Zenbridge
EDI Dictionary

EDI 267 Individual Life%2c Annuity And Disability Application

This X12 Transaction Set contains the format and establishes the data contents of the Individual Life, Annuity and Disability Application Transaction Set (267) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to transmit new business application information among distributors (agents, broker/dealers, etc.), insurance companies and reinsurance companies for the purpose of underwriting an individual life, annuity or disability contract.

Segments

Position
Segment
Name
Max use
100
ST
Transaction Set Header
Mandatory
AtMax 1
To indicate the start of a transaction set and to assign a control number
200
BGN
Beginning Segment
Mandatory
AtMax 1
To indicate the beginning of a transaction set
300
DTP
Date or Time or Period
Opt
GT 1
To specify any or all of a date, a time, or a time period
NM1
LOOP
Opt
GT 1
N1
LOOP
Mandatory
GT 1
SI
LOOP
Opt
GT 1
PID
LOOP
Opt
GT 1
BEN
LOOP
Opt
GT 1
ENT
LOOP
Opt
GT 1
LQ
LOOP
Opt
GT 1
BEN
LOOP
Opt
GT 1
PID
LOOP
Opt
GT 1
INV
LOOP
Opt
GT 1
BEN
LOOP
Opt
GT 1
UC
LOOP
Opt
GT 1
PWK
LOOP
Opt
GT 1
LX
LOOP
Opt
GT 1
8190
LE
Loop Trailer
Opt
AtMax 1
To indicate that the loop immediately preceding this segment is complete
K2
LOOP
Opt
GT 1
8350
SE
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

PositionElementNameRequirementTypeMin/MaxRepeat
1
143
Transaction Set Identifier CodeMandatoryID3/31
2
329
Transaction Set Control NumberMandatoryAlphanumeric4/91
3
1705
Implementation Convention ReferenceOptAlphanumeric1/351