Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Electronic Data Interchange
Transaction Set Implementation Guide
811/820
MORTGAGEE COVERAGE NOTIFICATION, BILLING
AND PAYMENT OF INSURANCE PREMIUM
Implementation Guide Version 2.0 (3030)
August 1, 2007
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State Farm Insurance Companies
Specific information for using the ANSI Standard Format
1.
2.
State Farm will send the two position Operation Center Code in the REF02 (REF*32) of
the 811 invoice which must be returned in the REF02 element (REF*32) of the 820
remittance.
State Farm expects the following information to be supplied in the BPR segment of the
820 remittance.
BPR12
01
BPR13
011001234
BPR14
DA
BPR15
0106151
BPR16
The settlement date
BPR17
VEN
3. State Farm will only accept a 15-position trace number in the TRN02 element of the 820
remittance. Additionally, the TRN02 element of the 820 remittance must be unique with
each transmission sent to State Farm.
4. State Farm requires the REF02 element (REF*IV) in the 820 remittance be returned with
the same number that was sent in the BIG02 element of the 811 invoice.
5. State Farm requires the use of code LN in the ENT03 element of the 820 remittance and
the existing loan number in the ENT04. When the loan number is a corrected loan
number, then code CL should be used. If the billing cannot be identified, then the ENT03
and ENT04 need not be sent.
6. State Farm will receive in the 820 remittance both escrow and non-escrow policy
information. Non Escrow policy information will be identified by returning zero in the
RMR05 element of the 820 remittance. Escrow policy information will be identified by
returning the value of the IT104 element in the 811 invoice in the RMR05 element of the
820 remittance.
7. Reason Codes H1, H2, H3 H4, H5, H7, H9, K1, and K2 in the ADX02 element of the
820 remittance should only be sent when the RMR04 element is zero.
8. Reason Code H6 in the ADX02 element of the 820 remittance should only be used when
the RMR04 element is less than the RMR05 element
9. Reason Code K3 in the ADX02 element of the 820 remittance should not be used.
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10. State Farm Numbers
State Farm Tax ID
370533100
State Farm Fire NAIC
25143
State Farm Lloyds NAIC
43419
State Farm General NAIC
25151
State Farm Florida NAIC
10739
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Table of Contents
State Farm Insurance Companies ................................................................................................2
Table of Contents ...........................................................................................................................4
Preface.............................................................................................................................................7
Background Information (811 and 820) ..........................................................................................7
Document Mapping .........................................................................................................................8
How to Use the Tables and Segment Definitions ............................................................................9
Special Notes for Financial EDI ....................................................................................................10
Interchange Control Structure........................................................................................................10
Interchange Control Structure........................................................................................................12
Functional Group Control Segments .............................................................................................12
Transaction Set Control Segments.................................................................................................12
Segment: ISA - Interchange Control Header ................................................................................13
Segment: IEA - Interchange Control Trailer ................................................................................16
Segment: GS - Functional Group Header .....................................................................................17
Segment: GE - Functional Group Trailer......................................................................................19
811 Mapping - Segment Uses and Sequence..............................................................................20
Header (Table 1) ............................................................................................................................20
Detail (Table 2) ..............................................................................................................................21
Trailer (Table 3).............................................................................................................................27
Segment: ST - Transaction Set Header.........................................................................................28
Segment: BIG - Beginning Segment for Invoice..........................................................................29
Segment: N1 - Name.....................................................................................................................30
Segment: N2 - Additional Name Information ..............................................................................32
Segment: N3 - Address Information .............................................................................................33
Segment: N4 - Geographic Location ............................................................................................34
Segment: PER - Administrative Communications Contact ..........................................................36
Segment N1- Name........................................................................................................................38
Segment: N2 - Additional Name Information ..............................................................................40
Segment: N3 - Address Information .............................................................................................41
Segment: N4 - Geographic Location ............................................................................................42
Segment: HL - Hierarchical Level................................................................................................44
Segment: LX - Assigned Number.................................................................................................45
Segment: REF - Reference Numbers............................................................................................46
Segment: HL - Hierarchical Level................................................................................................48
Segment: LX - Assigned Number.................................................................................................49
Segment: AMT - Monetary...........................................................................................................50
Segment: DTM - Date/Time Reference........................................................................................51
Segment: QTY - Quantity..............................................................................................................52
Segment: N1 - Name.....................................................................................................................53
Segment: N2 - Additional Name Information ..............................................................................54
Segment: N3 - Address Information .............................................................................................55
Segment: N4 - Geographic Location ............................................................................................56
Segment: HL - Hierarchical Level................................................................................................58
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Segment: LX - Assigned Number.................................................................................................59
Segment: PID - Product Item Description ....................................................................................60
