditional To reference a party to whom this contribution or recovery relates.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code.
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.

MOAMONETARY AMOUNTC 9

9Conditional To provide monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount.
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

PCDPERCENTAGE DETAILSC 9

9Conditional To specify percentages relating to the contribution or recovery component, such as percentage of insurer's responsibility.
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

RFFREFERENCEC 9

9Conditional To specify references relating to the contribution or recovery component.
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.

FTXFREE TEXTC 9

9Conditional To provide text information relating to the contribution or recovery component.
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

GRP23 PRC IDE ATT DTM MOA QRS RFF FTXC 99

99Conditional A group of segments to identify and describe an action relating to the claim, such as assessment, financial settlement, progress report.

PRCPROCESS IDENTIFICATIONM 1

1Mandatory To identify one action related to the claim.
C242
PROCESS TYPE AND DESCRIPTION
Conditional
Identification of process type and description.
7187
Process type description code
Mandatoryan0..17
Code specifying a type of process.
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
7186
Process type description
Conditionalan0..35
Free form description of a type of process.
7186
Process type description
Conditionalan0..35
Free form description of a type of process.
C830
PROCESS IDENTIFICATION DETAILS
Conditional
To identify the details of a specific process.
7191
Process description code
Conditionalan0..17
Code specifying a process.
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
7190
Process description
Conditionalan0..70
Free form description of a process.

IDEIDENTITYC 9

9Conditional To reference parties related to the claim.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the action, such as assessment report type, manner of settlement.
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.

DTMDATE/TIME/PERIODC 99

99Conditional To specify dates related to the action, such as date of report, date inspection to be performed.
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

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts related to the action, such as settlement amount.
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

QRSQUERY AND RESPONSEC 99

99Conditional To provide the response to coded questions about the action.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

RFFREFERENCEC 9

9Conditional To specify references related to the action, such as instructor's assessment reference, assessor's assessment reference.
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.

FTXFREE TEXTC 9

9Conditional To provide text information about the action, such as progress description, verdict description.
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

GRP24 SEQ IDE ATT DTM RFF GRP25C 99

99Conditional A group of segments to describe the previous insurance history for the risk associated with this claim. The previous insurance is expressed as a sequence of periods of insurance.

SEQSEQUENCE DETAILSM 1

1Mandatory Identifies the sequence of this period of previous insurance.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show all standard codes
C286
SEQUENCE INFORMATION
Conditional
Identification of a sequence and source for sequencing.
1050
Sequence position identifier
Mandatoryan0..10
To identify a position in a sequence.
1159
Sequence identifier source code
Conditionalan0..3
Code specifying the source of a sequence identifier.
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

IDEIDENTITYC 9

9Conditional To reference parties related to this period of insurance history.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the previous insurance history, such as policy class.
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.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates relating to the period of insurance history, such as inception date, expiry 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 9

9Conditional To specify references relating to the period of previous insurance history, such as policy number.
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.

GRP25 COD IDE ATT DTM MOA QRS RFF FTXC 99

99Conditional A group of segments to identify and describe components relating to the period of previous insurance history, such as prior loss.

CODCOMPONENT DETAILSM 1

1Mandatory To identify one prior loss that relates to the period of previous insurance.
C823
TYPE OF UNIT/COMPONENT
Conditional
To identify the type of unit/component of an object (e.g. lock, door, tyre).
7505
Unit or component type description code
Conditionalan0..3
Code specifying a type of unit or component.
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
7504
Unit or component type description
Conditionalan0..35
Free form description of a type of unit or component.
C824
COMPONENT MATERIAL
Conditional
To identify the material of which a component is composed (e.g. steel, plastics).
7507
Component material description code
Conditionalan0..3
Code specifying a component material.
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
7506
Component material description
Conditionalan0..35
Free form description of a component material.

IDEIDENTITYC 9

9Conditional To reference party numbers for the prior loss as specified by the intermediary, insurer and client.
7495
OBJECT TYPE CODE QUALIFIER
Mandatoryan0..3
Code qualifying a type of object.
Show all standard codes
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show all standard codes
4405
Status description code
Conditionalan0..3
Code specifying a status.
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
4405
STATUS DESCRIPTION CODE
Conditionalan0..3
Code specifying a status.
Show all standard codes
1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
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
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.

ATTATTRIBUTEC 9

9Conditional To specify coded attributes relating to the prior loss, such as loss type, incident type.
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.

DTMDATE/TIME/PERIODC 9

9Conditional To specify dates relating to the prior loss, such as loss date, settlement 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

MOAMONETARY AMOUNTC 9

9Conditional To specify monetary amounts relating to the prior loss, such as loss amount.
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

QRSQUERY AND RESPONSEC 9

9Conditional To specify the response to coded questions relating to the prior loss.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying identification of a subject area.
Show all standard codes
C811
QUESTION DETAILS
Conditional
To specify a question.
4057
Question description code
Conditionalan0..3
Code specifying a question.
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
4056
Question description
Conditionalan0..256
Free form description of a question.
C812
RESPONSE DETAILS
Conditional
To specify a response to a question, in code or text.
4345
Response description code
Conditionalan0..3
Code specifying a response.
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
4344
Response description
Conditionalan0..256
Free form description of a response.

RFFREFERENCEC 9

9Conditional To specify references for the prior loss, such as insurer's historical claim reference.
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.

FTXFREE TEXTC 9

9Conditional To provide free text about the prior loss, such as prior loss description.
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

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.