UNH M 1 MESSAGE HEADER

  • Mandatory
  • Max repeat: 1
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
  • Mandatory
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..6
Code identifying a type of message and assigned by its controlling agency.
0052
Message version number
  • Mandatory
  • Type: an
  • Length: 0..3
Version number of a message type.
0054
Message release number
  • Mandatory
  • Type: an
  • Length: 0..3
Release number within the current message version number.
0051
Controlling agency, coded
  • Mandatory
  • Type: an
  • Length: 0..3
Code identifying a controlling agency.
0057
Association assigned code
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..6
Version number of the code list directory.
0113
Message type sub-function identification
  • Conditional
  • Type: an
  • Length: 0..6
Code identifying a sub-function of a message type.
0068
COMMON ACCESS REFERENCE
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: a
  • Length: 1
Indication used for the first and last message in a sequence of messages related to the same topic.
S016
MESSAGE SUBSET IDENTIFICATION
  • Conditional
Identification of a message subset by its identifier, version, release and source.
0115
Message subset identification
  • Mandatory
  • Type: an
  • Length: 0..14
Coded identification of a message subset, assigned by its controlling agency.
0116
Message subset version number
  • Conditional
  • Type: an
  • Length: 0..3
Version number of the message subset.
0118
Message subset release number
  • Conditional
  • Type: an
  • Length: 0..3
Release number within the message subset version number.
0051
Controlling agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying a controlling agency.
S017
MESSAGE IMPLEMENTATION GUIDELINE IDENTIFICATION
  • Conditional
Identification of a message implementation guideline by its identifier, version, release and source.
0121
Message implementation guideline identification
  • Mandatory
  • Type: an
  • Length: 0..14
Coded identification of the message implementation guideline, assigned by its controlling agency.
0122
Message implementation guideline version number
  • Conditional
  • Type: an
  • Length: 0..3
Version number of the message implementation guideline.
0124
Message implementation guideline release number
  • Conditional
  • Type: an
  • Length: 0..3
Release number within the message implementation guideline version number.
0051
Controlling agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying a controlling agency.
S018
SCENARIO IDENTIFICATION
  • Conditional
Identification of a scenario.
0127
Scenario identification
  • Mandatory
  • Type: an
  • Length: 0..14
Code identifying scenario.
0128
Scenario version number
  • Conditional
  • Type: an
  • Length: 0..3
Version number of a scenario.
0130
Scenario release number
  • Conditional
  • Type: an
  • Length: 0..3
Release number within the scenario version number.
0051
Controlling agency, coded
  • Conditional
  • Type: an
  • Length: 0..3
Code identifying a controlling agency.

BGM M 1 BEGINNING OF MESSAGE

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the document name.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
1000
Document name
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a document.
1056
Version identifier
  • Conditional
  • Type: an
  • Length: 0..9
To identify a version.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.
1225
MESSAGE FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code indicating the function of the message.
4343
RESPONSE TYPE CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of acknowledgment required or transmitted.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify the type of transaction within the specified message function.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

CUX C 1 CURRENCIES

  • Conditional
  • Max repeat: 1
To specify the currency of the transaction.
C504
CURRENCY DETAILS
  • Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the usage of a currency.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
6348
Currency rate
  • Conditional
  • Type: n
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the usage of a currency.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
6348
Currency rate
  • Conditional
  • Type: n
  • Length: 0..4
To specify the value of the multiplication factor used in expressing currency units.
5402
CURRENCY EXCHANGE RATE
  • Conditional
  • Type: n
  • Length: 0..12
To specify the rate at which one specified currency is expressed in another specified currency.
6341
EXCHANGE RATE CURRENCY MARKET IDENTIFIER
  • Conditional
  • Type: an
  • Length: 0..3
To identify an exchange rate currency market.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To provide the response to coded questions related to the transaction.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide additional text information related to the transaction, such as transaction description.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP1 M 9 PNA GRP2

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

PNA M 1 PARTY IDENTIFICATION

  • Mandatory
  • Max repeat: 1
To specify one party related to the business transaction, such as message originator, ultimate recipient and software supplier.
3035
PARTY FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a party.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3403
NAME TYPE CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of name.
3397
NAME STATUS CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the status of a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the action to be taken or already taken.

GRP2 C 9 RFF DTM

  • Conditional
  • Max repeat: 9
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.

RFF M 1 REFERENCE

  • Mandatory
  • Max repeat: 1
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

GRP3 M 99 EVE IDE ATT DTM RFF PCD QRS QTY FTX GRP4 GRP6

  • Mandatory
  • Max repeat: 99
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.