Segment: REF - Reference Numbers............................................................................................62
Segment: AMT - Monetary Amount.............................................................................................64
Segment: DTM - Date/Time Reference........................................................................................66
Segment: IT1 - Baseline Item Data...............................................................................................68
Segment: SI - Service Characteristic Identification......................................................................71
Segment: MSG - Message Text ....................................................................................................73
Segment: N1 - Name.....................................................................................................................74
Segment: N2 - Additional Name Information ..............................................................................75
Segment: N3 - Address Information .............................................................................................76
Segment: N4 - Geographic Location ............................................................................................77
Segment: HL - Hierarchical Level................................................................................................78
Segment: SLN - Subline Item Detail ............................................................................................79
Segment: SI - Service Characteristic Identification......................................................................82
Segment: REF - Reference Numbers............................................................................................84
Segment: DTM - Date/Time .........................................................................................................86
Segment: TDS - Total Monetary Value Summary .......................................................................87
Segment: CTT - Transaction Totals..............................................................................................88
Segment: SE - Transaction Set Trailer..........................................................................................89
820 Mapping - Segment Uses and Sequence..............................................................................90
Header (Table 1) ............................................................................................................................90
Detail (Table 2) ..............................................................................................................................91
Trailer (Table 3).............................................................................................................................92
Segment: ST - Transaction Set Header.........................................................................................93
Segment: BPR - Beginning Segment for Payment Order/Remittance Advice .............................94
Segment: TRN - Trace ..................................................................................................................99
Segment: REF - Reference Numbers..........................................................................................101
Segment: DTM - Date/Time Reference......................................................................................102
Segment: N1 - Name...................................................................................................................104
Segment: N2 - Additional Name Information ............................................................................105
Segment: N3 - Address Information ...........................................................................................106
Segment: N4 - Geographic Location ..........................................................................................107
Segment: PER - Administrative Communications Contact ........................................................109
Segment: N1 - Name...................................................................................................................111
Segment: N2 - Additional Name Information ............................................................................112
Segment: N3 - Address Information ...........................................................................................113
Segment: N4 - Geographic Location ..........................................................................................114
Segment: REF - Reference Numbers..........................................................................................116
Segment: PER - Administrative Communications Contact ........................................................117
Segment: N1 - Name...................................................................................................................119
Segment: N2 - Additional Name Information ............................................................................120
Segment: N3 - Address Information ...........................................................................................121
Segment: N4 - Geographic Location ..........................................................................................122
Segment: PER - Administrative Communications Contact ........................................................124
Segment: ENT Entity..................................................................................................................126
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Segment: N1 - Name...................................................................................................................128
Segment: N2 - Additional Name Information ............................................................................129
Segment: N3 - Address Information ...........................................................................................130
Segment: N4 - Geographic Location ..........................................................................................131
Segment: RMR - Remittance Advice .........................................................................................132
Segment: REF - Reference Numbers..........................................................................................134
Segment: DTM - Date/Time Reference......................................................................................136
Segment: ADX - Adjustment......................................................................................................138
Segment: SE - Transaction Set Trailer........................................................................................141
Appendix A: Payment Alternatives.........................................................................................142
Appendix B: 811 Example........................................................................................................164
Appendix C: 820 Example........................................................................................................166
Appendix D: Payment Exception Codes .................................................................................167
Appendix E: Acord Table 244 - Line of Business ..................................................................170
Appendix F: Acord Table 003 - Type of Trans ......................................................................171
Appendix G: Functional Acknowledgment ............................................................................172
Change Summary.......................................................................................................................188
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Preface
This implementation guide contains the recommended format and data standards for use of the
ANSI X12 Consolidated Service Invoice/Statement (811 transaction) and Payment
Order/Remittance Advice (820 transaction) developed for "Mortgagee Coverage Notification,
Billing and Payment of Insurance Premiums." Mortgage Companies and Insurance Companies
are to be considered as "Trading Partners" in this endeavor.
