186 Insurance Underwriting Requirements Reporting
186 Insurance Underwriting Requirements Reporting
Function Group UW
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.
Position
Segment
Name
Max Use
0100
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
0200
Beginning SegmentMandatory
Max 1
To indicate the beginning of a transaction set
0300
CurrencyOptional
Max 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
0400
Laboratory Test ResultsOptional
Max 99
To describe laboratory testing results, normal result ranges, or both
1000Loop
Optional
Repeat 2
0500
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
0600
Party LocationOptional
Max 3
To specify the location of the named party
0700
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
0800
Reference InformationOptional
Max 9
To specify identifying information
0900
Administrative Communications ContactOptional
Max 3
To identify a person or office to whom administrative communications should be directed
Position
Segment
Name
Max Use
2000Loop
Mandatory
Repeat >1
0100
Account IdentificationMandatory
Max 1
To specify account information
2050Loop
Mandatory
Repeat >1
0200
Transaction Set Line NumberMandatory
Max 1
To reference a line number in a transaction set
2075Loop
Mandatory
Repeat >1
0300
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
0400
Reference InformationOptional
Max >1
To specify identifying information
0500
Party LocationOptional
Max 1
To specify the location of the named party
0600
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
0700
Demographic InformationOptional
Max 1
To supply demographic information
0800
Date or Time or PeriodOptional
Max 5
To specify any or all of a date, a time, or a time period
0900
Informational ValuesOptional
Max 9
To specify a code and the amount or quantity or percentage associated with it
1000
PaperworkOptional
Max 1
To identify the type or transmission or both of paperwork or supporting information
1100
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
1200
Additional Demographic InformationOptional
Max 1
To supply additional demographic identification
1300
Quantity InformationOptional
Max >1
To specify quantity information
2100Loop
Mandatory
Repeat >1
1400
Beginning of ReportMandatory
Max 1
To identify characteristic information of the report being transmitted
1500
Date or Time or PeriodOptional
Max >1
To specify any or all of a date, a time, or a time period
1600
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
2150Loop
Optional
Repeat >1
1700
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
1800
Reference InformationOptional
Max >1
To specify identifying information
1900
Administrative Communications ContactOptional
Max 1
To identify a person or office to whom administrative communications should be directed
2000
Party LocationOptional
Max 1
To specify the location of the named party
2100
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
2200
Additional Demographic InformationOptional
Max 1
To supply additional demographic identification
2300
RelationshipOptional
Max 1
To specify relationship and birth order of entity
2200Loop
Optional
Repeat >1
2400
Specimen Kit InformationMandatory
Max 1
To identify and describe laboratory specimen kit information and handling requirements
2500
Multi-Valued CharacteristicsOptional
Max 9
To provide characteristics that may have multiple values
2600
Date or Time or PeriodOptional
Max 9
To specify any or all of a date, a time, or a time period
2700
Reference InformationOptional
Max 1
To specify identifying information
2800
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
2250Loop
Optional
Repeat >1
2900
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
3000
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
2300Loop
Optional
Repeat >1
3100
Laboratory Test ResultsMandatory
Max 1
To describe laboratory testing results, normal result ranges, or both
3200
Multi-Valued CharacteristicsOptional
Max 9
To provide characteristics that may have multiple values
3300
Date or Time or PeriodOptional
Max 9
To specify any or all of a date, a time, or a time period
3400
Individual or Organizational NameOptional
Max 9
To supply the full name of an individual or organizational entity
3500
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
2350Loop
Optional
Repeat >1
3600
Underwriting CategoryMandatory
Max 1
To identify the category of underwriting data being transmitted
2400Loop
Optional
Repeat >1
3700
Hierarchical LevelMandatory
Max 1
To identify dependencies among and the content of hierarchically related groups of data segments
3800
Underwriting QuestionOptional
Max 1
To report information provider underwriting data in a question and answer format
3900
Individual or Organizational NameOptional
Max 1
To supply the full name of an individual or organizational entity
4000
Party IdentificationOptional
Max 1
To identify a party by type of organization, name, and code
4100
Party LocationOptional
Max 1
To specify the location of the named party
4200
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
4300
Date or Time or PeriodOptional
Max >1
To specify any or all of a date, a time, or a time period
4400
Quantity InformationOptional
Max >1
To specify quantity information
4500
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
4600
Additional Demographic InformationOptional
Max 1
To supply additional demographic identification
4700
Informational ValuesOptional
Max 1
To specify a code and the amount or quantity or percentage associated with it
4800
Demographic InformationOptional
Max 1
To supply demographic information
4900
Monetary Amount InformationOptional
Max 1
To indicate the total monetary amount
5000
Employment ClassOptional
Max 1
To provide class of employment information
5100
Administrative Communications ContactOptional
Max 1
To identify a person or office to whom administrative communications should be directed
5200
Reference InformationOptional
Max 1
To specify identifying information
5300
Individual IdentificationOptional
Max 1
To provide identification of an individual or entity
5400
Employment PositionOptional
Max 1
To describe employment position
5500
Asset LiabilityOptional
Max >1
To report financial information
5600
Type of ActivityOptional
Max 1
To specify type of activity information
5700
Vehicle Use InformationOptional
Max 1
To report usage of a vehicle
5800
InformationOptional
Max >1
To report information
5900
Substance UseOptional
Max 1
To report use of tobacco, alcohol, drugs or other substances
6000
Underwriting ConsiderationsOptional
Max 1
To report personal health and medical history data
6100
Family HistoryOptional
Max 1
To report information about a person's family health history
6200
Underwriting StatusOptional
Max 1
To identify and describe underwriting status of submitted applications
6300
Case DescriptionOptional
Max 1
To identify and describe a specific court case
6400
Administration of Justice Event DescriptionOptional
Max 1
To describe specific administration of justice events and actions
6500
Yes/No QuestionOptional
Max 1
To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition
6600
Military Personnel InformationOptional
Max 1
To report military service data
2450Loop
Optional
Repeat >1
6700
Electronic Format IdentificationMandatory
Max 1
To provide basic information about the electronic format of the interchange data
6800
Binary Data SegmentMandatory
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
6900
Loop HeaderOptional
Max 1
To indicate that the next segment begins a loop
2500Loop
Optional
Repeat >1
7000
Underwriting StatusMandatory
Max 1
To identify and describe underwriting status of submitted applications
7100
Individual or Organizational NameOptional
Max 1
To supply the full name of an individual or organizational entity
7200
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
7300
RelationshipOptional
Max 1
To specify relationship and birth order of entity
7400
Date or Time or PeriodOptional
Max 1
To specify any or all of a date, a time, or a time period
2550Loop
Optional
Repeat >1
7500
Electronic Format IdentificationMandatory
Max 1
To provide basic information about the electronic format of the interchange data
7600
Binary Data SegmentMandatory
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
7700
Loop TrailerOptional
Max 1
To indicate that the loop immediately preceding this segment is complete
7800
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)