EDI 186 Insurance Underwriting Requirements Reporting

This X12 Transaction Set contains the format and establishes the data contents of the Insurance Underwriting Requirements Reporting Transaction Set (186) for use within the context of an Electronic Data Interchange (EDI) environment. The standard can be used by the information providers to report the results of specific services to their trading partners for information to complete the insurance underwriting process on individually underwritten life and health insurance.

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
CUR
Currency
Opt
AtMax 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
400
LTR
Laboratory Test Results
Opt
AtMax 99
To describe laboratory testing results, normal result ranges, or both
1000
LOOP
Opt
AtMax 2
2000
LOOP
Mandatory
GT 1
2100
LOOP
Mandatory
GT 1
2200
LOOP
Opt
GT 1
2300
LOOP
Opt
GT 1
2350
LOOP
Opt
GT 1
6900
LS
Loop Header
Opt
AtMax 1
To indicate that the next segment begins a loop
2500
LOOP
Opt
GT 1
7700
LE
Loop Trailer
Opt
AtMax 1
To indicate that the loop immediately preceding this segment is complete
7800
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