The following recommendations were developed by the Property and Casualty Policy Task
Group within the ANSI X12 Insurance Sub-committee. The group includes representatives from
insurance carriers, mortgage companies and service providers, banks, software companies,
ACORD and independent agencies.
Background Information (811 and 820)
The ANSI 811 and 820 formats are being used for an electronic application to eliminate the need
for insurance companies to send paper billing and coverage documents to mortgage companies
(or their servicing agents), as well as to simplify the payment of these insurance premiums.
The project capitalizes on the ANSI 811 Invoice as the method of billing and coverage
notification from an insurance company to a mortgage company. The 811 insurance "invoice"
includes data to indicate whether the policy premiums are held in escrow (impound) by the
mortgage company, or whether they are direct billed (non-impound) to the customer.
The ANSI 820 Remittance Advice is used for the payment information from the mortgage
company to the insurance company for those premiums that were held in Escrow. The 820 may
be "enveloped" into addenda records as an ACH (CTX) electronic payment transaction
originated by the mortgage company bank to the insurance company bank. Or, it may be used as
an EDI remittance transmission from the mortgage company to the insurance company, with the
funds to be settled separately. This option allows some flexibility for varying systems
capabilities between the trading partners.
The basic data elements conform to requirements set forth by the MBA (Mortgage Bankers
Association). These facts are important in order to understand the concept and vision of the
project. The Task Group envisions that this format will ultimately be used by most insurance
companies and mortgage companies using national EDI and EFT network(s). Using this format,
insurance companies may (if they so choose) direct invoices from multiple branches too many
mortgage companies through one "mailbox" network. A mortgage company may receive data
from many insurance companies, in one transmission, by "connecting" to the same mailbox
network. The mortgage company may, (if they so choose) subsequently pay all of the invoices
too many insurance companies through one (ACH or EDI) network in one process.
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Document Mapping
1. Purpose
The purpose of this section is to present and explain the application of the ANSI X12
standards. This will enable the user of these guidelines to successfully translate their own
internal format to the ANSI standards.
The following data element list is based on the definitions of the ANSI X12 version 003030
Consolidated Service Invoice/Statement (811) document and version 003030 of the Payment
Order/Remittance Advice (820) document. This document does not specifically state all of
the ANSI syntax, and the reader should reference ANSI requirements.
2. X12 Standards
Each element within a segment is separated by a "Data Element Separator". An asterisk (*)
will be used as the separator, unless otherwise agreed upon as an exception by specific
trading partners. "*" is HEX '5C' in EBCDIC, HEX '2A' in ASCII. The element separator is
defined in the ISA envelope.
The end of a segment is denoted by a "segment terminator" or "new line" character. "N/L"
will be used as the terminator, unless otherwise agreed upon as an exception by specific
trading partners. "N/L" is HEX '15' in EBCDIC, and a HEX 'OD' (carriage control) in ASCII.
The segment terminator is defined in the ISA envelope.
Optional data elements are not required to be transmitted unless specifically agreed upon by
the trading partners. When an optional data element is not used, the separator is used to
acknowledge the omitted optional data. This will result in back-to-back separators (**).
When the data element(s) being omitted is at the end of a segment, the segment terminator
immediately follows the last data element being used.
The ANSI standard provides means for verifying the content and completeness of each
transmission. Every transmission should be monitored to be certain it has successfully
completed.
3. Mapping Documentation - ANSI X12 Attributes (Codes)
Data Element Attributes
M
Mandatory - must be transmitted.
X
Relational - dependant on the value or presence of other data elements within the
segment.
