EDI 112 Format
ISA*01*0000000000*01*0000000000*ZZ*ABCDEFGHIJKLMNO*ZZ*123456789012345*101127*1719*U*00400*000003438*0*P*>
GS*NL*1234567890 *999999999 *20120126*1211*1*T*004010
ST*112*0001
BGN*00*Reference Identification*20120127*09075500*01*Reference Identification*01*1*00
DTP*001*CC*Date Time Period
C3*CUR*57122*CUR*CUR
SUP*BLC*01*Free Form Message*CN
MSG*Free-Form Message Text*AA*81232307
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01
N2*Name*Name
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
HL*1**1*0
N9*01*Reference Identification*Free-form Description*20120127*0907*01*01Reference Identification1Reference Identification1Reference Identification
K2*Description
QTY*01*41264775236*011303525913285091764171661012867125581311201107747120891731199823144213489324851433313906761106281
DTP*001*CC*Date Time Period
TXI*AA*143352671*283163435*CD*Tax Jurisd*0*A*298*Tax Identification N*Assigned Identificat
LM*10*Source Subquali
SLN*Assigned Identificat*Assigned Identificat*A*36*0118370195091291971282120616128051547286362802117451175132722149062682307589*78861*AA*A*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID
AMT*1*14*C
III*0*Industry Code*01*Free-Form Message Text*31153*01260931736827773119293571141061226110213274634365029191916229831227914936*1S*1S*1S
AMT*1*183719056*C
PCT*1*271223588
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01
N2*Name*Name
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
MS1*City Name*ST*COU
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
CID*1*01*10*Product Desc*Description*Source Subquali*N
MEA*9L*1*2044*012953531981291377402123695184811181913206318112214451124898275699369114931543*24*2476296468*01**1S*BM
SE*32*0001
GE*1*1
IEA*1*000000010
EDI 112 Specification
This X12 Transaction Set contains the format and establishes the data contents of the Property Damage Report Transaction Set (112) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set will be used to provide property damage information between property and casualty insurance companies, independent agents, service and information providers. This information includes, but is not limited to providing cost estimates involving functions such as demolition, new construction, damage repair and replacement.
