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Segment
in
X12 Release 003030

F01 Identification of Claim (Claimant Originated)

To identify a loss or damage claim
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
373
Date
Date (DT)
Mandatory
6
6
-
Date (YYMMDD).
F0101 will contain the date of claim.
02
Reference Number
String (AN)
Mandatory
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
F0102, Reference Number, is claimant's claim number.
03
Amount
N2
Mandatory
1
9
-
Monetary amount.
F0103 is the claim amount.
04
Standard Carrier Alpha Code
Identifier (ID)
Mandatory
2
4
-
Standard Carrier Alpha Code
F0104 is the carrier to whom the claim is made.
05
Supporting Evidence Code
Identifier (ID)
Mandatory
1
1
-
Code indicating whether documents are provided to support evidence to a loss or damage claim.
Codes (2)
06
Currency Code
Identifier (ID)
Optional
3
3
-
Code (Standard ISO) for country in whose currency the charges are specified.
F0106 must be specified if country is other than the United States, and F0106 relates to amount in F0103.
07
Exchange Rate
Decimal number (R)
Optional
4
6
-
Value to be used as a multiplier conversion factor to convert monetary value from one currency to another.
F0107 relates to F0103 and F0106.
08
Identification Code Qualifier
Identifier (ID)
Conditional
1
2
-
Code designating the system/method of code structure used for Identification Code (67).
P0809
Codes (113)
09
Identification Code
String (AN)
Conditional
2
17
-
Code identifying a party or other code.
F0109 is the claimant's code.
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.