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O
Optional - appearance of this element is at the option of the sending party, or by
agreement of the trading partners.
NU
Not used in this application (Mortgagee Billing/Remittance Usage Only)
Data Element Type
AN
Alpha Numeric - left justified and space filled if field is required to be a specific
length.
Nn
Numeric - the first "N" signifies numeric, the second "n" signifies the number of
decimal places to the right of a fixed decimal point. (The decimal point is not
transmitted for this data element type.)
R
Numeric decimal - the decimal point is required to be transmitted when fractional
values are present.
ID
Contains a code value - Codes are contained within predetermined lists
maintained by the ANSI X12 standards committee.
DT
Date format - yymmdd is:
yy - last two digits of year (00-99)
mm - numeric month (01-12)
dd - numeric day (01-31)
TM
Time format - hhmm is:
hh - military hour (00-23)
mm - minute (00-59)
Data Element Length
The number to the left of the "/" specifies the minimum length of the field as required by the
standard.
The number to the right of the "/" specifies the maximum length of the field as required by the
standard.
The field has a fixed length when the minimum and maximum lengths are the same.
For data type "R", the length does not include the sign or decimal point.
How to Use the Tables and Segment Definitions
Table 1 is essentially "header" data that identifies the transaction originator, the transaction
receiver, other routing information, and the payment total. Table 2 provides the details: loan and
policy data, insurance customer names, addresses, policy line codes, and payment amounts.
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Table 3 is essentially trailer information and provides segment counts and totals used to generate
functional acknowledgements to the sender.
In the following examples for Table 1 and Table 2, note the sequence that the Segment ID's are
listed. The subsequent pages, that provide the details for these segments, follow the same
sequence as Table 1 and Table 2.
These examples are provided as an aid in understanding the format of the transaction set tables
and the segment definitions. The tables show the ANSI X12 requirements. (Remember, trading
partner options can be used only with "optional" fields.)
The Segment ID (Seg. ID), Sequence Number (Seq. No.), and Reference Number (Ref. No.)
columns are ANSI X12 identifiers. The data in the column labeled ANSI X12 Attributes is
identified in Item 3, above.
The Maximum Use (Max. Use) and the Loop Repeat are also ANSI standard.
Special Notes for Financial EDI
To standardize the use of the ISA/IEA envelope for financial EDI transactions that move through
the banking system, the following convention is recommended:
1.
All financial EDI transactions should be treated as point-to-point so that the addresses
carried in the ISA/IEA envelop will reflect the identity of the immediate sender and
receiver as they move through the banking system.
2.
Receivers of financial EDI transactions that move through the banking system can obtain
the originating company ID from the BPR10 element. In order to facilitate this process,
the originating company must consistently provide the originating company ID when
formatting the BPR segment.
3.
The sender and receiver codes in the GS loop should be passed along without
modification.
Interchange Control Structure
An EDI message is comprised of several components. These include the Interchange Control
Header/Trailer (ISA/IEA), Functional Group Header/Trailer (GS/GE), Transaction Set
Header/Trailer (ST/SE), and Detail Segments.
A transaction set is the collection of data that is exchanged between trading partners equivalent
to an electronic business document intended to convey pertinent information. A hierarchical
structure of headers and trailers allows transaction sets of different types to be transmitted from
one trading partner to another in the same transmission. This allows the information to be
separated logically for easy interpretation by the receiver. The hierarchical structure of an EDI
message is illustrated below.
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ISA
Interchange Control Header
I
N
GS
ST
Functional Group Header
Transaction Set Header
Detail Data
F
T
U
E
T
N
R
R
C
C
A
T
H
N
I
A
S
O
N
N
G
S
E
E
T
SE
GE
Transaction Set Trailer
Functional Group Trailer
G
R
E
P
N
V
E
IEA
Interchange Control Trailer
L
Note: The shaded area above represents the Consolidated Service/Invoice (811 Transaction Set)
or the Payment Order/Remittance Advice (820 Transaction Set) described in their own
sections later in this document.
