F03 Detail - Supporting Evidence for Claim

To specify the extent of damage and the amount claimed for damaged goods

Position
Element
Name
Type
Requirement
Min
Max
Repeat
F03-01
Reference Number Qualifier
Identifier (ID)
Mandatory
2
2
-
Code qualifying the Reference Number.
F03-02
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. Also see Reference Number Qualifier, (128).
F03-03
Reference Number Qualifier
Identifier (ID)
Optional
2
2
-
Code qualifying the Reference Number.
F03-04
Reference Number
String (AN)
Conditional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier. Also see Reference Number Qualifier, (128).
F03-05
Reference Number Qualifier
Identifier (ID)
Optional
2
2
-
Code qualifying the Reference Number.
F03-06
Reference Number
String (AN)
Conditional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier. Also see Reference Number Qualifier, (128).
F03-07
Quantity
Decimal number (R)
Mandatory
1
10
-
Numeric value of Quantity. Also see: Unit of Measurement Code (355).
F03-08
Unit of Measurement Code
Identifier (ID)
Mandatory
2
2
-
Code identifying the basic unit measurement.
F03-09
Claim per Unit
N2
Mandatory
1
9
-
Amount claimed per unit.
F03-10
Claim Amount for Claim Line Item
N2
Mandatory
1
9
-
Amount claimed for a claim line item.
F03-11
Nature of Claim Code
Identifier (ID)
Mandatory
2
2
-
Code identifying the nature of a loss and damage claim.
F03-12
Free-form Description
String (AN)
Conditional
1
45
-
Free-form description text.
F03-13
Lading Description
String (AN)
Mandatory
1
25
-
Free-form field describing an item as required for rating and billing purposes.
F03-14
Packaging Code
Identifier (ID)
Optional
5
5
-
Code identifying the type of packaging. Part 1. Packaging form. Part 2. Packaging Material.

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