Numeric value of quantity

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Code indicating the nature of a loss and damage claim

Monetary amount

F0904 contains the amount claimed per unit.

Monetary amount

F0905 contains the amount claimed for a claim line item.

A free-form description to clarify the related data elements and their content

Description of an item as required for rating and billing purposes

Code Qualifying the Reference Identification

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Code Qualifying the Reference Identification

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Sequential line number for a lading item