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EDI 273 Insurance/Annuity Application Status

Functional Group ID

X12N Insurance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Insurance/Annuity Application Status Transaction Set (273) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used by insurance providers to inform their trading partners of the current status of a life insurance or annuity application during the underwriting process.

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 the currency (dollars, pounds, francs, etc.) used in a transaction

  4. To identify and describe underwriting status of submitted applications

  5. NM1 Loop Optional
    Repeat 2
    1. To supply the full name of an individual or organizational entity

    2. To specify the location of the named party

    3. To specify the geographic place of the named party

    4. To specify identifying information

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

Detail

Position
Segment
Name
Max use
  1. ACT Loop Mandatory
    Repeat >1
    1. To specify account information

      The ACT loop repeats for each individual case.
    2. To identify a person or office to whom administrative communications should be directed

    3. To identify and describe underwriting status of submitted applications

    4. To specify any or all of a date, a time, or a time period

    5. To specify basic item data: item identification, quantity, and price

    6. To indicate the total monetary amount

    7. To specify basic item identification data

    8. To specify identifying information

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

    10. LX Loop Mandatory
      Repeat >1
      1. To reference a line number in a transaction set

        The LX loop is required to avoid collision with the BLI loop.
      2. To specify basic item data: item identification, quantity, and price

        The BLI segment is used to transmit coverage which relates to the entire application.
      3. To specify type of investment vehicle or account and other basic data about the investment

      4. To identify and describe underwriting status of submitted applications

      5. To specify details related to insurance

      6. To specify any or all of a date, a time, or a time period

      7. To identify rate amounts or percents for a specific cost or other line item

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

      9. BEN Loop Optional
        Repeat >1
        1. To supply beneficiary, co-participant, and owner information

          The BEN loop is used to transmit beneficiary information that relates only to the coverage information in 2/1000- 2/1600.
        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 specify any or all of a date, a time, or a time period

      10. ENT Loop Optional
        Repeat >1
        1. To designate the entities which are parties to a transaction and specify a reference meaningful to those entities

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

        3. To specify additional names

        4. To specify identifying information

        5. To specify the location of the named party

        6. To specify the geographic place of the named party

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

        8. To supply demographic information

        9. To supply additional demographic identification

        10. To specify relationship and birth order of entity

        11. To identify and describe underwriting status of submitted applications

        12. To specify any or all of a date, a time, or a time period

        13. To specify quantity information

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

        15. LQ Loop Optional
          Repeat >1
          1. To identify standard industry codes

            The LQ loop contains the underwriting requirements.
          2. To specify information about a specific event

          3. To indicate the details and status of a product or product activity

          4. To specify any or all of a date, a time, or a time period

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

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

            2. To specify the location of the named party

            3. To specify the geographic place of the named party

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

        16. BEN Loop Optional
          Repeat >1
          1. To supply beneficiary, co-participant, and owner information

            The BEN loop is used to transmit beneficiary information that relates only to the entity information in 2/2000 - 2/3200.
          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 specify any or all of a date, a time, or a time period

        17. BLI Loop Optional
          Repeat >1
          1. To specify basic item data: item identification, quantity, and price

            The BLI loop is used to transmit coverage information that relates only to the entity information in 2/2000 - 2/3200.
          2. To specify type of investment vehicle or account and other basic data about the investment

          3. To identify and describe underwriting status of submitted applications

          4. To specify the condition under which insurance coverage is offered

          5. To specify details related to insurance

          6. To specify any or all of a date, a time, or a time period

          7. To specify quantity information

          8. To identify rate amounts or percents for a specific cost or other line item

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

          10. BEN Loop Optional
            Repeat >1
            1. To supply beneficiary, co-participant, and owner information

              The BEN loop is used to transmit beneficiary information that relates only to the coverage information in 2/4400- 2/4900.
            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 specify any or all of a date, a time, or a time period

    11. MSG Loop Optional
      Repeat >1
      1. To provide a free-form format that allows the transmission of text information

      2. To specify any or all of a date, a time, or a time period

      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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