EDI 187 Premium Audit Request And Return
This X12 Transaction Set contains the format and establishes the data contents of the Premium Audit Request and Return Transaction Set (187) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to communicate premium audit information between property and casualty insurers, and independent premium audit service providers. This information includes, but is not limited to: premium audit request information (i.e., type of audit being requested, policyholder name, business locations, class codes, estimated exposures, date of coverage, producing agency, endorsements); and completed audit information (i.e., actual classification codes and exposures, description of operations, sources of financial information, subcontractor exposures) for the auditable general liability, commercial automobile and worker's compensation lines of insurance.
Segments
Position
Segment
Name
Max use
Mandatory
AtMax 1
To indicate the start of a transaction set and to assign a control number
Mandatory
AtMax 1
To indicate the beginning of a transaction set
Opt
GT 1
To provide a free-form format that allows the transmission of text information
Opt
GT 1
To specify identifying information
Opt
AtMax 3
To identify a person or office to whom administrative communications should be directed
Opt
AtMax 10
To specify any or all of a date, a time, or a time period
1000
LOOP
Opt
GT 1
2000
LOOP
Mandatory
GT 1
2200
LOOP
Opt
AtMax 1
2300
LOOP
Opt
GT 1
2330
LOOP
Opt
GT 1
2340
LOOP
Opt
GT 1
2350
LOOP
Opt
GT 1
Mandatory
AtMax 1
To specify the total invoice discounts and amounts
3000
LOOP
Opt
GT 1
3200
LOOP
Opt
GT 1
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)