141 Product Service Claim Response
141 Product Service Claim Response
Function Group WA
This Draft Standard for Trial Use contains the format and establishes the data contents of the Product Service Claim Response Transaction Set (141) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to transmit the status of a product service claim and the items accepted and rejected for payment from the product service claim. Each product service claim submission could have represented the repair of several individual products and each pair could have consisted of several repair actions involving parts and labor.
Position
Segment
Name
Max Use
010
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
020
Beginning SegmentMandatory
Max 1
To indicate the beginning of a transaction set.
030
QuantityOptional
Max 3
To specify quantity information.
035
Reference NumberOptional
Max >1
To transmit identifying numbers and descriptive information as specified by the reference number qualifier
N1Loop
Mandatory
Repeat 2
040
NameMandatory
Max 1
To identify a party by type of organization, name and code
050
Additional Name InformationOptional
Max 2
To specify additional names or those longer than 35 characters in length
060
Address InformationOptional
Max 4
To specify the location of the named party
070
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
080
Reference NumbersOptional
Max 2
To specify identifying numbers.
090
Administrative Communications ContactOptional
Max 2
To identify a person or office to whom administrative communications should be directed
Position
Segment
Name
Max Use
LXLoop
Mandatory
Repeat >1
010
Assigned NumberMandatory
Max 1
To reference a line number in a transaction set.
015
Reference NumbersMandatory
Max 8
To specify identifying numbers.
020
Product Claim StatusOptional
Max 1
To convey the status of a product service claim or claims or to supply adjustment reason codes and amounts as needed for an entire claim or for a particular item within the claim
030
Date/Time ReferenceOptional
Max >1
To specify pertinent dates and times
040
Message TextOptional
Max >1
To provide a free form format that would allow the transmission of text information.
050
Monetary AmountOptional
Max 1
To indicate the total monetary amount.
Position
Segment
Name
Max Use
TDSLoop
Optional
Repeat 1
010
Total Monetary Value SummaryMandatory
Max 1
To specify the total invoice discounts and amounts
020
CurrencyOptional
Max 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
030
Transaction Set TrailerMandatory
Max 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).