EDI 112 Property Damage Report

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.

Sources

Accredited Standards Committee X12. ASC X12 Standard [Table Data]. Data Interchange Standards Association, Inc., Falls Church, VA. http://www.x12.org