EVE M 1 EVENT

  • Mandatory
  • Max repeat: 1
To identify and describe one event or incident related to the claim.
9635
EVENT DETAILS CODE QUALIFIER
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the event details.
C004
EVENT CATEGORY
  • Conditional
To specify the event category.
9637
Event category description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the event category.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9636
Event category description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the event category.
C030
EVENT TYPE
  • Conditional
To specify the type of event.
9171
Event type description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying an event type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9170
Event type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the event type.
C063
EVENT IDENTIFICATION
  • Conditional
To identify an event.
9173
Event description code
  • Conditional
  • Type: an
  • Length: 0..35
Code specifying an event.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9172
Event
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of the event.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the action to be taken or already taken.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the incident, such as incident scale.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To specify the response to coded questions about the incident.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the incident, such as incident description.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP4 C 9 TCC IDE ATT MOA PCD FTX GRP5

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

TCC M 1 CHARGE/RATE CALCULATIONS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying freight and other charges.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
8022
Freight and other charges description
  • Conditional
  • Type: an
  • Length: 0..26
Free form description of freight and other charges.
4237
Payment arrangement code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the arrangements for a payment.
7140
Item identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify an item.
C203
RATE/TARIFF CLASS
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C528
COMMODITY/RATE DETAIL
  • Conditional
Identification of commodity/rates.
7357
Commodity identification code
  • Conditional
  • Type: an
  • Length: 0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C554
RATE/TARIFF CLASS DETAIL
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To specify one type of cost or charge relating to the incident.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the cost charge, such as method of calculation.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the cost or charge, such as explanation of cost or charge.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP5 C 99 COT IDE ATT MOA PCD RFF FTX

  • Conditional
  • Max repeat: 99
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.

COT M 1 CONTRIBUTION DETAILS

  • Mandatory
  • Max repeat: 1
To identify one contribution or recovery relating to the cost or charge.
5047
CONTRIBUTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a contribution.
C953
CONTRIBUTION TYPE
  • Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying a type of contribution scheme.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5048
Contribution type description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
  • Conditional
To specify an instruction.
4403
Instruction type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of instruction.
4401
Instruction description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying an instruction.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4400
Instruction description
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C960
REASON FOR CHANGE
  • Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the reason for a change.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4294
Change reason description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the reason for change.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To specify the identity number of a party to whom this contribution or recovery applies.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To provide coded attributes relating to the contribution or recovery, such as contribution or recovery status.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
To specify references for the contribution or recovery.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the contribution or recovery.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP6 C 99 COD IDE ADR ATT COM DTM MOA PCD QRS QTY RFF FTX GRP7

  • Conditional
  • Max repeat: 99
To provide text information about the contribution or recovery.

COD M 1 COMPONENT DETAILS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a type of unit or component.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7504
Unit or component type description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a component material.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7506
Component material description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a component material.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference the object or party to which the cover applies.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ADR C 1 ADDRESS

  • Conditional
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the purpose of an address.
3131
Address type code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of an address.
3475
Address status code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the status of an address.
C090
ADDRESS DETAILS
  • Conditional
To specify the details of an address.
3477
Address format code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying the format of an address.
3286
Address component description
  • Mandatory
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3164
CITY NAME
  • Conditional
  • Type: an
  • Length: 0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3228
Country sub-entity name
  • Conditional
  • Type: an
  • Length: 0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
  • Conditional
Identification of a location by code or name.
3225
Location name code
  • Conditional
  • Type: an
  • Length: 0..35
Code specifying the name of the location.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3224
Location name
  • Conditional
  • Type: an
  • Length: 0..256
Name of the location.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes related to the cover component, such as cover type, usage.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

COM C 9 COMMUNICATION CONTACT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..512
To identify a communication address.
3155
Communication address code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the communication address.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To specify the response to coded questions concerning the cover.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
To specify references related to the cover.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To specify text information about the cover, such as cover description, usage description.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP7 C 999 PCC ATT DTM MOA PCD QRS QTY FTX GRP8

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

PCC M 1 PREMIUM CALCULATION COMPONENT DETAILS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..17
To identify a component affecting premium calculation.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4522
PREMIUM CALCULATION COMPONENT VALUE CATEGORY IDENTIFIER
  • Conditional
  • Type: an
  • Length: 0..35
To identify the value category of a premium calculation component.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes related to the claim calculation component, such as claim calculated by code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To specify the response to coded questions about the claim calculation component.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the claim calculation component, such as condition wording.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP8 C 99 TCC IDE ATT MOA PCD FTX GRP9

