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Transaction Set
in
X12 Release 004020

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
0100
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
0200
Beginning SegmentMandatory
Max 1
To indicate the beginning of a transaction set
0300
Currency
Max 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
0350
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
NM1 Loop
Repeat 2
0400
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
0500
Address Information
Max 3
To specify the location of the named party
0600
Geographic Location
Max 1
To specify the geographic place of the named party
0700
Reference Identification
Max 9
To specify identifying information
0800
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
0100
Account IdentificationMandatory
Max 1
To specify account information
The ACT loop repeats for each individual case.
0200
Administrative Communications Contact
Max 3
To identify a person or office to whom administrative communications should be directed
0300
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
0400
Date or Time or Period
Max 19
To specify any or all of a date, a time, or a time period
0500
Baseline Item Data
Max 1
To specify basic item data: item identification, quantity, and price
0600
Monetary Amount
Max 9
To indicate the total monetary amount
0700
Item Identification
Max 1
To specify basic item identification data
0800
Reference Identification
Max 9
To specify identifying information
0900
File Information
Max 3
To transmit a fixed-format record or matrix contents
LX Loop
Repeat >1
1000
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.
1100
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.
1200
Investment Vehicle Selection
Max 9
To specify type of investment vehicle or account and other basic data about the investment
1300
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
1350
Insurance
Max 1
To specify details related to insurance
1400
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
1500
Rate Amounts or Percents
Max 1
To identify rate amounts or percents for a specific cost or other line item
1600
File Information
Max 3
To transmit a fixed-format record or matrix contents
BEN Loop
Repeat >1
1700
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 2/1000- 2/1600.
1800
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
1900
Additional Name Information
Max 1
To specify additional names
1920
Address Information
Max 1
To specify the location of the named party
1950
Geographic Location
Max 1
To specify the geographic place of the named party
1970
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
2000
Entity
Max 1
To designate the entities which are parties to a transaction and specify a reference meaningful to those entities
2100
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
2200
Additional Name Information
Max 2
To specify additional names
2300
Reference Identification
Max 9
To specify identifying information
2400
Address Information
Max 3
To specify the location of the named party
2500
Geographic Location
Max 1
To specify the geographic place of the named party
2600
Administrative Communications Contact
Max 3
To identify a person or office to whom administrative communications should be directed
2700
Demographic Information
Max 1
To supply demographic information
2750
Additional Demographic Information
Max 1
To supply additional demographic identification
2800
Relationship
Max 1
To specify relationship and birth order of entity
2900
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
3000
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
3100
Quantity
Max 9
To specify quantity information
3200
File Information
Max 3
To transmit a fixed-format record or matrix contents
LQ Loop
Repeat >1
3300
Industry Code
Max 1
Code to transmit standard industry codes
The LQ loop contains the underwriting requirements.
3400
Event Detail
Max 1
To specify information about a specific event
3450
Status of Product or Activity
Max >1
To indicate the details and status of a product or product activity
3500
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
3600
File Information
Max 3
To transmit a fixed-format record or matrix contents
NM1 Loop
Repeat >1
3700
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
3800
Address Information
Max 3
To specify the location of the named party
3900
Geographic Location
Max 1
To specify the geographic place of the named party
4000
Contact
Max 9
To identify a person or office to whom communications should be directed
BEN Loop
Repeat >1
4100
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 2/2000 - 2/3200.
4200
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
4300
Additional Name Information
Max 1
To specify additional names
4320
Address Information
Max 1
To specify the location of the named party
4350
Geographic Location
Max 1
To specify the geographic place of the named party
4370
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
4400
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 2/2000 - 2/3200.
4500
Investment Vehicle Selection
Max 9
To specify type of investment vehicle or account and other basic data about the investment
4600
Underwriting Status
Max 1
To identify and describe underwriting status of submitted applications
4620
Underwriting Condition
Max >1
To specify the condition under which insurance coverage is offered
4650
Insurance
Max 1
To specify details related to insurance
4700
Date or Time or Period
Max 9
To specify any or all of a date, a time, or a time period
4750
Quantity
Max >1
To specify quantity information
4800
Rate Amounts or Percents
Max >1
To identify rate amounts or percents for a specific cost or other line item
4900
File Information
Max 3
To transmit a fixed-format record or matrix contents
BEN Loop
Repeat >1
5000
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 2/4400- 2/4900.
5100
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
5200
Additional Name Information
Max 1
To specify additional names
5220
Address Information
Max 1
To specify the location of the named party
5250
Geographic Location
Max 1
To specify the geographic place of the named party
5270
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
5300
Message Text
Max 1
To provide a free-form format that allows the transmission of text information
5400
Date or Time or Period
Max 1
To specify any or all of a date, a time, or a time period
5500
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
5600
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.