EDI 259 Residential Mortgage Insurance Explanation of Benefits

Functional Group MG

X12F Finance Subcommittee

This Draft Standard for Trial Use contains the format and establishes the data contents of the Residential Mortgage Insurance Explanation of Benefits Transaction Set (259) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to transmit the results of a claim for mortgage insurance benefits, referred to as an explanation of benefits (EOB), between a mortgage insurer and the customer receiving the financial benefit. This standard can be used for transmitting the results of both pool and primary mortgage insurance claims.

Heading

1. 0100 · ST · Transaction Set Header · Max 1 · Mandatory

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

2. 0200 · BGN · Beginning Segment · Max 1 · Mandatory

   To indicate the beginning of a transaction set

3. 0100 Loop Mandatory Repeat >1

   1. 0300 · N1 · Party Identification · Max 1 · Mandatory

      To identify a party by type of organization, name, and code

      The 0100 loop repeats for each individual company.

   2. 0400 · N2 · Additional Name Information · Max 1 · Optional

      To specify additional names

   3. 0500 · N3 · Party Location · Max 1 · Optional

      To specify the location of the named party

   4. 0600 · N4 · Geographic Location · Max 1 · Optional

      To specify the geographic place of the named party

   5. 0700 · REF · Reference Information · Max 1 · Optional

      To specify identifying information

   6. 0800 · PER · Administrative Communications Contact · Max 1 · Optional

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

Detail

1. 0200 Loop Mandatory Repeat >1

   1. 0100 · N9 · Extended Reference Information · Max 1 · Mandatory

      To transmit identifying information as specified by the Reference Identification Qualifier

      The 0200 Loop contains all information needed for a residential mortgage insurance explanation of benefits document.

   2. 0200 · DTM · Date/Time Reference · Max >1 · Mandatory

      To specify pertinent dates and times

   3. 0300 · AMT · Monetary Amount Information · Max 1 · Mandatory

      To indicate the total monetary amount

   4. 0400 · DFI · Default Information · Max 1 · Mandatory

      To specify mortgage loan default information

   5. 0500 · REF · Reference Information · Max >1 · Optional

      To specify identifying information

   6. 0600 · PER · Administrative Communications Contact · Max 1 · Optional

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

   7. 0700 · PCT · Percent Amounts · Max 1 · Optional

      To qualify percent amounts and supply percent amounts

   8. 0800 · MSG · Message Text · Max >1 · Optional

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

   9. 0300 Loop Mandatory Repeat >1

      1. 0900 · N1 · Party Identification · Max 1 · Mandatory

         To identify a party by type of organization, name, and code

         The 0300 Loop contains the borrower's name and insured property address.

      2. 1000 · N2 · Additional Name Information · Max 1 · Optional

         To specify additional names

      3. 1100 · N3 · Party Location · Max 1 · Optional

         To specify the location of the named party

      4. 1200 · N4 · Geographic Location · Max 1 · Optional

         To specify the geographic place of the named party

   10. 0400 Loop Optional Repeat >1

       1. 1300 · DTM · Date/Time Reference · Max 1 · Mandatory

          To specify pertinent dates and times

          The 0400 Loop contains the event items and dates, along with mortgage interest rate intervals and amounts for adjustable interest loans.

       2. 1400 · QTY · Quantity Information · Max 2 · Optional

          To specify quantity information

       3. 1500 · INT · Interest · Max 1 · Optional

          To specify interest rate and type and the applicable time period

       4. 1600 · AMT · Monetary Amount Information · Max 2 · Optional

          To indicate the total monetary amount

       5. 1700 · III · Information · Max >1 · Optional

          To report information

   11. 0500 Loop Optional Repeat >1

       1. 1800 · FIS · Mortgage Loan Fiscal Data · Max 1 · Mandatory

          To specify mortgage loan fiscal data when applying for insurance claim benefits

          The 0500 Loop contains detail claimable expense items submitted, the amount authorized for payment, and an explanation of any adjustments.

       2. 1900 · III · Information · Max >1 · Optional

          To report information

       3. 0510 Loop Optional Repeat >1

          1. 2000 · AWD · Amount with Description · Max 1 · Mandatory

             To specify a code and/or description with an associated amount

          2. 2100 · AMT · Monetary Amount Information · Max 1 · Optional

             To indicate the total monetary amount

          3. 2200 · III · Information · Max >1 · Optional

             To report information

2. 2300 · 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)