EDI 271 Eligibility%2c Coverage Or Benefit Information

This X12 Transaction Set contains the format and establishes the data contents of the Abandoned Property Filings Transaction Set 271 for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set is used to report abandoned property filings information, such as uncashed checks or abandoned bank account balances, to government agencies and may be used by the government agencies to distribute information on abandoned property for publication to the general public. It may also be used to initiate an Electronic Funds Transfer (EFT) payment to transfer the value of the abandoned property to the government agencies.

Segments

Position

Segment

Name

Max use

Transaction Set Header

Mandatory

AtMax 1

To indicate the start of a transaction set and to assign a control number

BHT

Beginning of Hierarchical Transaction

Mandatory

AtMax 1

To define the business hierarchical structure of the transaction set and identify the business application purpose and reference data, i.e., number, date, and time

2000

LOOP

Mandatory

GT 1

Hierarchical Level

Mandatory

AtMax 1

To identify dependencies among and the content of hierarchically related groups of data segments

TRN

Trace

Opt

AtMax 9

To uniquely identify a transaction to an application

AAA

Request Validation

Opt

AtMax 9

To specify the validity of the request and indicate follow-up action authorized

2100

LOOP

Mandatory

GT 1

NM1

Individual or Organizational Name

Opt

AtMax 1

To supply the full name of an individual or organizational entity

REF

Reference Identification

Opt

AtMax 9

To specify identifying information

Additional Name Information

Opt

AtMax 1

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

Address Information

Opt

AtMax 1

To specify the location of the named party

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

PER

Administrative Communications Contact

Opt

AtMax 3

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

AAA

Request Validation

Opt

AtMax 9

To specify the validity of the request and indicate follow-up action authorized

PRV

Provider Information

Opt

AtMax 1

To specify the identifying characteristics of a provider

100

DMG

Demographic Information

Opt

AtMax 1

To supply demographic information

110

INS

Insured Benefit

Opt

AtMax 1

To provide benefit information on insured entities

120

DTP

Date or Time or Period

Opt

AtMax 9

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

2110

LOOP

Mandatory

GT 1

130

Eligibility or Benefit Information

Opt

AtMax 1

To supply eligibility or benefit information

135

HSD

Health Care Services Delivery

Opt

AtMax 9

To specify the delivery pattern of health care services

140

REF

Reference Identification

Opt

AtMax 9

To specify identifying information

150

DTP

Date or Time or Period

Opt

AtMax 20

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

160

AAA

Request Validation

Opt

AtMax 9

To specify the validity of the request and indicate follow-up action authorized

170

VEH

Vehicle Information

Opt

AtMax 1

To provide descriptions that identify a specific vehicle

180

PID

Product/Item Description

Opt

AtMax 1

To describe a product or process in coded or free-form format

190

PDR

Property Description - Real

Opt

AtMax 1

To provide a description of real property

200

PDP

Property Description - Personal

Opt

AtMax 1

To provide a description of personal property

210

LIN

Item Identification

Opt

AtMax 1

To specify basic item identification data

220

Equipment Characteristics

Opt

AtMax 1

To send additional information regarding a specific piece of equipment

230

SD1

Safety Data

Opt

AtMax 1

To provide safety data information to recipients of the transaction, including identification of the hazard that the material being described represents, and the organization or party which declared this material to be a hazard or established exposure limits or other guidelines for that material

240

PKD

Packaging Description

Opt

AtMax 1

To specify a package description and other information

250

MSG

Message Text

Opt

AtMax 10

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

2115

LOOP

Mandatory

GT 1

260

III

Information

Opt

AtMax 1

To report information

270

DTP

Date or Time or Period

Opt

AtMax 5

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

280

AMT

Monetary Amount

Opt

AtMax 5

To indicate the total monetary amount

290

PCT

Percent Amounts

Opt

AtMax 5

To qualify percent amounts and supply percent amounts

2117

LOOP

Mandatory

GT 1

300

Industry Code

Opt

AtMax 1

Code to transmit standard industry codes

310

AMT

Monetary Amount

Opt

AtMax 5

To indicate the total monetary amount

320

PCT

Percent Amounts

Opt

AtMax 5

To qualify percent amounts and supply percent amounts

330

Loop Header

Opt

AtMax 1

To indicate that the next segment begins a loop

2120

LOOP

Mandatory

AtMax 1

340

NM1

Individual or Organizational Name

Opt

AtMax 1

To supply the full name of an individual or organizational entity

350

Additional Name Information

Opt

AtMax 1

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

360

Address Information

Opt

AtMax 1

To specify the location of the named party

370

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

380

PER

Administrative Communications Contact

Opt

AtMax 3

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

390

PRV

Provider Information

Opt

AtMax 1

To specify the identifying characteristics of a provider

400

Loop Trailer

Opt

AtMax 1

To indicate that the loop immediately preceding this segment is complete

410

Transaction Set Trailer

Mandatory

AtMax 1

To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Elements

Position	Element	Name	Requirement	Type	Min/Max	Repeat

1	143	Transaction Set Identifier Code	Mandatory	ID	3/3	1

2	329	Transaction Set Control Number	Mandatory	Alphanumeric	4/9	1

EDI Dictionary

EDI 271 Eligibility%2c Coverage Or Benefit Information

Segments

Elements