EDI 124 Vehicle Damage

Functional Group VD

X12N Insurance Subcommittee

This Draft Standard for Trial Use contains the format and establishes the data contents of the Vehicle Damage Transaction Set (124) for use within the context of an Electronic Data Interchnage (EDI) environment. This standard can be used to provide vehicle damage information flow between Property & Casualty (P&C) insurance companies, independent agents, service providers, information providers self-insurers and financial institutions. Business functions consist of the estimating of vehicle damage and the detailed reporting of parts and labor cost connected with repairing the estimated damage.

Heading

1. 010 · ST · Transaction Set Header · Max 1 · Mandatory

   To indicate the start of a transaction set and to assign a control number

2. 020 · BGN · Beginning Segment · Max 1 · Mandatory

   To indicate the beginning of a transaction set

3. 030 · DTM · Date/Time Reference · Max 1 · Optional

   To specify pertinent dates and times

4. 040 · C3 · Currency · Max 1 · Optional

   To specify the currency being used in the transaction set

5. 1000 Loop Optional Repeat >1

   1. 050 · SUP · Supplementary Information · Max 1 · Mandatory

      To provide processible supplementary information

   2. 060 · MSG · Message Text · Max >1 · Optional

      To provide a free-form format that allows the transmission of text information

6. 2000 Loop Mandatory Repeat >1

   1. 070 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

      To supply the full name of an individual or organizational entity

   2. 080 · N2 · Additional Name Information · Max 2 · Optional

      To specify additional names or those longer than 35 characters in length

   3. 090 · N3 · Address Information · Max 2 · Optional

      To specify the location of the named party

   4. 100 · N4 · Geographic Location · Max 1 · Optional

      To specify the geographic place of the named party

   5. 110 · PER · Administrative Communications Contact · Max >1 · Optional

      To identify a person or office to whom administrative communications should be directed

Detail

1. 3000 Loop Mandatory Repeat >1

   1. 010 · LX · Assigned Number · Max 1 · Mandatory

      To reference a line number in a transaction set

   2. 020 · TXI · Tax Information · Max >1 · Optional

      To specify tax information

   3. 030 · YNQ · Yes/No Question · Max >1 · Optional

      To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition

   4. 040 · AP1 · Alternate Parts · Max 1 · Optional

      To transmit identifying numbers, values and descriptive information related to the use of alternate parts

   5. 3100 Loop Optional Repeat >1

      1. 050 · SUP · Supplementary Information · Max 1 · Mandatory

         To provide processible supplementary information

      2. 060 · MSG · Message Text · Max >1 · Optional

         To provide a free-form format that allows the transmission of text information

   6. 3200 Loop Mandatory Repeat >1

      1. 070 · LM · Code Source Information · Max 1 · Mandatory

         To transmit standard code list identification information

      2. 080 · LQ · Industry Code · Max 1 · Mandatory

         Code to transmit standard industry codes

      3. 090 · CTP · Pricing Information · Max 1 · Optional

         To specify pricing information

      4. 100 · TXI · Tax Information · Max >1 · Optional

         To specify tax information

      5. 110 · SAC · Service, Promotion, Allowance, or Charge Information · Max >1 · Optional

