EDI 272 Property and Casualty Loss Notification

Functional Group LN

X12N Insurance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Property and Casualty Loss Notification Transaction Set (272) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide loss information flow between property and casualty (P & C) insurance companies, agents, service providers, and industry bureaus. Expected users are property and casualty insurance companies, agents, service providers (e.g., adjusters or glaziers), and industry bureaus (e.g., National Insurance Crime Bureau (NICB) or the Index System). Business functions consist of loss notification, work assignments and reporting.

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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 transaction set

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

  4. 1000 Loop Optional
    Repeat >1

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

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

  5. 1100 Loop Optional
    Repeat 15

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

    2. To specify additional names

    3. To specify the location of the named party

    4. To specify the geographic place of the named party

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

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

Detail

Position
Segment
Name
Max use
  1. 2000 Loop Mandatory
    Repeat >1

    1. To provide details on a specific insurance claim

    2. To identify standard industry codes

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

    4. To identify information basic to the processing of any claims transaction

      This occurrence of the Basic Claim Information (BCI) segment is required for Loss Notification and Reporting purposes. If the effective date range is specified, it applies to all coverages on the policy unless otherwise specified within the appropriate coverage loop (LQ).

    5. To specify service characteristic data

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

    7. 2100 Loop Optional
      Repeat 2

      1. To provide an accurate description of where an individual was located or an event took place

        This occurrence of the Individual or Event Location (LIE) segment is used to specify the location of the loss.

      2. To specify the location of the named party

      3. To specify the geographic place of the named party

    8. 2200 Loop Optional
      Repeat >1

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

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

    9. 2300 Loop Optional
      Repeat >1

      1. To identify the type or transmission or both of paperwork or supporting information

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

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

      4. To specify the geographic place of the named party

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

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

    10. To indicate that the next segment begins a loop

    11. 2400 Loop Optional
      Repeat 10

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

        This loop is used to specify witness information or administrative persons associated with the loss (i.e., claim handler, etc.).

      2. To specify additional names

      3. To specify the location of the named party

      4. To specify the geographic place of the named party

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

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

      7. 2410 Loop Optional
        Repeat 1

        1. To provide an accurate description of where an individual was located or an event took place

        2. To specify the location of the named party

        3. To specify the geographic place of the named party

    12. To indicate that the loop immediately preceding this segment is complete

    13. 2500 Loop Optional
      Repeat >1

      1. To specify identifying information

        This Reference Numbers (REF) loop is used to specify information about a loss exposure.
      2. 2503 Loop Optional
        Repeat 1

        1. To provide descriptions that identify a specific vehicle

        2. Identifies attributes associated with a vehicle

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

        4. To provide dynamic information pertaining to a vehicle

        5. To provide information about the recovery of a vehicle

        6. To identify the part of the vehicle that was damaged

        7. 2510 Loop Optional
          Repeat >1

          1. To provide an accurate description of where an individual was located or an event took place

            This occurrence of the Individual or Event Location (LIE) segment is used to specify the recovery location.

          2. To specify the location of the named party

          3. To specify the geographic place of the named party

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

      3. 2515 Loop Optional
        Repeat >1

        1. To reference a line number in a transaction set

        2. To provide a description of real property

        3. To provide a description of personal property

        4. To transmit information in a free-form format for comment or special instruction

        5. To indicate the total monetary amount

        6. To specify quantity information

        7. To provide an accurate description of where an individual was located or an event took place

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

        9. To specify basic item identification data

        10. To send additional information regarding a specific piece of equipment

        11. To provide safety data information to recipients of the transaction, including identification of the hazard that the material being described represents, and the organization or party which declared this material to be a hazard or established exposure limits or other guidelines for that material

        12. To specify a package description and other information

        13. To transmit information in a free-form format for comment or special instruction

        14. To provide vessel details and voyage number

        15. To specify airline and airport routing sequences

        16. Contractual or operational port or point relevant to the movement of the cargo

        17. To indicate that the next segment begins a loop

        18. 2518 Loop Optional
          Repeat >1

          1. To transmit information in a free-form format for comment or special instruction

          2. To indicate the total monetary amount

          3. To specify quantity information

          4. To provide an accurate description of where an individual was located or an event took place

        19. To indicate that the loop immediately preceding this segment is complete

      4. 2520 Loop Optional
        Repeat >1

        1. To define the attributes of a property or an entity

          This NX1 loop is used to specify information pertinent to an involved party.

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

        3. To specify additional names

        4. To specify the location of the named party

        5. To specify the geographic place of the named party

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

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

        8. To provide personal information on an individual

        9. To supply information on conditions

        10. To identify information basic to the processing of any claims transaction

        11. 2525 Loop Optional
          Repeat >1

          1. To identify standard industry codes

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

          3. To indicate the total monetary amount

          4. To qualify percent amounts and supply percent amounts

          5. To specify quantity information

          6. To indicate that the next segment begins a loop

          7. 2528 Loop Optional
            Repeat >1

            1. To identify standard industry codes

            2. To indicate the total monetary amount

            3. To qualify percent amounts and supply percent amounts

            4. To specify quantity information

          8. To indicate that the loop immediately preceding this segment is complete

        12. To indicate that the next segment begins a loop

        13. 2600 Loop Optional
          Repeat >1

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

            This occurrence of the Individual or Organizational Name (NM1) loop is used to specify associated party information.

          2. To specify additional names

          3. To specify the location of the named party

          4. To specify the geographic place of the named party

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

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

          7. To provide personal information on an individual

          8. To supply information on conditions

          9. To identify information basic to the processing of any claims transaction

          10. 2610 Loop Optional
            Repeat >1

            1. To report information

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

            3. To indicate the total monetary amount

            4. To qualify percent amounts and supply percent amounts

            5. To specify quantity information

            6. 2615 Loop Optional
              Repeat >1

              1. To identify standard industry codes

              2. To indicate the total monetary amount

              3. To qualify percent amounts and supply percent amounts

              4. To specify quantity information

        14. To indicate that the loop immediately preceding this segment is complete

      5. 2700 Loop Optional
        Repeat 5

        1. To identify details of previous insurance losses

        2. To identify information basic to the processing of any claims transaction

        3. To specify the location of the named party

        4. To specify the geographic place of the named party

        5. 2710 Loop Optional
          Repeat >1

          1. To identify the type or transmission or both of paperwork or supporting information

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

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

          4. To specify the geographic place of the named party

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

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

  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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