EDI 256 Periodic Compensation

Functional Group PE

X12N Insurance Subcommittee

This Draft Standard for Trial Use contains the format and establishes the data contents of the Periodic Compensation Transaction Set (256) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to report compensation data, including compensation amounts, compensation earned, compensation paid, adjustments and balances.

Heading

Position
Segment
Name
Max use
  1. To indicate the start of a transaction set and to assign a control number

  2. To indicate the beginning of a commission sales report transaction set and transmit reporting period dates

  3. To specify the currency (dollars, pounds, francs, etc.) used in a transaction

  4. To transmit identifying information as specified by the Reference Identification Qualifier

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

  6. NM1 Loop Optional
    Repeat 2
    1. To supply the full name of an individual or organizational entity

    2. To specify the location of the named party

    3. To specify the geographic place of the named party

    4. To specify identifying information

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

Detail

Position
Segment
Name
Max use
  1. N1 Loop Mandatory
    Repeat >1
    1. To identify a party by type of organization, name, and code

      The N1 loop repeats for each company paying compensations.
    2. To specify additional names or those longer than 35 characters in length

    3. To specify identifying information

    4. To specify the location of the named party

    5. To specify the geographic place of the named party

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

    7. BLI Loop Optional
      Repeat >1
      1. To specify basic item data: item identification, quantity, and price

        The BLI loop contains data for each individual contract.
      2. To specify identifying information

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

      4. To indicate the total monetary amount

      5. To provide specific balance information for financial account reporting

      6. To identify rate amounts or percents for a specific cost or other line item

      7. NM1 Loop Optional
        Repeat >1
        1. To supply the full name of an individual or organizational entity

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

        3. To specify identifying information

        4. To specify the location of the named party

        5. To specify the geographic place of the named party

        6. To supply demographic information

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

      8. AM1 Loop Optional
        Repeat >1
        1. To specify a code and the amount or quantity or percentage associated with it

          The AM1 loop contains calculations for each contract activity.
        2. To specify identifying information

        3. To report information

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

        5. AMT Loop Optional
          Repeat >1
          1. To indicate the total monetary amount

            Each AMT loop contains compensation details for each entity.
          2. To specify identifying information

            REF02 contains the reference number identifying the entity receiving compensation.
          3. To provide a free-form format that allows the transmission of text information

          4. RPA Loop Optional
            Repeat >1
            1. To identify rate amounts or percents for a specific cost or other line item

              The RPA loop contains compensation calculation details.
            2. To report information

    8. ENT Loop Optional
      Repeat >1
      1. To designate the entities which are parties to a transaction and specify a reference meaningful to those entities

        The ENT segment identifies each organization or individual receiving compensations.
      2. To specify identifying information

      3. To supply the full name of an individual or organizational entity

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

      5. To specify the location of the named party

      6. To specify the geographic place of the named party

      7. To convey accounts-payable adjustment information for the purpose of cash application, including payer-generated debit/credit memos

      8. To specify quantity information

      9. To indicate the total monetary amount

      10. To provide specific balance information for financial account reporting

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

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

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