124 Vehicle Damage

Functional Group VD

X12N Insurance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Vehicle Damage Transaction Set (124) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to provide vehicle damage information flow between Property & Casualty (P&C) insurance companies, independent agents, service providers, information providers, self-insurers and financial institutions. Business functions consist of the estimating of vehicle damage and the detailed reporting of parts and labor cost connected with repairing the estimated damage.

Heading

Position
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
Date/Time ReferenceOptional
Max 1
To specify pertinent dates and times
0400
Currency IdentifierOptional
Max 1
To specify the currency being used in the transaction set
1000 Loop
Repeat >1
0500
Supplementary InformationMandatory
Max 1
To provide processible supplementary information
0600
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
2000 Loop
Repeat >1
0700
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
0900
Party LocationOptional
Max 2
To specify the location of the named party
1000
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
1100
Administrative Communications ContactOptional
Max >1
To identify a person or office to whom administrative communications should be directed
1200
Reference InformationOptional
Max >1
To specify identifying information

Detail

Position
Segment
Name
Max use
3000 Loop
Repeat >1
0100
Transaction Set Line NumberMandatory
Max 1
To reference a line number in a transaction set
0200
Tax InformationOptional
Max >1
To specify tax information
0300
Yes/No QuestionOptional
Max >1
To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition
0400
Alternate PartsOptional
Max 1
To transmit identifying numbers, values and descriptive information related to the use of alternate parts
3100 Loop
Repeat >1
0500
Supplementary InformationMandatory
Max 1
To provide processible supplementary information
0600
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
3200 Loop
Repeat >1
0700
Code Source InformationMandatory
Max 1
To transmit standard code list identification information
0800
Industry Code IdentificationMandatory
Max 1
To identify standard industry codes
0900
Pricing InformationOptional
Max 1
To specify pricing information
1000
Tax InformationOptional
Max >1
To specify tax information
1100
Service, Promotion, Allowance, or Charge InformationOptional
Max >1
To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge
3300 Loop
Repeat >1
1200
Vehicle InformationMandatory
Max 1
To provide descriptions that identify a specific vehicle
1250
Product/Item DescriptionOptional
Max >1
To describe a product or process in coded or free-form format
1300
Reference InformationOptional
Max >1
To specify identifying information
1400
Basic Claim InformationOptional
Max 1
To identify information basic to the processing of any claims transaction
1500
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
1600
Loss Information DescriptionOptional
Max 1
To provide details on a specific insurance claim
1650
Industry Code IdentificationOptional
Max >1
To identify standard industry codes
1700
Damage InformationOptional
Max 1
To identify the part of the vehicle that was damaged
1800
Conditions IndicatorOptional
Max 1
To supply information on conditions
1900
Dynamic Vehicle InformationOptional
Max 1
To provide dynamic information pertaining to a vehicle
2100
Individual or Organizational NameOptional
Max 1
To supply the full name of an individual or organizational entity
2300
Party LocationOptional
Max 2
To specify the location of the named party
2400
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
2500
Administrative Communications ContactOptional
Max 1
To identify a person or office to whom administrative communications should be directed
2600
InformationOptional
Max 1
To report information
2700
Date or Time or PeriodOptional
Max >1
To specify any or all of a date, a time, or a time period
3305 Loop
Repeat >1
2710
Vehicle AttributeMandatory
Max 1
Identifies attributes associated with a vehicle
2720
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
2730
Reference InformationOptional
Max >1
To specify identifying information
2800
Loop HeaderOptional
Max 1
To indicate that the next segment begins a loop
3310 Loop
Repeat >1
2900
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
3100
Party LocationOptional
Max 2
To specify the location of the named party
3200
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
3300
Administrative Communications ContactOptional
Max >1
To identify a person or office to whom administrative communications should be directed
3400
Reference InformationOptional
Max >1
To specify identifying information
3500
Payment InformationOptional
Max >1
To transmit check number and amount information associated with a remittance
3600
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
3700
Loop TrailerOptional
Max 1
To indicate that the loop immediately preceding this segment is complete
3320 Loop
Repeat >1
3800
Code Source InformationMandatory
Max 1
To transmit standard code list identification information
3900
Industry Code IdentificationMandatory
Max 1
To identify standard industry codes
3325 Loop
Repeat >1
4000
Monetary Amount InformationMandatory
Max 1
To indicate the total monetary amount
4100
Quantity InformationOptional
Max 1
To specify quantity information
4200
Tax InformationOptional
Max >1
To specify tax information
4210
Reference InformationOptional
Max >1
To specify identifying information
3330 Loop
Repeat >1
4230
Extended Reference InformationMandatory
Max 1
To transmit identifying information as specified by the Reference Identification Qualifier
4270
Industry Code IdentificationOptional
Max >1
To identify standard industry codes
4300
Reference InformationOptional
Max >1
To specify identifying information
4350
Inspection Detail SegmentOptional
Max 1
To report the inspection results on automotive vehicles
4400
Auto Claim Detail - PartsOptional
Max 1
To describe the parts involved in the repair of vehicle damage and to specify actions taken related to the parts
4600
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
4610
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
4615
Percent AmountsOptional
Max >1
To qualify percent amounts and supply percent amounts
3335 Loop
Repeat >1
4620
Auto Claim Detail - LaborMandatory
Max 1
To describe the labor involved in the repair of vehicle damage and to specify actions taken related to the labor
4630
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
4640
Quantity InformationOptional
Max >1
To specify quantity information
4650
Percent AmountsOptional
Max >1
To qualify percent amounts and supply percent amounts
4700
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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