EDI

API DocsTerminal
NEW!
Programmatically translate EDI to JSON with the EDI Core REST API
Get started in minutes →
Transaction Set
in
X12 Release 004010

273 Insurance/Annuity Application Status

Functional Group ID

This Draft Standard for Trial Use contains the format and establishes the data contents of the Insurance/Annuity Application Status Transaction Set (273) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used by insurance providers to inform their trading partners of the current status of a life insurance or annuity application during the underwriting process.

Heading

Sequence
Segment
Name
Max use
010
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
020
Beginning SegmentMandatory
Max 1
To indicate the beginning of a transaction set
030
Currency
Max 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
035
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
NM1 Loop
Repeat 2
040
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
050
Address Information
Max 3
To specify the location of the named party
060
Geographic Location
Max 1
To specify the geographic place of the named party
070
Reference Identification
Max 9
To specify identifying information
080
Administrative Communications Contact
Max 3
To identify a person or office to whom administrative communications should be directed

Detail

Sequence
Segment
Name
Max use
ACT Loop
Repeat >1
010
Account IdentificationMandatory
Max 1
To specify account information
The ACT loop repeats for each individual case.
020
Administrative Communications Contact
Max 3
To identify a person or office to whom administrative communications should be directed
030
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
040
Date or Time or Period
Max 19
To specify any or all of a date, a time, or a time period
050
Baseline Item Data
Max 1
To specify basic item data: item identification, quantity, and price
060
Monetary Amount
Max 9
To indicate the total monetary amount
070
Item Identification
Max 1
To specify basic item identification data
080
Reference Identification
Max 9
To specify identifying information
090
File Information
Max 3
To transmit a fixed-format record or matrix contents
LX Loop
Repeat >1
100
Assigned NumberMandatory
Max 1
To reference a line number in a transaction set
The LX loop is required to avoid collision with the BLI loop.
110
Baseline Item Data
Max 1
To specify basic item data: item identification, quantity, and price
The BLI segment is used to transmit coverage which relates to the entire application.
120
Investment Vehicle Selection
Max 9
To specify type of investment vehicle or account and other basic data about the investment
130
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
135
Insurance
Max 1
To specify details related to insurance
140
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
150
Rate Amounts or Percents
Max 1
To identify rate amounts or percents for a specific cost or other line item
160
File Information
Max 3
To transmit a fixed-format record or matrix contents
BEN Loop
Repeat >1
170
Beneficiary or Owner Information
Max 1
To supply beneficiary, co-participant, and owner information
The BEN loop is used to transmit beneficiary information that relates only to the coverage information in 2/100 - 2/160.
180
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
190
Additional Name Information
Max 1
To specify additional names or those longer than 35 characters in length
192
Address Information
Max 1
To specify the location of the named party
195
Geographic Location
Max 1
To specify the geographic place of the named party
197
Date or Time or Period
Max 1
To specify any or all of a date, a time, or a time period
ENT Loop
Repeat >1
200
Entity
Max 1
To designate the entities which are parties to a transaction and specify a reference meaningful to those entities
210
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
220
Additional Name Information
Max 2
To specify additional names or those longer than 35 characters in length
230
Reference Identification
Max 9
To specify identifying information
240
Address Information
Max 3
To specify the location of the named party
250
Geographic Location
Max 1
To specify the geographic place of the named party
260
Administrative Communications Contact
Max 3
To identify a person or office to whom administrative communications should be directed
270
Demographic Information
Max 1
To supply demographic information
275
Additional Demographic Information
Max 1
To supply additional demographic identification
280
Relationship
Max 1
To specify relationship and birth order of entity
290
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
300
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
310
Quantity
Max 9
To specify quantity information
320
File Information
Max 3
To transmit a fixed-format record or matrix contents
LQ Loop
Repeat >1
330
Industry Code
Max 1
Code to transmit standard industry codes
The LQ loop contains the underwriting requirements.
340
Event Detail
Max 1
To specify information about a specific event
350
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
360
File Information
Max 3
To transmit a fixed-format record or matrix contents
NM1 Loop
Repeat >1
370
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
380
Address Information
Max 3
To specify the location of the named party
390
Geographic Location
Max 1
To specify the geographic place of the named party
400
Contact
Max 9
To identify a person or office to whom communications should be directed
BEN Loop
Repeat >1
410
Beneficiary or Owner Information
Max 1
To supply beneficiary, co-participant, and owner information
The BEN loop is used to transmit beneficiary information that relates only to the entity information in 2/200 - 2/320.
420
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
430
Additional Name Information
Max 1
To specify additional names or those longer than 35 characters in length
432
Address Information
Max 1
To specify the location of the named party
435
Geographic Location
Max 1
To specify the geographic place of the named party
437
Date or Time or Period
Max 1
To specify any or all of a date, a time, or a time period
BLI Loop
Repeat >1
440
Baseline Item Data
Max 1
To specify basic item data: item identification, quantity, and price
The BLI loop is used to transmit coverage information that relates only to the entity information in 2/200 - 2/320.
450
Investment Vehicle Selection
Max 9
To specify type of investment vehicle or account and other basic data about the investment
460
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
462
Underwriting Condition
Max >1
To specify the condition under which insurance coverage is offered
465
Insurance
Max 1
To specify details related to insurance
470
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
475
Quantity
Max >1
To specify quantity information
480
Rate Amounts or Percents
Max >1
To identify rate amounts or percents for a specific cost or other line item
490
File Information
Max 3
To transmit a fixed-format record or matrix contents
BEN Loop
Repeat >1
500
Beneficiary or Owner Information
Max 1
To supply beneficiary, co-participant, and owner information
The BEN loop is used to transmit beneficiary information that relates only to the coverage information in 2/440 - 2/490.
510
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
520
Additional Name Information
Max 1
To specify additional names or those longer than 35 characters in length
522
Address Information
Max 1
To specify the location of the named party
525
Geographic Location
Max 1
To specify the geographic place of the named party
527
Date or Time or Period
Max 1
To specify any or all of a date, a time, or a time period
MSG Loop
Repeat >1
530
Message Text
Max 1
To provide a free-form format that allows the transmission of text information
540
Date or Time or Period
Max 1
To specify any or all of a date, a time, or a time period
550
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
560
Transaction Set TrailerMandatory
Max 1
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)
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.
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.