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

TCC M 1 CHARGE/RATE CALCULATIONS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying freight and other charges.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
8022
Freight and other charges description
  • Conditional
  • Type: an
  • Length: 0..26
Free form description of freight and other charges.
4237
Payment arrangement code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the arrangements for a payment.
7140
Item identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify an item.
C203
RATE/TARIFF CLASS
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C528
COMMODITY/RATE DETAIL
  • Conditional
Identification of commodity/rates.
7357
Commodity identification code
  • Conditional
  • Type: an
  • Length: 0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C554
RATE/TARIFF CLASS DETAIL
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference the object or party that the cost or charge applies to.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the claim calculation, such as method of calculation.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the claim calculation component, such as explanation of cost or charge.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP9 C 99 COT IDE ATT MOA PCD RFF FTX

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

COT M 1 CONTRIBUTION DETAILS

  • Mandatory
  • Max repeat: 1
To identify one contribution or recovery relating to the claim calculation.
5047
CONTRIBUTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a contribution.
C953
CONTRIBUTION TYPE
  • Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying a type of contribution scheme.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5048
Contribution type description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
  • Conditional
To specify an instruction.
4403
Instruction type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of instruction.
4401
Instruction description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying an instruction.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4400
Instruction description
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C960
REASON FOR CHANGE
  • Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the reason for a change.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4294
Change reason description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the reason for change.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference a party to whom this contribution or recovery relates.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To provide coded attributes related to the contribution or recovery, such as contribution or recovery status.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
To specify references relating to the contribution or recovery.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the contribution or recovery.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP10 C 999 ICD IDE ATT DTM MOA RFF QRS FTX

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

ICD M 1 INSURANCE COVER DESCRIPTION

  • Mandatory
  • Max repeat: 1
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying the meaning of the insurance cover.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C331
INSURANCE COVER DETAILS
  • Mandatory
To provide the insurance cover details.
4495
Insurance cover description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the insurance cover.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4494
Insurance cover description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the insurance cover.
4494
Insurance cover description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the insurance cover.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To provide identification numbers for the policy as specified by the intermediary, insurer and client.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes related to the policy, such as policy product code, scheme code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To provide the response to coded questions relating to the policy.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information related to the policy.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

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

  • Conditional
  • Max repeat: 99
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.

DOC M 1 DOCUMENT/MESSAGE DETAILS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the document name.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
1000
Document name
  • Conditional
  • Type: an
  • Length: 0..35
Name of a document.
C503
DOCUMENT/MESSAGE DETAILS
  • Conditional
Identification of document/message by number, status, source and/or language.
1004
Document identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify a document.
1373
Document status code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the status of a document.
1366
Document source description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the source of a document.
3453
Language name code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
1056
Version identifier
  • Conditional
  • Type: an
  • Length: 0..9
To identify a version.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.
3153
COMMUNICATION MEDIUM TYPE CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of communication medium.
1220
DOCUMENT COPIES REQUIRED QUANTITY
  • Conditional
  • Type: n
  • Length: 0..2
Quantity of document copies required.
1218
DOCUMENT ORIGINALS REQUIRED QUANTITY
  • Conditional
  • Type: n
  • Length: 0..2
Quantity of document originals required.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference a party or object to which the document relates.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the document, such as document status code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

ADR C 9 ADDRESS

  • Conditional
  • Max repeat: 9
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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the purpose of an address.
3131
Address type code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of an address.
3475
Address status code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the status of an address.
C090
ADDRESS DETAILS
  • Conditional
To specify the details of an address.
3477
Address format code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying the format of an address.
3286
Address component description
  • Mandatory
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3164
CITY NAME
  • Conditional
  • Type: an
  • Length: 0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3228
Country sub-entity name
  • Conditional
  • Type: an
  • Length: 0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
  • Conditional
Identification of a location by code or name.
3225
Location name code
  • Conditional
  • Type: an
  • Length: 0..35
Code specifying the name of the location.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3224
Location name
  • Conditional
  • Type: an
  • Length: 0..256
Name of the location.

EFI C 1 EXTERNAL FILE LINK IDENTIFICATION

  • Conditional
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..35
Name of a file.
7008
Item description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an item.
C099
FILE DETAILS
  • Conditional
To define details relevant to a file.
1516
File format name
  • Mandatory
  • Type: an
  • Length: 0..17
Name of a file format.
1056
Version identifier
  • Conditional
  • Type: an
  • Length: 0..9
To identify a version.
1503
Data format description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the data format.
1502
Data format description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the data format.
1050
SEQUENCE POSITION IDENTIFIER
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
9450
FILE COMPRESSION TECHNIQUE NAME
  • Conditional
  • Type: an
  • Length: 0..35
Name of a file compression technique.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To specify the response to coded questions relating to the document.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the document, such as document description.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP12 M 99 PNA IDE ATT DTM MEA RFF QRS PCD FTX GRP13

