EDI 124 Vehicle Damage

EDI 124 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*124*0001 BGN*00*Reference Identification*20120130*16584800*01*Reference Identification*01*1*00 DTM*001*20120130*1658*01*CC*Date Time Period C3*CUR*2067*CUR*CUR SUP*BLC*01*Free Form Message*CN MSG*Free-Form Message Text*AA*2601528 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 LX*31857 TXI*AA*31*12306*CD*Tax Jurisd*0*A*724963671*Tax Identification N*Assigned Identificat YNQ*01*N*CC*Date Time Period*Free-Form Message Text*Free-Form Message Text*Free-Form Message Text*0 AP1*01*ST*ACT*481*84*POSTAL CODE*POSTAL CODE*CN*666424*557720207649125*Free-Form Message*Product/Service ID*Description SUP*BLC*01*Free Form Message*CN MSG*Free-Form Message Text*AA*1059 LM*10*Source Subquali LQ*0*Industry Code CTP*AA*ACT*65932536420850787*228468001*0129397145111824990918637041150421341081161542120021157937853145179182997*CSD*109322*279856*AA*ConditionX*1 TXI*AA*143881520751521*257677*CD*Tax Jurisd*0*A*2282731*Tax Identification N*Assigned Identificat SAC*A*A010*10*Agency Ser*229161*2*1331*01*14*1749330116*01*02*Option Number*Description*LAN VEH*32*Vehicle Identification Nu*3495*10*Product Desc*Product Desc*Product Desc*139*Reference Identification*ST*Location Identifier*N*227924*N*226201*1 PID*F*01*10*Product Desc*Description*1S*Source Subquali*N*LAN REF*01*Reference Identification*Description*01Reference Identification1Reference Identification1Reference Identification BCI*Industry Code*D*Reference Identification*ST*CC*Date Time Period*01*CUR AMT*1*1286522328273616*C LID*CC*Date Time Period*Industry Code*Industry Code*Description*N*N*Description LQ*0*Industry Code DAM*NW*DA*2949593*CUR*NW*DA*968116*NW*DA*1463130*NW*DA*1632322*NW*DA*159803 CRC*01*N*01*01*01*01*01 DVI*ACT*1267*CUR*CC*Date Time Period*Name*30335164*Reference Identification*ST*CC*Date Time Period*AM*N VAT*Industry Code*1*107951954*CUR*01*10*Source Subquali*Industry Code*Description*1*01 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 III*0*Industry Code*01*Free-Form Message Text*8381504*01126209412112312246631311285291511587324545207326928588125886211*1S*1S*1S DTP*001*CC*Date Time Period LS*3310 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 REF*01*Reference Identification*Description*01Reference Identification1Reference Identification1Reference Identification F13*Check Number*20120130*9656574*MICR Number MICR*20120130*CUR AMT*1*13017189791784309*C LE*3310 LM*10*Source Subquali LQ*0*Industry Code AMT*1*1043610093217*C QTY*01*23790272581881*0193212132322451071184334941275752334381114196623 TXI*AA*14121261*393822447*CD*Tax Jurisd*0*A*12*Tax Identification N*Assigned Identificat N9*01*Reference Identification*Free-form Description*20120130*1658*01*01Reference Identification1Reference Identification1Reference Identification LQ*0*Industry Code REF*01*Reference Identification*Description*01Reference Identification1Reference Identification1Reference Identification ID*DA*DA*D DP*1*Product/Service ID*1*14290258*N*01*N*N*N*N*12599857142*Product/Service ID*Free-form Description*51*88*N DL*1*23*264*N*47*11*24*N*N*N*N MSG*Free-Form Message Text*AA*31 SE*63*0001 GE*1*1 IEA*1*000000016

EDI 124 Specification

This X12 Transaction Set contains the format and establishes the data contents of the Vehicle Damage Transaction Set (124) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to provide vehicle damage information flow between Property & Casualty (P&C) insurance companies, independent agents, service providers, information providers, self-insurers and financial institutions. Business functions consist of the estimating of vehicle damage and the detailed reporting of parts and labor cost connected with repairing the estimated damage.

Sources

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