EDI 112 Property Damage Report

This X12 Transaction Set contains the format and establishes the data contents of the Property Damage Report Transaction Set (112) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set will be used to provide property damage information between property and casualty insurance companies, independent agents, service and information providers. This information includes, but is not limited to providing cost estimates involving functions such as demolishing, new constructions, damage repair and replacement.

Segments

Position

Segment

Name

Max use

100

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

AtMax 1

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

400

Currency Identifier

Opt

AtMax 1

To specify the currency being used in the transaction set

1000

LOOP

Opt

GT 1

500

SUP

Supplementary Information

Opt

AtMax 1

To provide processible supplementary information

600

MSG

Message Text

Opt

GT 1

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

1100

LOOP

Mandatory

GT 1

700

NM1

Individual or Organizational Name

Mandatory

AtMax 1

To supply the full name of an individual or organizational entity

800

Additional Name Information

Opt

AtMax 1

To specify additional names

900

Party Location

Opt

AtMax 1

To specify the location of the named party

1000

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

1100

PER

Administrative Communications Contact

Opt

GT 1

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

2000

LOOP

Mandatory

GT 1

100

Hierarchical Level

Mandatory

AtMax 1

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

200

Extended Reference Information

Opt

GT 1

To transmit identifying information as specified by the Reference Identification Qualifier

300

Administrative Message

Opt

AtMax 1

To transmit information in a free-form format for comment or special instruction

400

QTY

Quantity Information

Opt

AtMax 1

To specify quantity information

500

DTP

Date or Time or Period

Opt

GT 1

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

600

TXI

Tax Information

Opt

AtMax 1

To specify tax information

2100

LOOP

Opt

GT 1

700

Code Source Information

Opt

AtMax 1

To transmit standard code list identification information

800

SLN

Subline Item Detail

Mandatory

AtMax 1

To specify product subline detail item data

900

AMT

Monetary Amount Information

Opt

GT 1

To indicate the total monetary amount

950

DTP

Date or Time or Period

Opt

GT 1

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

2200

LOOP

Opt

GT 1

1000

III

Information

Opt

AtMax 1

To report information

1100

AMT

Monetary Amount Information

Opt

GT 1

To indicate the total monetary amount

1200

PCT

Percent Amounts

Opt

AtMax 1

To qualify percent amounts and supply percent amounts

2300

LOOP

Opt

GT 1

1300

NM1

Individual or Organizational Name

Opt

AtMax 1

To supply the full name of an individual or organizational entity

1400

Additional Name Information

Opt

AtMax 1

To specify additional names

1500

Party Location

Opt

AtMax 1

To specify the location of the named party

1600

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

1700

MS1

Equipment, Shipment, or Real Property Location

Opt

AtMax 1

To specify the location of a piece of equipment, a shipment, or real property in terms of city and state or longitude and latitude or postal code

1800

PER

Administrative Communications Contact

Opt

GT 1

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

2400

LOOP

Opt

GT 1

1900

CID

Characteristic/Class ID

Opt

AtMax 1

To specify the general class or specific characteristic upon which test results are being reported or are to be taken

2000

MEA

Measurements

Opt

GT 1

To specify physical measurements or counts, including dimensions, tolerances, variances, and weights(See Figures Appendix for example of use of C001)

2100

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

3	1705	Implementation Convention Reference	Opt	Alphanumeric	1/35	1

EDI Dictionary

EDI 112 Property Damage Report

Segments

Elements