F03 Detail - Supporting Evidence for Claim

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

Position: F03-01 · Element: 128 · Name: Reference Number Qualifier · Type: Identifier (ID) · Requirement: Mandatory · Min: 2 · Max: 2 · Repeat: -

Code qualifying the Reference Number.

If F0303 or F0304 is used the other is required.

Position: F03-02 · Element: 127 · Name: Reference Number · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

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).

If F0305 or F0306 is used the other is required.

Position: F03-03 · Element: 128 · Name: Reference Number Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: -

Code qualifying the Reference Number.

Position: F03-04 · Element: 127 · Name: Reference Number · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 30 · Repeat: -

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).

Position: F03-05 · Element: 128 · Name: Reference Number Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: -

Code qualifying the Reference Number.

Position: F03-06 · Element: 127 · Name: Reference Number · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 30 · Repeat: -

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).

Position: F03-07 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Mandatory · Min: 1 · Max: 10 · Repeat: -

Numeric value of Quantity. Also see: Unit of Measurement Code (355).

Position: F03-08 · Element: 355 · Name: Unit of Measurement Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 2 · Max: 2 · Repeat: -

Code identifying the basic unit measurement.

Position: F03-09 · Element: 610 · Name: Amount · Type: N2 · Requirement: Mandatory · Min: 1 · Max: 9 · Repeat: -

Monetary amount.

F0309 is used for amount claimed per unit.

Position: F03-10 · Element: 610 · Name: Amount · Type: N2 · Requirement: Mandatory · Min: 1 · Max: 9 · Repeat: -

Monetary amount.

F0310 is the amount claimed for a claim line item.

Position: F03-11 · Element: 536 · Name: Nature of Claim Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 2 · Max: 2 · Repeat: -

Code indicating the nature of a loss and damage claim.

Position: F03-12 · Element: 369 · Name: Free-form Description · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 45 · Repeat: -

Free-form descriptive text.

Position: F03-13 · Element: 79 · Name: Lading Description · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 25 · Repeat: -

Description of an item as required for rating and billing purposes.

Position: F03-14 · Element: 103 · Name: Packaging Code · Type: Identifier (ID) · Requirement: Optional · Min: 5 · Max: 5 · Repeat: -

Code identifying the type of packaging. Part 1. Packaging form. Part 2. Packaging Material.