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

PNA M 1 PARTY IDENTIFICATION

  • Mandatory
  • Max repeat: 1
To identify one party related to a claim described within this message.
3035
PARTY FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a party.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3403
NAME TYPE CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of name.
3397
NAME STATUS CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the status of a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
C816
NAME COMPONENT DETAILS
  • Conditional
To specify a name component.
3405
Name component type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of a name component.
3398
Name component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of a name component.
3401
Name component usage code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the usage of a name component.
3295
Name original alphabet code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the alphabet originally used to represent a name.
1229
ACTION REQUEST/NOTIFICATION DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the action to be taken or already taken.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 99 ATTRIBUTE

  • Conditional
  • Max repeat: 99
To specify coded attributes related to the party, such as value added tax status code, marital status code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

MEA C 9 MEASUREMENTS

  • Conditional
  • Max repeat: 9
To provide measurements relating to the party, such as level of blood alcohol.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the purpose of the measurement.
C502
MEASUREMENT DETAILS
  • Conditional
Identification of measurement type.
6313
Measured attribute code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the attribute measured.
6321
Measurement significance code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the significance of a measurement.
6155
Non-discrete measurement name code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the name of a non-discrete measurement.
6154
Non-discrete measurement name
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.
6314
Measure
  • Conditional
  • Type: an
  • Length: 0..18
To specify the value of a measurement.
6162
Range minimum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the minimum value of a range.
6152
Range maximum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the maximum value of a range.
6432
Significant digits quantity
  • Conditional
  • Type: n
  • Length: 0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the surface or layer of an object.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To provide the response to coded questions about the party.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information relating to the party.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

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

  • Conditional
  • Max repeat: 99
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.

COD M 1 COMPONENT DETAILS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a type of unit or component.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7504
Unit or component type description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a component material.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7506
Component material description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a component material.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To provide identification numbers for the party component that may be used to link the component to other entities.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ADR C 1 ADDRESS

  • Conditional
  • Max repeat: 1
To specify address details for a party.
C817
ADDRESS USAGE
  • Conditional
To describe the usage of an address.
3299
Address purpose code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the purpose of an address.
3131
Address type code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of an address.
3475
Address status code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the status of an address.
C090
ADDRESS DETAILS
  • Conditional
To specify the details of an address.
3477
Address format code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying the format of an address.
3286
Address component description
  • Mandatory
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3164
CITY NAME
  • Conditional
  • Type: an
  • Length: 0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3228
Country sub-entity name
  • Conditional
  • Type: an
  • Length: 0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
  • Conditional
Identification of a location by code or name.
3225
Location name code
  • Conditional
  • Type: an
  • Length: 0..35
Code specifying the name of the location.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3224
Location name
  • Conditional
  • Type: an
  • Length: 0..256
Name of the location.

FII C 1 FINANCIAL INSTITUTION INFORMATION

  • Conditional
  • Max repeat: 1
To provide a set of financial account details for a party.
3035
PARTY FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code giving specific meaning to a party.
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
  • Conditional
  • Type: an
  • Length: 0..35
To identify the holder of an account.
3192
Account holder name
  • Conditional
  • Type: an
  • Length: 0..35
Name of the holder of an account.
3192
Account holder name
  • Conditional
  • Type: an
  • Length: 0..35
Name of the holder of an account.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..11
Code specifying the name of an institution.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3434
Institution branch identifier
  • Conditional
  • Type: an
  • Length: 0..17
To identify a branch of an institution.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3432
Institution name
  • Conditional
  • Type: an
  • Length: 0..70
Name of an institution.
3436
Institution branch location name
  • Conditional
  • Type: an
  • Length: 0..70
Name of the location of a branch of an institution.
3207
COUNTRY NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Identification of the name of the country or other geographical entity as defined in ISO 3166-1.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the party component, such as offence code, type of blood alcohol test code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

COM C 9 COMMUNICATION CONTACT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..512
To identify a communication address.
3155
Communication address code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the communication address.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

EMP C 9 EMPLOYMENT DETAILS

  • Conditional
  • Max repeat: 9
To provide one set of employment details for a party.
9003
EMPLOYMENT DETAILS CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the employment details.
C948
EMPLOYMENT CATEGORY
  • Conditional
Code and/or description of an employment category.
9005
Employment category description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the employment category.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9004
Employment category description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the employment category.
C951
OCCUPATION
  • Conditional
Description of an occupation.
9009
Occupation description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying an occupation.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9008
Occupation description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an occupation.
9008
Occupation description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a qualification classification.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9006
Qualification classification description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a qualification classification.
9006
Qualification classification description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a qualification classification.
3494
JOB TITLE DESCRIPTION
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a job title.
9035
QUALIFICATION APPLICATION AREA CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the application area of a qualification.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To provide the response to coded questions relating to the party component.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information relating to the party component, such as offence description, employment description.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP14 M 99 ROD IDE RFF MOA PCD TAX DTM LOC ATT MEA QTY QRS RTE FTX GRP15 GRP17

