272 Property and Casualty Loss Notification

Functional Group LN

X12N Insurance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Property and Casualty Loss Notification Transaction Set (272) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide loss information flow between property and casualty (P & C) insurance companies, agents, service providers, and industry bureaus. Expected users are property and casualty insurance companies, agents, service providers (e.g., adjusters or glaziers), and industry bureaus (e.g., National Insurance Crime Bureau (NICB) or the Index System). Business functions consist of loss notification, work assignments and reporting.

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 or Time or PeriodOptional
Max 10
To specify any or all of a date, a time, or a time period
1000 Loop
Repeat >1
0400
Extended Reference InformationMandatory
Max 1
To transmit identifying information as specified by the Reference Identification Qualifier
0500
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
1100 Loop
Repeat 15
0600
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
0800
Party LocationOptional
Max 2
To specify the location of the named party
0900
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
1000
Extended Reference InformationOptional
Max 15
To transmit identifying information as specified by the Reference Identification Qualifier
1100
Administrative Communications ContactOptional
Max 5
To identify a person or office to whom administrative communications should be directed

Detail

Position
Segment
Name
Max use
2000 Loop
Repeat >1
0100
Loss Information DescriptionMandatory
Max 1
To provide details on a specific insurance claim
0150
Industry Code IdentificationOptional
Max >1
To identify standard industry codes
0200
Date or Time or PeriodOptional
Max 10
To specify any or all of a date, a time, or a time period
0300
Basic Claim InformationOptional
Max 1
To identify information basic to the processing of any claims transaction
This occurrence of the Basic Claim Information (BCI) segment is required for Loss Notification and Reporting purposes. If the effective date range is specified, it applies to all coverages on the policy unless otherwise specified within the appropriate coverage loop (LQ).
0400
Service Characteristic IdentificationOptional
Max 2
To specify service characteristic data
0450
Yes/No QuestionOptional
Max >1
To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition
2100 Loop
Repeat 2
0500
Individual or Event LocationMandatory
Max 1
To provide an accurate description of where an individual was located or an event took place
This occurrence of the Individual or Event Location (LIE) segment is used to specify the location of the loss.
0600
Party LocationOptional
Max 1
To specify the location of the named party
0700
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
2200 Loop
Repeat >1
0800
Extended Reference InformationMandatory
Max 1
To transmit identifying information as specified by the Reference Identification Qualifier
0900
Message TextOptional
Max >1
To provide a free-form format that allows the transmission of text information
2300 Loop
Repeat >1
1000
PaperworkMandatory
Max 1
To identify the type or transmission or both of paperwork or supporting information
1100
Date or Time or PeriodOptional
Max 1
To specify any or all of a date, a time, or a time period
1200
Extended Reference InformationOptional
Max 5
To transmit identifying information as specified by the Reference Identification Qualifier
1300
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
1400
Individual or Organizational NameOptional
Max 1
To supply the full name of an individual or organizational entity
1500
Administrative Communications ContactOptional
Max 1
To identify a person or office to whom administrative communications should be directed
1600
Loop HeaderOptional
Max 1
To indicate that the next segment begins a loop
2400 Loop
Repeat 10
1700
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
This loop is used to specify witness information or administrative persons associated with the loss (i.e., claim handler, etc.).
1900
Party LocationOptional
Max 2
To specify the location of the named party
2000
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
2100
Extended Reference InformationOptional
Max 15
To transmit identifying information as specified by the Reference Identification Qualifier
2200
Administrative Communications ContactOptional
Max 5
To identify a person or office to whom administrative communications should be directed
2410 Loop
Repeat 1
2300
Individual or Event LocationMandatory
Max 1
To provide an accurate description of where an individual was located or an event took place
2400
Party LocationOptional
Max 1
To specify the location of the named party
2500
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
2600
Loop TrailerOptional
Max 1
To indicate that the loop immediately preceding this segment is complete
2500 Loop
Repeat >1
2700
Reference InformationMandatory
Max 1
To specify identifying information
This Reference Numbers (REF) loop is used to specify information about a loss exposure.
2503 Loop
Repeat 1
2800
Vehicle InformationMandatory
Max 1
To provide descriptions that identify a specific vehicle
2900
Vehicle AttributeOptional
Max 100
Identifies attributes associated with a vehicle
3000
Extended Reference InformationOptional
Max >1
To transmit identifying information as specified by the Reference Identification Qualifier
3100
Dynamic Vehicle InformationOptional
Max 1
To provide dynamic information pertaining to a vehicle
3200
Vehicle RecoveryOptional
Max 1
To provide information about the recovery of a vehicle
3300
Damage InformationOptional
Max >1
To identify the part of the vehicle that was damaged
2510 Loop
Repeat >1
3400
Individual or Event LocationMandatory
Max 1
To provide an accurate description of where an individual was located or an event took place
This occurrence of the Individual or Event Location (LIE) segment is used to specify the recovery location.
3500
Party LocationOptional
Max 1
To specify the location of the named party
3600
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
3650
Administrative Communications ContactOptional
Max 1
To identify a person or office to whom administrative communications should be directed
2515 Loop
Repeat >1
3700
Transaction Set Line NumberMandatory
Max 1
To reference a line number in a transaction set
3800
Property Description - RealOptional
Max 1
To provide a description of real property
3900
Property Description - PersonalOptional
Max 1
To provide a description of personal property
4000
Administrative MessageOptional
Max 1
To transmit information in a free-form format for comment or special instruction
4050
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
4100
