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EDI 100

EDI 100 Insurance Plan Description:

EDI 100 Format:

ISA*00*          *00*          *01*1234567890     *01*999999999      *120125*1325*U*00401*000000001*0*P*\
GS*PG*1234567890     *999999999      *20120125*1325*1*T*004010
ST*100*0001
BGN*00*Reference Identification*20120125*1325*01*Reference Identification*01*1*00
C3*CUR*433283*CUR*CUR
DTP*001*CC*Date Time Period
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
REF*01*Reference Identification*Description*01\Reference Identification\01\Reference Identification\01\Reference Identification
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
N1*01*Name*1*Identification Code*01*01
N2*Name*Name
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
COM*AA*Communication Number
III*0*Industry Code*01*Free-Form Message Text*21485498*01\4\3158\01\30293911918169\71562414\01\98\22\01\242598854187\29853\01\206791526722\2*1S*1S*1S
MSG*Free-Form Message Text*AA*6187232
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
PID*F*01*10*Product Desc*Description*1S*Source Subquali*N*LAN
LIN*Assigned Identificat*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*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID
DTP*001*CC*Date Time Period
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01
BLI*A1*Product/Service ID*27920257061*01*ACT*2798913313178101*01*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*1*1*1*1*1
DTP*001*CC*Date Time Period
III*0*Industry Code*01*Free-Form Message Text*19*01\58091304630633\213771918\01\2\4539111\01\32422858125946\1457323733\01\395292\1068\01\231383050086\90271483*1S*1S*1S
AMT*1*514476602*C
QTY*01*65*01\260941387\304321657\01\29381113216\166161\01\2\23743\01\25624235013121\7311781225\01\21052541\2
SI*10*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID
AMT*1*538813688*C
QTY*01*1479*01\174811539\1637885\01\350323529\221217\01\3256915\1696826\01\129\218314\01\257821719732038\1
AM1*01*A1*Product/Service ID*124402331*245*29956146
MSG*Free-Form Message Text*AA*258
PO1*Assigned Identificat*4841*01*75619743286555608*AA*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
LIN*Assigned Identificat*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*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID
SPA*01*CC*Date Time Period*1*15*001*001*001*10*Product Desc*Source Subquali
III*0*Industry Code*01*Free-Form Message Text*171194058841141*01\23325\1073\01\2153525505\241661\01\55301036\2004\01\2\14\01\2\2795*1S*1S*1S
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
SPA*01*CC*Date Time Period*1*1495*001*001*001*10*Product Desc*Source Subquali
AM1*01*A1*Product/Service ID*3056328601*26957647*1439
MSG*Free-Form Message Text*AA*20147
PO1*Assigned Identificat*3065*01*12461199*AA*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
SPA*01*CC*Date Time Period*1*2596930853611*001*001*001*10*Product Desc*Source Subquali
SPA*01*CC*Date Time Period*1*136662354327753*001*001*001*10*Product Desc*Source Subquali
III*0*Industry Code*01*Free-Form Message Text*169834*01\2383715523\11009134\01\2754922\6686227451\01\24\2\01\12\1\01\2761465761\16*1S*1S*1S
SE*48*0001
GE*1*1
IEA*1*000000001

EDI 100 Specification:

This X12 Transaction Set contains the format and establishes the data contents of the Insurance Plan Description Transaction Set (100) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to transmit life insurance, annuity, and disability insurance product availability and features, historical performance, investment options, distributions channels, and offering company information.

Sources
Accredited Standards Committee X12. ASC X12 Standard [Table Data].
Data Interchange Standards Association, Inc., Falls Church, VA.


Page Title: Learn about the EDI 100 Insurance Plan Description