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

ROD M 1 RISK OBJECT TYPE

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a type of risk object.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C852
RISK OBJECT SUB-TYPE
  • Conditional
To provide identification details for a risk object sub-type.
7177
Risk object sub-type description identifier
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying the object sub-type of a risk.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7176
Risk object sub-type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the object sub-type of a risk.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

MOA C 99 MONETARY AMOUNT

  • Conditional
  • Max repeat: 99
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
To specify percentages relating to the risk object.
C501
PERCENTAGE DETAILS
  • Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

TAX C 1 DUTY/TAX/FEE DETAILS

  • Conditional
  • Max repeat: 1
To specify tax/fee details relating to the risk object.
5283
DUTY OR TAX OR FEE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a duty or tax or fee.
C241
DUTY/TAX/FEE TYPE
  • Conditional
Code and/or name identifying duty, tax or fee.
5153
Duty or tax or fee type name code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a type of duty, tax or fee.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5152
Duty or tax or fee type name
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..6
Code specifying a duty or tax or fee account.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5286
DUTY OR TAX OR FEE ASSESSMENT BASIS QUANTITY
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..7
Code specifying a rate of a duty or tax or fee.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5278
Duty or tax or fee rate
  • Conditional
  • Type: an
  • Length: 0..17
Rate of a duty or tax or fee.
5273
Duty or tax or fee rate basis code
  • Conditional
  • Type: an
  • Length: 0..12
Code specifying the basis for a duty or tax or fee rate.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5305
DUTY OR TAX OR FEE CATEGORY CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a duty or tax or fee category.
3446
PARTY TAX IDENTIFIER
  • Conditional
  • Type: an
  • Length: 0..20
To identify a number assigned to a party by a tax authority.
1227
CALCULATION SEQUENCE CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a calculation sequence.

DTM C 99 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 99
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

LOC C 9 PLACE/LOCATION IDENTIFICATION

  • Conditional
  • Max repeat: 9
To specify a place/location related to the risk object.
3227
LOCATION FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code identifying the function of a location.
C517
LOCATION IDENTIFICATION
  • Conditional
Identification of a location by code or name.
3225
Location name code
  • Conditional
  • Type: an
  • Length: 0..35
Code specifying the name of the location.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3224
Location name
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..25
Code specifying first related location.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3222
First related location name
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..25
Code specifying the second related location.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3232
Second related location name
  • Conditional
  • Type: an
  • Length: 0..70
Name of the second related location.
5479
RELATION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a relation.

ATT C 99 ATTRIBUTE

  • Conditional
  • Max repeat: 99
To specify coded attributes relating to the risk object, such as body type code, nature of occupancy.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MEA C 9 MEASUREMENTS

  • Conditional
  • Max repeat: 9
To specify measurements relating to the risk object, such as length, width, floor area.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the purpose of the measurement.
C502
MEASUREMENT DETAILS
  • Conditional
Identification of measurement type.
6313
Measured attribute code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the attribute measured.
6321
Measurement significance code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the significance of a measurement.
6155
Non-discrete measurement name code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the name of a non-discrete measurement.
6154
Non-discrete measurement name
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.
6314
Measure
  • Conditional
  • Type: an
  • Length: 0..18
To specify the value of a measurement.
6162
Range minimum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the minimum value of a range.
6152
Range maximum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the maximum value of a range.
6432
Significant digits quantity
  • Conditional
  • Type: n
  • Length: 0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the surface or layer of an object.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

QRS C 99 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 99
To provide the response to coded questions about the risk object.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

RTE C 9 RATE DETAILS

  • Conditional
  • Max repeat: 9
To specify rate details relating to the risk object.
C128
RATE DETAILS
  • Mandatory
Rate per unit and rate basis.
5419
Rate type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of rate.
5420
Unit price basis rate
  • Mandatory
  • Type: n
  • Length: 0..15
To specify the rate per unit specified in the unit price basis.
5284
Unit price basis quantity
  • Conditional
  • Type: n
  • Length: 0..9
To specify the basis for a unit price.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text descriptions relating to the risk object, such as object description, business usage of building description.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP15 C 99 TCC IDE ATT MOA PCD FTX GRP16