Quantity InformationOptional
Max 1
To specify quantity information
4150
Individual or Event LocationOptional
Max 1
To provide an accurate description of where an individual was located or an event took place
4200
Date or Time or PeriodOptional
Max 1
To specify any or all of a date, a time, or a time period
4250
Item IdentificationOptional
Max 1
To specify basic item identification data
4300
Equipment CharacteristicsOptional
Max 1
To send additional information regarding a specific piece of equipment
4350
Safety DataOptional
Max 1
To provide safety data information to recipients of the transaction, including identification of the hazard that the material being described represents, and the organization or party which declared this material to be a hazard or established exposure limits or other guidelines for that material
4400
Packaging DescriptionOptional
Max 1
To specify a package description and other information
4450
RemarksOptional
Max 1
To transmit information in a free-form format for comment or special instruction
4500
Vessel IdentificationOptional
Max 1
To provide vessel details and voyage number
4600
Route Information (Air)Optional
Max 1
To specify airline and airport routing sequences
4700
Port or TerminalOptional
Max 5
Contractual or operational port or point relevant to the movement of the cargo
4800
Loop HeaderOptional
Max 1
To indicate that the next segment begins a loop
2518 Loop
Repeat >1
4900
Administrative MessageMandatory
Max 1
To transmit information in a free-form format for comment or special instruction
5000
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
5100
Quantity InformationOptional
Max 1
To specify quantity information
5200
Individual or Event LocationOptional
Max 1
To provide an accurate description of where an individual was located or an event took place
5300
Loop TrailerOptional
Max 1
To indicate that the loop immediately preceding this segment is complete
2520 Loop
Repeat >1
5400
Property or Entity IdentificationMandatory
Max 1
To define the attributes of a property or an entity
This NX1 loop is used to specify information pertinent to an involved party.
5500
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
5700
Party LocationOptional
Max 2
To specify the location of the named party
5800
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
5900
Extended Reference InformationOptional
Max 10
To transmit identifying information as specified by the Reference Identification Qualifier
6000
Administrative Communications ContactOptional
Max 10
To identify a person or office to whom administrative communications should be directed
6100
Individual CharacteristicsOptional
Max 1
To provide personal information on an individual
6200
Conditions IndicatorOptional
Max >1
To supply information on conditions
6300
Basic Claim InformationOptional
Max 1
To identify information basic to the processing of any claims transaction
2525 Loop
Repeat >1
6400
Industry Code IdentificationMandatory
Max 1
To identify standard industry codes
6500
Date or Time or PeriodOptional
Max 5
To specify any or all of a date, a time, or a time period
6600
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
6700
Percent AmountsOptional
Max 5
To qualify percent amounts and supply percent amounts
6750
Quantity InformationOptional
Max 5
To specify quantity information
6800
Loop HeaderOptional
Max 1
To indicate that the next segment begins a loop
2528 Loop
Repeat >1
6900
Industry Code IdentificationMandatory
Max 1
To identify standard industry codes
7000
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
7100
Percent AmountsOptional
Max 5
To qualify percent amounts and supply percent amounts
7150
Quantity InformationOptional
Max 5
To specify quantity information
7200
Loop TrailerOptional
Max 1
To indicate that the loop immediately preceding this segment is complete
7300
Loop HeaderOptional
Max 1
To indicate that the next segment begins a loop
2600 Loop
Repeat >1
7400
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
This occurrence of the Individual or Organizational Name (NM1) loop is used to specify associated party information.
7600
Party LocationOptional
Max 2
To specify the location of the named party
7700
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
7800
Extended Reference InformationOptional
Max 10
To transmit identifying information as specified by the Reference Identification Qualifier
7900
Administrative Communications ContactOptional
Max 10
To identify a person or office to whom administrative communications should be directed
8000
Individual CharacteristicsOptional
Max 1
To provide personal information on an individual
8050
Conditions IndicatorOptional
Max >1
To supply information on conditions
8100
Basic Claim InformationOptional
Max 1
To identify information basic to the processing of any claims transaction
2610 Loop
Repeat >1
8300
Date or Time or PeriodOptional
Max 5
To specify any or all of a date, a time, or a time period
8400
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
8500
Percent AmountsOptional
Max 5
To qualify percent amounts and supply percent amounts
8550
Quantity InformationOptional
Max 5
To specify quantity information
2615 Loop
Repeat >1
8600
Industry Code IdentificationMandatory
Max 1
To identify standard industry codes
8700
Monetary Amount InformationOptional
Max >1
To indicate the total monetary amount
8800
Percent AmountsOptional
Max 5
To qualify percent amounts and supply percent amounts
8830
Quantity InformationOptional
Max 5
To specify quantity information
8850
Loop TrailerOptional
Max 1
To indicate that the loop immediately preceding this segment is complete
2700 Loop
Repeat 5
8900
Previous IncidentMandatory
Max 1
To identify details of previous insurance losses
9000
Basic Claim InformationMandatory
Max 1
To identify information basic to the processing of any claims transaction
9100
Party LocationOptional
Max 2
To specify the location of the named party
9200
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
2710 Loop
Repeat >1
9300
PaperworkMandatory
Max 1
To identify the type or transmission or both of paperwork or supporting information
9400
Date or Time or PeriodOptional
Max 1
To specify any or all of a date, a time, or a time period
9500
Extended Reference InformationOptional
Max 5
To transmit identifying information as specified by the Reference Identification Qualifier
9600
Geographic LocationOptional
Max 1
To specify the geographic place of the named party
9700
Individual or Organizational NameOptional
Max 1
To supply the full name of an individual or organizational entity
9800
Administrative Communications ContactOptional
Max 1
To identify a person or office to whom administrative communications should be directed
9900
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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