F12 Basic Claim Information - Automotive
To provide information for automotive claims
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
F1201 is used for Dealer's Repair Order Number.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
F1202 is used for Dealer's Document Number.
Date (YYMMDD).
F1203 is used for Repair Order Date.
Number assigned by issuer of a credit or debit memo.
F1204 and F1205 will be used if sublet services are reported.
Date (YYMMDD).
F1205 will contain the Debit/Credit memo date.
The labor/time guide rate used by the division to reimburse the dealer for repair work.
F1206 is used for Body Repair Rate.
The labor/time guide rate used by the division to reimburse the dealer for repair work.
F1207 is used for Chassis Repair Rate.
Code identifying the party maintaining damage area, damage type and damage severity code lists.
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