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.