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

TCC M 1 CHARGE/RATE CALCULATIONS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying freight and other charges.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
8022
Freight and other charges description
  • Conditional
  • Type: an
  • Length: 0..26
Free form description of freight and other charges.
4237
Payment arrangement code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the arrangements for a payment.
7140
Item identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify an item.
C203
RATE/TARIFF CLASS
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C528
COMMODITY/RATE DETAIL
  • Conditional
Identification of commodity/rates.
7357
Commodity identification code
  • Conditional
  • Type: an
  • Length: 0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C554
RATE/TARIFF CLASS DETAIL
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference a party to whom the charge relates.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the cost or charge, such as method of calculation.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
To specify percentages relating to the cost or charge.
C501
PERCENTAGE DETAILS
  • Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text descriptions relating to the cost or charge.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP16 C 99 COT IDE ATT MOA PCD RFF FTX

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

COT M 1 CONTRIBUTION DETAILS

  • Mandatory
  • Max repeat: 1
To identify one contribution or recovery related to the cost or charge.
5047
CONTRIBUTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a contribution.
C953
CONTRIBUTION TYPE
  • Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying a type of contribution scheme.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5048
Contribution type description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
  • Conditional
To specify an instruction.
4403
Instruction type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of instruction.
4401
Instruction description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying an instruction.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4400
Instruction description
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C960
REASON FOR CHANGE
  • Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the reason for a change.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4294
Change reason description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the reason for change.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference a party to whom this contribution or recovery relates.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the contribution or recovery, such as contribution or recovery status code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
To specify references relating to the contribution or recovery.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text descriptions relating to the contribution or recovery.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP17 C 999 COD IDE ADR ATT COM DAM DTM MEA MOA PCD QRS QTY RFF FTX GRP18 GRP20

  • Conditional
  • Max repeat: 999
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.

COD M 1 COMPONENT DETAILS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a type of unit or component.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7504
Unit or component type description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a component material.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7506
Component material description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a component material.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ADR C 1 ADDRESS

  • Conditional
  • Max repeat: 1
To specify addresses relating to the risk object.
C817
ADDRESS USAGE
  • Conditional
To describe the usage of an address.
3299
Address purpose code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the purpose of an address.
3131
Address type code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of an address.
3475
Address status code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the status of an address.
C090
ADDRESS DETAILS
  • Conditional
To specify the details of an address.
3477
Address format code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying the format of an address.
3286
Address component description
  • Mandatory
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3286
Address component description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of the component of an address.
3164
CITY NAME
  • Conditional
  • Type: an
  • Length: 0..35
Name of a city.
3251
POSTAL IDENTIFICATION CODE
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the postal zone or address.
3207
COUNTRY NAME CODE
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying the name of a country sub-entity.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3228
Country sub-entity name
  • Conditional
  • Type: an
  • Length: 0..70
Name of a country sub-entity.
C517
LOCATION IDENTIFICATION
  • Conditional
Identification of a location by code or name.
3225
Location name code
  • Conditional
  • Type: an
  • Length: 0..35
Code specifying the name of the location.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
3224
Location name
  • Conditional
  • Type: an
  • Length: 0..256
Name of the location.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the risk object component, such as severity of damage code, security device code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

COM C 9 COMMUNICATION CONTACT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..512
To identify a communication address.
3155
Communication address code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the communication address.

DAM C 9 DAMAGE

  • Conditional
  • Max repeat: 9
To specify the damage to the risk object.
7493
DAMAGE DETAILS CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the damage details.
C821
TYPE OF DAMAGE
  • Conditional
To specify the type of damage to an object.
7501
Damage type description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the type of damage to an object.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7500
Damage type description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..4
Code specifying where the damage is on an object.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7502
Damage area description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the severity of damage.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7508
Damage severity description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the action to be taken or already taken.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
1228
Action request/notification description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the action to be taken or already taken.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

MEA C 9 MEASUREMENTS

  • Conditional
  • Max repeat: 9
To specify measurements relating to the risk object component.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the purpose of the measurement.
C502
MEASUREMENT DETAILS
  • Conditional
Identification of measurement type.
6313
Measured attribute code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the attribute measured.
6321
Measurement significance code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the significance of a measurement.
6155
Non-discrete measurement name code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the name of a non-discrete measurement.
6154
Non-discrete measurement name
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.
6314
Measure
  • Conditional
  • Type: an
  • Length: 0..18
To specify the value of a measurement.
6162
Range minimum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the minimum value of a range.
6152
Range maximum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the maximum value of a range.
6432
Significant digits quantity
  • Conditional
  • Type: n
  • Length: 0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the surface or layer of an object.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To specify the response to coded questions relating to the risk object component.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
To specify references relating to the risk object component.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information for the risk object component, such as specialist valuation description, explanation of a video image.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP18 C 99 TCC IDE ATT MOA PCD FTX GRP19

