F11 Status

To identify a loss or damage claim and to indicate its status

Position: F11-01 · Element: 373 · Name: Date · Type: Date (DT) · Requirement: Mandatory · Min: 6 · Max: 6 · Repeat: -

Date (YYMMDD)

F1101 contains the date of the claim.

Position: F11-02 · Element: 127 · Name: Reference Identification · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Reference numbers in this segment are F1102 claimant's claim number, and F1103 carrier's claim number.

Position: F11-03 · Element: 127 · Name: Reference Identification · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 30 · Repeat: -

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

P0310: If either F11-03 or F11-10 is present, then the other is required

Position: F11-04 · Element: 610 · Name: Amount · Type: N2 · Requirement: Conditional · Min: 1 · Max: 15 · Repeat: -

Monetary amount

P0409: If either F11-04 or F11-09 is present, then the other is required

F1104 is the claim amount specified in the currency of the country where the carrier to whom the claim is made is located.

Position: F11-05 · Element: 610 · Name: Amount · Type: N2 · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Monetary amount

C0504: If F11-05 is present, then F11-04 is required

F1105 is required when F1106 indicates a payment, which is shown with codes "PF" or "PP".

Position: F11-06 · Element: 546 · Name: Status Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 2 · Max: 2 · Repeat: -

Code identifying the status of a claim or policy transaction

Position: F11-07 · Element: 373 · Name: Date · Type: Date (DT) · Requirement: Mandatory · Min: 6 · Max: 6 · Repeat: -

Date (YYMMDD)

F1107 contains the date of status report.

Position: F11-08 · Element: 548 · Name: Decline/Amend Reason Code · Type: Identifier (ID) · Requirement: Optional · Min: 3 · Max: 3 · Repeat: -

Code indicating the reason for declination or amendment

F1108 is required when F1106 indicates that the claim was declined or amended.

Position: F11-09 · Element: 100 · Name: Currency Code · Type: Identifier (ID) · Requirement: Conditional · Min: 3 · Max: 3 · Repeat: -

Code (Standard ISO) for country in whose currency the charges are specified

F1109 is the currency for which the claim amount is specified.

Position: F11-10 · Element: 128 · Name: Reference Identification Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 3 · Repeat: -

Code Qualifying the Reference Identification