F12 Basic Claim Information - Automotive
F12 Basic Claim Information - Automotive
To provide information for automotive claims
Position
Element
Name
Type
Requirement
Min
Max
Repeat
F12-01
Reference Number
String (AN)
Mandatory
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
F1201 is used for Dealer's Repair Order Number.
F12-02
Reference Number
String (AN)
Mandatory
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
F1202 is used for Dealer's Document Number.
F12-03
Date
Date (DT)
Mandatory
6
6
-
Date (YYMMDD).
F1203 is used for Repair Order Date.
F12-04
Credit/Debit Adjustment Number
String (AN)
Mandatory
1
16
-
Number assigned by issuer of a credit or debit memo.
F1204 and F1205 will be used if sublet services are reported.
F12-05
Date
Date (DT)
Mandatory
6
6
-
Date (YYMMDD).
F1205 will contain the Debit/Credit memo date.
F12-06
Labor Rate
Numeric (N2)
Mandatory
3
4
-
The labor/time guide rate used by the division to reimburse the dealer for repair work.
F1206 is used for Body Repair Rate.
F12-07
Labor Rate
Numeric (N2)
Mandatory
3
4
-
The labor/time guide rate used by the division to reimburse the dealer for repair work.
F1207 is used for Chassis Repair Rate.
F12-08
Damage Code Qualifier
Identifier (ID)
Optional
1
1
-
Code identifying the party maintaining damage area, damage type and damage severity code lists.