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EDI 194 Grant or Assistance Application

Functional Group GT

X12F Finance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Grant or Assistance Application Transaction Set (194) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used by organizations submitting applications for grants, cooperative agreements, and other assistance. These applications will typically include project, budget, personnel, descriptive, and other related data.

Heading

Position
Segment
Name
Max use
  1. To indicate the start of a transaction set and to assign a control number

  2. To indicate the beginning of a transaction set

  3. To specify pertinent dates and times

  4. To specify lead time for availability of products and services

  5. To identify the type or transmission or both of paperwork or supporting information

  6. N9 Loop Optional
    Repeat >1
    1. To transmit identifying information as specified by the Reference Identification Qualifier

    2. To specify instructions in this business relationship or a reference number

    3. To specify textual data

  7. NM1 Loop Optional
    Repeat >1
    1. To supply the full name of an individual or organizational entity

    2. To specify additional names

    3. To specify the location of the named party

    4. To specify the geographic place of the named party

    5. To transmit identifying information as specified by the Reference Identification Qualifier

    6. To identify a person or office to whom administrative communications should be directed

Detail

Position
Segment
Name
Max use
  1. HL Loop Mandatory
    Repeat >1
    1. To identify dependencies among and the content of hierarchically related groups of data segments

    2. To specify quantity information

    3. To indicate the total monetary amount

    4. To specify pertinent dates and times

    5. To indicate a quantity, and/or amount for an identified period

    6. To specify the delivery pattern of health care services

    7. To define the attributes of a property or an entity

    8. To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition

    9. N9 Loop Optional
      Repeat >1
      1. To transmit identifying information as specified by the Reference Identification Qualifier

      2. To specify instructions in this business relationship or a reference number

      3. To specify textual data

      4. INX Loop Optional
        Repeat >1
        1. To specify an index

        2. To transmit a fixed-format record or matrix contents

    10. PO1 Loop Optional
      Repeat >1
      1. To specify basic and most frequently used line item data

      2. To specify textual data

    11. PPL Loop Optional
      Repeat >1
      1. To provide information about pricing support

      2. To specify identifying information

      3. PD Loop Optional
        Repeat >1
        1. To describe the pricing basic input detail

        2. To provide the rates, direct input, and pricing factors for each element of work, cross-referenced to an applicable request or submission

      4. PL Loop Optional
        Repeat >1
        1. To describe the cost logic used when pricing a particular aspect of a proposal

        2. To specify identifying information

        3. To indicate the total monetary amount

        4. To qualify percent amounts and supply percent amounts

        5. To specify quantity information

        6. To transmit information in a free-form format, if necessary, for comment or special instruction

        7. PD Loop Optional
          Repeat >1
          1. To describe the pricing basic input detail

          2. To provide a description of the included specification or technical data items

          3. To specify identifying information

          4. To provide the rates, direct input, and pricing factors for each element of work, cross-referenced to an applicable request or submission

          5. To specify textual data

          6. To specify pertinent dates and times

    12. LX Loop Optional
      Repeat >1
      1. To reference a line number in a transaction set

      2. To supply the full name of an individual or organizational entity

      3. To specify additional names

      4. To specify the location of the named party

      5. To specify the geographic place of the named party

      6. To identify a person or office to whom administrative communications should be directed

      7. To supply demographic information

      8. To describe employment position

      9. N9 Loop Optional
        Repeat >1
        1. To transmit identifying information as specified by the Reference Identification Qualifier

        2. To specify instructions in this business relationship or a reference number

        3. To specify textual data

      10. DEG Loop Optional
        Repeat >1
        1. To provide information about an educational institution's academic award

        2. To provide information about a course or field of study associated with an academic program

        3. To identify a party by type of organization, name, and code

      11. K2 Loop Optional
        Repeat >1
        1. To transmit information in a free-form format for comment or special instruction

        2. To transmit identifying information as specified by the Reference Identification Qualifier

        3. To supply the full name of an individual or organizational entity

  2. 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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