255 Insurance Underwriting Information Services
255 Insurance Underwriting Information Services
Function Group UI
This Draft Standard for Trial Use contains the format and establishes the data contents of the Insurance Underwriting Information Services Transaction Set (255) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to request specific services from information providers in support of the insurance underwriting process. In addition, the standard can be used between trading partners to request/receive status information on outstanding requests.
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
CurrencyOptional
Max 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
NM1Loop
Optional
Repeat 9
040
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
050
Address InformationOptional
Max 2
To specify the location of the named party
060
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
070
Reference IdentificationOptional
Max 9
To specify identifying information
080
Administrative Communications ContactOptional
Max 3
To identify a person or office to whom administrative communications should be directed
Position
Segment
Name
Max Use
ACTLoop
Mandatory
Repeat >1
010
Account IdentificationMandatory
Max 1
To specify account information
020
Informational ValuesOptional
Max 9
To specify a code and the amount, quantity associated with it, or both
030
PaperworkOptional
Max 1
To identify the type and transmission of paperwork or supporting information
040
Reference IdentificationOptional
Max 9
To specify identifying information
050
Administrative Communications ContactOptional
Max 3
To identify a person or office to whom administrative communications should be directed
060
Date/Time ReferenceOptional
Max 9
To specify pertinent dates and times
070
Message TextOptional
Max 9
To provide a free-form format that allows the transmission of text information
NM1Loop
Mandatory
Repeat >1
080
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
090
Additional Name InformationOptional
Max 3
To specify additional names or those longer than 35 characters in length
100
Address InformationOptional
Max 3
To specify the location of the named party
110
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
120
Action or Status IndicatorOptional
Max 1
To indicate the action to be taken with the information provided or the status of the entity described
130
Administrative Communications ContactOptional
Max 3
To identify a person or office to whom administrative communications should be directed
140
Demographic InformationOptional
Max 1
To supply demographic information
150
Additional Individual Demographic InformationOptional
Max 1
To provide additional demographic information to the receiving school, institution, or agency to assist in identifying the particular student
160
Multi-Valued CharacteristicsOptional
Max 9
To provide characteristics that may have multiple values
170
Message TextOptional
Max 9
To provide a free-form format that allows the transmission of text information
EFILoop
Optional
Repeat >1
180
Electronic Format IdentificationMandatory
Max 1
To provide basic information about the electronic format of the interchange data
200
Binary DataOptional
Max 1
To transfer binary data in a single data segment and allow identification of the end of the data segment through a count; there is no identification of the internal structure of the binary data in this segment
PO1Loop
Optional
Repeat >1
210
Baseline Item DataMandatory
Max 1
To specify basic and most frequently used line item data
220
Action or Status IndicatorOptional
Max 1
To indicate the action to be taken with the information provided or the status of the entity described
230
Additional Demographic InformationOptional
Max 9
To supply additional demographic identification
240
Reference IdentificationOptional
Max 9
To specify identifying information
250
Date or Time or PeriodOptional
Max 9
To specify any or all of a date, a time, or a time period
260
Message TextOptional
Max 9
To provide a free-form format that allows the transmission of text information
265
Loop HeaderOptional
Max 1
To indicate that the next segment begins a loop
LXLoop
Optional
Repeat >1
270
Assigned NumberMandatory
Max 1
To reference a line number in a transaction set
280
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
290
Additional Name InformationOptional
Max 3
To specify additional names or those longer than 35 characters in length
300
Address InformationOptional
Max 3
To specify the location of the named party
310
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
320
Additional Individual Demographic InformationOptional
Max 1
To provide additional demographic information to the receiving school, institution, or agency to assist in identifying the particular student
330
Employment PositionOptional
Max 1
To describe employment position
340
Administrative Communications ContactOptional
Max 3
To identify a person or office to whom administrative communications should be directed
350
Contract InformationOptional
Max 1
To specify basic data about the contract or contract line item
360
Date or Time or PeriodOptional
Max 9
To specify any or all of a date, a time, or a time period
370
Multi-Valued CharacteristicsOptional
Max 9
To provide characteristics that may have multiple values
380
Reference IdentificationOptional
Max 9
To specify identifying information
390
PaperworkOptional
Max 1
To identify the type and transmission of paperwork or supporting information
400
Message TextOptional
Max 9
To provide a free-form format that allows the transmission of text information
405
Loop TrailerOptional
Max 1
To indicate that the loop immediately preceding this segment is complete
410
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)