F03 Detail - Supporting Evidence for Claim

To specify the extent of damage and the amount claimed for damaged goods

Position
Element
Name
Type
Requirement
Min
Max
Repeat
F03-01
Quantity
Decimal number (R)
Mandatory
1
15
-
Numeric value of quantity.
F03-02
Unit or Basis for Measurement Code
Identifier (ID)
Mandatory
2
2
-
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
F03-03
Lading Description
String (AN)
Mandatory
1
50
-
Description of an item as required for rating and billing purposes.
F03-04
Nature of Claim Code
Identifier (ID)
Mandatory
2
2
-
Code indicating the nature of a loss and damage claim.
F03-05
Amount
N2
Mandatory
1
9
-
Monetary amount.
F0305 will contain the amount claimed per unit.
F03-06
Amount
N2
Mandatory
1
9
-
Monetary amount.
F0306 will contain the amount claimed for a claim line item.
F03-07
Reference Number Qualifier
Identifier (ID)
Conditional
2
2
-
Code qualifying the Reference Number.
P0708: If either F03-07 or F03-08 is present, then the other is required
F03-08
Reference Number
String (AN)
Conditional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
F03-09
Reference Number Qualifier
Identifier (ID)
Conditional
2
2
-
Code qualifying the Reference Number.
P0910: If either F03-09 or F03-10 is present, then the other is required
F03-10
Reference Number
String (AN)
Conditional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
F03-11
Nature of Claim Code
Identifier (ID)
Mandatory
2
2
-
Code indicating the nature of a loss and damage claim.
F03-12
Free-form Description
String (AN)
Optional
1
45
-
Free-form descriptive text.
F03-13
Lading Description
String (AN)
Mandatory
1
50
-
Description of an item as required for rating and billing purposes.
F03-14
Packaging Code
String (AN)
Optional
5
5
-
Code identifying the type of packaging. Part 1. Packaging form. Part 2. Packaging Material.

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