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

TCC M 1 CHARGE/RATE CALCULATIONS

  • Mandatory
  • Max repeat: 1
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
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying freight and other charges.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
8022
Freight and other charges description
  • Conditional
  • Type: an
  • Length: 0..26
Free form description of freight and other charges.
4237
Payment arrangement code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the arrangements for a payment.
7140
Item identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify an item.
C203
RATE/TARIFF CLASS
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C528
COMMODITY/RATE DETAIL
  • Conditional
Identification of commodity/rates.
7357
Commodity identification code
  • Conditional
  • Type: an
  • Length: 0..18
Code identifying a commodity for Customs, transport or statistical purposes (generic term).
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C554
RATE/TARIFF CLASS DETAIL
  • Conditional
Identification of the applicable rate/tariff class.
5243
Rate or tariff class description code
  • Conditional
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference a party to whom this cost or charge relates.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the cost or charge, such as method of calculation.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the cost or charge component.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP19 C 99 COT IDE ATT MOA PCD RFF FTX

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

COT M 1 CONTRIBUTION DETAILS

  • Mandatory
  • Max repeat: 1
To identify one contribution or recovery component relating to the risk object component cost or charge.
5047
CONTRIBUTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a contribution.
C953
CONTRIBUTION TYPE
  • Conditional
Identification of the type of a contribution to a scheme or group.
5049
Contribution type description code
  • Mandatory
  • Type: an
  • Length: 0..3
Code specifying a type of contribution scheme.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5048
Contribution type description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a type of contribution scheme.
C522
INSTRUCTION
  • Conditional
To specify an instruction.
4403
Instruction type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of instruction.
4401
Instruction description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying an instruction.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4400
Instruction description
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..9
Code specifying an applicable rate or tariff class.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5242
Rate or tariff class description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of an applicable rate or tariff class.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
5275
Supplementary rate or tariff code
  • Conditional
  • Type: an
  • Length: 0..6
Code specifying a supplementary rate or tariff.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C960
REASON FOR CHANGE
  • Conditional
Code and/or description of the reason for a change.
4295
Change reason description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the reason for a change.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4294
Change reason description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of the reason for change.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference a party to whom this contribution or recovery relates.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

MOA C 9 MONETARY AMOUNT

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of monetary amount.
5004
Monetary amount
  • Conditional
  • Type: n
  • Length: 0..35
To specify a monetary amount.
6345
Currency identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a monetary unit.
6343
Currency type code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the type of currency.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

PCD C 5 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 5
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
To provide references relating to the contribution or recovery component.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information about the contribution or recovery component.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.

GRP20 C 99 IMD IDE ATT DTM MEA PCD QRS QTY RFF FTX GRP21

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

IMD M 1 ITEM DESCRIPTION

  • Mandatory
  • Max repeat: 1
To identify one part or task that relates to the risk object loss/damage component.
7077
DESCRIPTION FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of a description.
C272
ITEM CHARACTERISTIC
  • Conditional
To provide the characteristic of the item being described.
7081
Item characteristic code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the characteristic of an item.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C273
ITEM DESCRIPTION
  • Conditional
Description of an item.
7009
Item description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an item.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7008
Item description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an item.
7008
Item description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an item.
3453
Language name code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
7383
SURFACE OR LAYER CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the surface or layer of an object.

IDE C 9 IDENTITY

  • Conditional
  • Max repeat: 9
To reference a party that relates to this part or task such as service provider.
7495
OBJECT TYPE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a type of object.
C206
IDENTIFICATION NUMBER
  • Conditional
The identification of an object.
7402
Object identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
  • Conditional
  • Type: an
  • Length: 0..3
Code qualifying the identification of an object.
4405
Status description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
C082
PARTY IDENTIFICATION DETAILS
  • Conditional
Identification of a transaction party by code.
3039
Party identifier
  • Mandatory
  • Type: an
  • Length: 0..35
Code specifying the identity of a party.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.
1222
CONFIGURATION LEVEL NUMBER
  • Conditional
  • Type: n
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
  • Conditional
  • Type: an
  • Length: 0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
  • Conditional
To provide a description of a characteristic.
7037
Characteristic description code
  • Mandatory
  • Type: an
  • Length: 0..17
A code specifying a characteristic.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.
7036
Characteristic description
  • Conditional
  • Type: an
  • Length: 0..35
Free form description of a characteristic.

