EDI 100 Insurance Plan Description

This X12 Transaction Set contains the format and establishes the data contents of the Insurance Plan Description Transaction Set (100) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to transmit life insurance, annuity, and disability insurance product availability and features, historical performance, investment options, distributions channels, and offering company information.

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

Currency Identifier

Opt

AtMax 1

To specify the currency being used in the transaction set

400

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

Mandatory

GT 1

500

NM1

Individual or Organizational Name

Mandatory

AtMax 1

To supply the full name of an individual or organizational entity

600

Party Location

Opt

AtMax 3

To specify the location of the named party

700

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

800

REF

Reference Information

Opt

AtMax 9

To specify identifying information

900

PER

Administrative Communications Contact

Opt

AtMax 3

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

LOOP

Mandatory

GT 1

100

Party Identification

Mandatory

AtMax 1

To identify a party by type of organization, name, and code

200

Additional Name Information

Opt

GT 1

To specify additional names

300

Party Location

Opt

AtMax 3

To specify the location of the named party

400

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

500

COM

Communication Contact Information

Opt

AtMax 9

To specify a communication contact number

600

III

Information

Opt

AtMax 9

To report information

700

MSG

Message Text

Opt

GT 1

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

PER

LOOP

Opt

GT 1

800

PER

Administrative Communications Contact

Opt

AtMax 1

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

900

Party Location

Opt

AtMax 3

To specify the location of the named party

1000

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

PID

LOOP

Opt

GT 1

1100

PID

Product/Item Description

Opt

AtMax 1

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

1200

LIN

Item Identification

Opt

AtMax 9

To specify basic item identification data

1300

DTP

Date or Time or Period

Opt

GT 1

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

1400

NM1

Individual or Organizational Name

Opt

GT 1

To supply the full name of an individual or organizational entity

BLI

LOOP

Opt

GT 1

1500

BLI

Basic Baseline Item Data

Opt

AtMax 1

To specify basic item data: item identification, quantity, and price

1600

DTP

Date or Time or Period

Opt

GT 1

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

1700

III

Information

Opt

GT 1

To report information

1800

AMT

Monetary Amount Information

Opt

GT 1

To indicate the total monetary amount

1900

QTY

Quantity Information

Opt

GT 1

To specify quantity information

LOOP

Opt

GT 1

2000

Service Characteristic Identification

Opt

AtMax 1

To specify service characteristic data

2100

AMT

Monetary Amount Information

Opt

GT 1

To indicate the total monetary amount

2200

QTY

Quantity Information

Opt

GT 1

To specify quantity information

AM1

LOOP

Opt

GT 1

2300

AM1

Informational Values

Opt

AtMax 1

To specify a code and the amount or quantity or percentage associated with it

2400

MSG

Message Text

Opt

GT 1

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

PO1

LOOP

Opt

GT 1

2500

PO1

Baseline Item Data

Opt

AtMax 1

To specify basic and most frequently used line item data

2600

LIN

Item Identification

Opt

AtMax 9

To specify basic item identification data

2700

SPA

Status of Product or Activity

Opt

AtMax 3

To indicate the details and status of a product or product activity

2800

III

Information

Opt

GT 1

To report information

LOOP

Opt

GT 1

2900

Geographic Location

Opt

AtMax 1

To specify the geographic place of the named party

3000

SPA

Status of Product or Activity

Opt

AtMax 3

To indicate the details and status of a product or product activity

AM1

LOOP

Opt

GT 1

3100

AM1

Informational Values

Opt

AtMax 1

To specify a code and the amount or quantity or percentage associated with it

3200

MSG

Message Text

Opt

GT 1

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

PO1

LOOP

Opt

GT 1

3300

PO1

Baseline Item Data

Opt

AtMax 1

To specify basic and most frequently used line item data

3400

SPA

Status of Product or Activity

Opt

AtMax 3

To indicate the details and status of a product or product activity

3500

III

Information

Opt

GT 1

To report information

3600

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 100 Insurance Plan Description

Segments

Elements