         To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge

   7. 3300 Loop Mandatory Repeat >1

      1. 120 · VEH · Vehicle Information · Max 1 · Mandatory

         To provide descriptions that identify a specific vehicle

      2. 125 · PID · Product/Item Description · Max >1 · Optional

         To describe a product or process in coded or free-form format

      3. 130 · REF · Reference Identification · Max >1 · Optional

         To specify identifying information

      4. 140 · BCI · Basic Claim Information · Max 1 · Optional

         To identify information basic to the processing of any claims transaction

      5. 150 · AMT · Monetary Amount · Max 1 · Optional

         To indicate the total monetary amount

      6. 160 · LID · Loss Information Description · Max 1 · Optional

         To provide details on a specific insurance claim

      7. 165 · LQ · Industry Code · Max >1 · Optional

         Code to transmit standard industry codes

      8. 170 · DAM · Damage Information · Max 1 · Optional

         To identify the part of the vehicle that was damaged

      9. 180 · CRC · Conditions Indicator · Max 1 · Optional

         To supply information on conditions

      10. 190 · DVI · Dynamic Vehicle Information · Max 1 · Optional

          To provide dynamic information pertaining to a vehicle

      11. 200 · VAT · Vehicle Attribute · Max >1 · Optional

          Identifies attributes associated with a vehicle

      12. 210 · NM1 · Individual or Organizational Name · Max 1 · Optional

          To supply the full name of an individual or organizational entity

      13. 220 · N2 · Additional Name Information · Max 2 · Optional

          To specify additional names or those longer than 35 characters in length

      14. 230 · N3 · Address Information · Max 2 · Optional

          To specify the location of the named party

      15. 240 · N4 · Geographic Location · Max 1 · Optional

          To specify the geographic place of the named party

      16. 250 · PER · Administrative Communications Contact · Max 1 · Optional

          To identify a person or office to whom administrative communications should be directed

      17. 260 · III · Information · Max 1 · Optional

          To report information

      18. 270 · DTP · Date or Time or Period · Max >1 · Optional

          To specify any or all of a date, a time, or a time period

      19. 280 · LS · Loop Header · Max 1 · Optional

          To indicate that the next segment begins a loop

      20. 3310 Loop Optional Repeat >1

          1. 290 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

             To supply the full name of an individual or organizational entity

          2. 300 · N2 · Additional Name Information · Max 2 · Optional

             To specify additional names or those longer than 35 characters in length

          3. 310 · N3 · Address Information · Max 2 · Optional

             To specify the location of the named party

          4. 320 · N4 · Geographic Location · Max 1 · Optional

             To specify the geographic place of the named party

          5. 330 · PER · Administrative Communications Contact · Max >1 · Optional

             To identify a person or office to whom administrative communications should be directed

          6. 340 · REF · Reference Identification · Max >1 · Optional

             To specify identifying information

          7. 350 · F13 · Payment Information · Max >1 · Optional

             To transmit check number and amount information associated with a remittance

          8. 360 · AMT · Monetary Amount · Max >1 · Optional

             To indicate the total monetary amount

      21. 370 · LE · Loop Trailer · Max 1 · Optional

          To indicate that the loop immediately preceding this segment is complete

      22. 3320 Loop Optional Repeat >1

          1. 380 · LM · Code Source Information · Max 1 · Mandatory

             To transmit standard code list identification information

          2. 390 · LQ · Industry Code · Max 1 · Mandatory

             Code to transmit standard industry codes

          3. 3325 Loop Optional Repeat >1

             1. 400 · AMT · Monetary Amount · Max 1 · Mandatory

                To indicate the total monetary amount

             2. 410 · QTY · Quantity · Max 1 · Optional

                To specify quantity information

             3. 420 · TXI · Tax Information · Max 1 · Optional

                To specify tax information

      23. 3330 Loop Mandatory Repeat >1

          1. 423 · N9 · Reference Identification · Max 1 · Mandatory

             To transmit identifying information as specified by the Reference Identification Qualifier

          2. 427 · LQ · Industry Code · Max >1 · Optional

             Code to transmit standard industry codes

          3. 430 · REF · Reference Identification · Max >1 · Optional

             To specify identifying information

          4. 440 · DP · Auto Claim Detail - Parts · Max 1 · Optional

             To describe the parts involved in the repair of vehicle damage and to specify actions taken related to the parts

          5. 450 · DL · Auto Claim Detail - Labor · Max >1 · Optional

             To describe the labor involved in the repair of vehicle damage and to specify actions taken related to the labor

          6. 460 · MSG · Message Text · Max >1 · Optional

             To provide a free-form format that allows the transmission of text information

2. 470 · SE · Transaction Set Trailer · Max 1 · Mandatory

   To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)