ATT C 9 ATTRIBUTE

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying an attribute function.
C955
ATTRIBUTE TYPE
  • Conditional
Identification of the type of attribute.
9021
Attribute type description code
  • Conditional
  • Type: an
  • Length: 0..17
Coded specifying an attribute type.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9020
Attribute type description
  • Conditional
  • Type: an
  • Length: 0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
  • Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying an attribute.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
9018
Attribute description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of an attribute.

DTM C 9 DATE/TIME/PERIOD

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the function of a date, time or period.
2380
Date or time or period text
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the representation of a date, time or period.

MEA C 9 MEASUREMENTS

  • Conditional
  • Max repeat: 9
To specify measurements relating to the part or task item, such as tyre pressure, tyre tread depth.
6311
MEASUREMENT PURPOSE CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the purpose of the measurement.
C502
MEASUREMENT DETAILS
  • Conditional
Identification of measurement type.
6313
Measured attribute code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the attribute measured.
6321
Measurement significance code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the significance of a measurement.
6155
Non-discrete measurement name code
  • Conditional
  • Type: an
  • Length: 0..17
Code specifying the name of a non-discrete measurement.
6154
Non-discrete measurement name
  • Conditional
  • Type: an
  • Length: 0..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
  • Mandatory
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.
6314
Measure
  • Conditional
  • Type: an
  • Length: 0..18
To specify the value of a measurement.
6162
Range minimum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the minimum value of a range.
6152
Range maximum quantity
  • Conditional
  • Type: n
  • Length: 0..18
To specify the maximum value of a range.
6432
Significant digits quantity
  • Conditional
  • Type: n
  • Length: 0..2
Count of the number of significant digits.
7383
SURFACE OR LAYER CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the surface or layer of an object.

PCD C 9 PERCENTAGE DETAILS

  • Conditional
  • Max repeat: 9
To specify percentages relating to the part or task.
C501
PERCENTAGE DETAILS
  • Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of percentage.
5482
Percentage
  • Conditional
  • Type: n
  • Length: 0..10
To specify a percentage.
5249
Percentage basis identification code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the basis on which a percentage is calculated.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4405
STATUS DESCRIPTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a status.

QRS C 9 QUERY AND RESPONSE

  • Conditional
  • Max repeat: 9
To specify the response to coded questions about the part or task item.
7293
SECTOR AREA IDENTIFICATION CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying identification of a subject area.
C811
QUESTION DETAILS
  • Conditional
To specify a question.
4057
Question description code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a question.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4056
Question description
  • Conditional
  • Type: an
  • Length: 0..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
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying a response.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
4344
Response description
  • Conditional
  • Type: an
  • Length: 0..256
Free form description of a response.

QTY C 9 QUANTITY

  • Conditional
  • Max repeat: 9
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
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the type of quantity.
6060
Quantity
  • Mandatory
  • Type: an
  • Length: 0..35
Alphanumeric representation of a quantity.
6411
Measurement unit code
  • Conditional
  • Type: an
  • Length: 0..8
Code specifying the unit of measurement.

RFF C 9 REFERENCE

  • Conditional
  • Max repeat: 9
To specify references relating to the part or task.
C506
REFERENCE
  • Mandatory
Identification of a reference.
1153
Reference code qualifier
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying a reference.
1154
Reference identifier
  • Conditional
  • Type: an
  • Length: 0..70
Identifies a reference.
1156
Document line identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a line of a document.
4000
Reference version identifier
  • Conditional
  • Type: an
  • Length: 0..35
To identify the version of a reference.
1060
Revision identifier
  • Conditional
  • Type: an
  • Length: 0..6
To identify a revision.

FTX C 9 FREE TEXT

  • Conditional
  • Max repeat: 9
To provide text information relating to the part or task, such as evidence of personal injury.
4451
TEXT SUBJECT CODE QUALIFIER
  • Mandatory
  • Type: an
  • Length: 0..3
Code qualifying the subject of the text.
4453
FREE TEXT FUNCTION CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the function of free text.
C107
TEXT REFERENCE
  • Conditional
Coded reference to a standard text and its source.
4441
Free text description code
  • Mandatory
  • Type: an
  • Length: 0..17
Code specifying free form text.
1131
Code list identification code
  • Conditional
  • Type: an
  • Length: 0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the agency responsible for a code list.
C108
TEXT LITERAL
  • Conditional
Free text; one to five lines.
4440
Free text
  • Mandatory
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
4440
Free text
  • Conditional
  • Type: an
  • Length: 0..512
Free form text.
3453
LANGUAGE NAME CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the language name.
4447
FREE TEXT FORMAT CODE
  • Conditional
  • Type: an
  • Length: 0..3
Code specifying the format of free text.