F12 Basic Claim Information - Automotive

To provide information for automotive claims

Position
Element
Name
Type
Requirement
Min
Max
Repeat
F1201
Reference Identification
String (AN)
Mandatory
1
50
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
F1201 is used for dealer's repair order number.
F1202
Reference Identification
String (AN)
Mandatory
1
50
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
F1202 is used for dealer's document number.
F1203
Date
Date (DT)
Mandatory
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
F1203 is used for repair order date.
F1204
Credit/Debit Adjustment Number
String (AN)
Mandatory
1
22
1
Number assigned by issuer of a credit or debit memo
F1204 and F1205 will be used if sublet services are reported.
F1205
Date
Date (DT)
Mandatory
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
F1205 contains the debit/credit memo date.
F1206
Labor Rate
N2
Mandatory
3
6
1
The labor/time guide rate used by the division to reimburse the dealer for repair work
F1206 is used for body repair rate.
F1207
Labor Rate
N2
Mandatory
3
6
1
The labor/time guide rate used by the division to reimburse the dealer for repair work
F1207 is used for chassis repair rate.
F1208
Damage Code Qualifier
Identifier (ID)
Optional
1
1
1
Code identifying the party maintaining damage area, damage type and damage severity code lists

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