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Transaction Set
in
X12 Release 008020

141 Product Service Claim Response

Functional Group WA

X12M Supply Chain Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Product Service Claim Response Transaction Set (141) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to transmit the status of a product service claim and the items accepted and rejected for payment from the product service claim. Each product service claim submission could have represented the repair of several individual products and each pair could have consisted of several repair actions involving parts and labor.

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
The BGN segment must contain a number for reference to this claim response transaction and the date on which the transaction was created.
0300
Quantity Information
Max 3
To specify quantity information
The QTY segment can be used to specify the total quantity of claims included in this transaction as well as the quantity approved and the quantity disapproved.
0350
Extended Reference Information
Max >1
To transmit identifying information as specified by the Reference Identification Qualifier
N1 Loop
Repeat 2
0400
Party IdentificationMandatory
Max 1
To identify a party by type of organization, name, and code
The N1 loop defines the party making the product service claim response and the party to receive the response.
0500
Additional Name Information
Max 2
To specify additional names
0600
Party Location
Max 4
To specify the location of the named party
0700
Geographic Location
Max 1
To specify the geographic place of the named party
0800
Reference Information
Max 2
To specify identifying information
0900
Administrative Communications Contact
Max 2
To identify a person or office to whom administrative communications should be directed
This is the representative who reviewed the entire claim response and the appropriate communication numbers.

Detail

Sequence
Segment
Name
Max use
LX Loop
Repeat >1
0100
Transaction Set Line NumberMandatory
Max 1
To reference a line number in a transaction set
The LX loop serves only to separate the individual product service claim response levels. Consequently, the LX segment would probably contain only a sequential number.
0150
Reference InformationMandatory
Max 8
To specify identifying information
See the Figures Appendix for an explanation of the use of the REF segment in the LX loop.
0200
Product Claim Status
Max 1
To convey the status of a product service claim or claims or to supply adjustment reason codes and amounts as needed for an entire claim or for a particular item within the claim
The PCS segment identifies the status of the item specified by the repeated REF segments.
0300
Date/Time Reference
Max >1
To specify pertinent dates and times
The DTM segment clearly is an optional segment that tells any date or time information that is significant to that particular claim status level. It can be repeated, if necessary.
0400
Message Text
Max >1
To provide a free-form format that allows the transmission of text information
The MSG segment seldom should be used. It is only necessary if the coded warranty claim status in the PCS segment is not sufficient to describe the detail as to a change in a submitted claims. It can be repeated to allow a full length message. However, the use of the MSG segment inhibits computer processing of the transaction by either party.
0500
Monetary Amount Information
Max >1
To indicate the total monetary amount
The optional AMT segment would be used if the amount of the individual claim that will be credited or submitted needs to be specified.
0600
Administrative Communications Contact
Max 1
To identify a person or office to whom administrative communications should be directed
This is the representative who analyzed this individual claim and the appropriate communication numbers.
0700
Root Cause
Max 1
To specify the specific part responsible for a customer complaint in a request for service of a product and/or to describe the particular failure mechanism in a failing part or assembly
This is the factory assigned root cause for the problem specified in the original product service claim and should be entered only when it differs from that used in the original claim or was not included with the original claim. It should not be used to repeat back information that was contained in the original claim.

Summary

Sequence
Segment
Name
Max use
TDS Loop
Repeat 1
0100
Total Monetary Value Summary
Max 1
To specify the total invoice discounts and amounts
TDS01 in the trailer is able to contain the total amount to be credited or paid on the sum of all claims contained in this response transaction.
0150
Monetary Amount Information
Max >1
To indicate the total monetary amount
The amounts contained in the AMT segment will represent a detailed breakdown for the entire claim. The total amount to be credited or paid on the sum of all claims is to be specified in the preceding TDS segment.
0200
Currency
Max 1
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
The CUR segment will be used only if it is necessary to convert from one currency to another to pay for these claims.
0300
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)
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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.