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Interchange Control Structure
Interchange Control Header/Trailer (ISA/IEA)
An interchange "envelope" consists of an "ISA" header and an "IEA" trailer. The interchange
header and trailer envelop one or more functional groups in a transmission. The interchange
control segments (ISA/IEA) provide identifying information between communicating partners
that applies to the entire transmission as defined in ANSI X12.5 Interchange Control Structures
standard.
Functional Group Control Segments
Functional Group Header/Trailer (GS/GE)
A functional group "envelope" consists of a "GS" header and a "GE" trailer. The functional
group envelops like transaction sets. The functional group segments (GS/GE) provide
information including the application sender code, application receiver code, version number,
and control information. The GS/GE segments may be used to envelop batches of similar
transactions for audit and control purposes.
Transaction Set Control Segments
Transaction Set Header/Trailer (ST/SE)
A transaction set consists of segments that are intended to communicate pertinent business
related information (for example, an invoice or a payment order/remittance advice). The ST/SE
segments are used to indicate the beginning and end of a transaction set and provide identifying
control numbers and a count of transmitted segments.
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Segment: ISA - Interchange Control Header
Level:
Control
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To start and identify an interchange of one or more functional groups and
interchange-related control segments.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
ISA01
I01
Authorization Information Qualifier
M
M ID 02/02
ISA02
I02
Authorization Information
M
M AN 10/10
ISA03
I03
Security Information Qualifier
M
M ID 02/02
ISA04
I04
Security Information
M
M AN 10/10
ISA05
I05
Interchange ID Qualifier
M
M ID 02/02
ISA06
I06
Interchange Sender ID
M
M AN 15/15
ISA07
I05
Interchange ID Qualifier
M
M ID 02/02
ISA08
I07
Interchange Receiver ID
M
M AN 15/15
ISA09
I08
Interchange Date
M
M DT 06/06
ISA10
I09
Interchange Time
M
M TM 04/04
ISA11
I10
Interchange Control Std ID
M
M ID 01/01
ISA12
I11
Interchange Version Number
M
M ID 05/05
ISA13
I12
Interchange Control Number
M
M N0 09/09
ISA14
I13
Acknowledgement Requested
M
M ID 01/01
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Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req
ANSI X12
Attributes
ISA15
I14
Test Indicator
M
M ID 01/01
ISA16
I15
Subelement Separator
M
M AN 01/01
Mortgagee Billing/Payment Usage Notes
This segment is required. It is used to indicate the start of an interchange.
ISA01
This element contains a code to identify the type of information in the
Authorization Information.
ISA02
This element contains information used for additional identification or
authorization of the sender or the data in the interchange. The type of information
is sent by the Authorization Information Qualifier.
ISA03
This element contains a code to identify the type of information in the Security
Information.
ISA04
This element is used for identifying the security information about the sender or the
data in the interchange. The type of information is set by the Security Information
Qualifer.
ISA05
This element contains a qualifier to designate the system/method of code structure
used to designate the sender or receiver ID element being qualified.
ISA06
This element will contain an identification code published by the sender for other
parties to use as the receiver ID to route data to them. The sender always codes
this number in the sender ID element. Typically this number is a 9-digit DUNS
number or other number agreed upon trading partner/mailbox identifier.
ISA07
This element contains a qualifier to designate the system/method of code structure
used to designate the sender or receiver ID element being qualified.
ISA08
This element will contain the identification code published by the receiver of the
data. When sending, it is used by the sender as their sender ID, thus other parties
sending to them will use this as a receiving ID to route data to them.
ISA09
This element contains the interchange date (YYMMDD).
ISA10
This element contains the interchange time (HHMM).
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Mortgagee Billing/Payment Usage Notes
ISA11
This element contains a code identifying the agency responsible for the control
standard used by the message that is enclosed by the interchange header and trailer.
This element should be coded as "U", U.S. EDI Community of ASC X12, TDCC,
and UCS.
ISA12
This element contains a version number which covers the interchange control
segments. The recommended value is "00303", Draft Standard for Trial Use
Aproved for Publication by ASC X12 Procedures Review Board Through October
1992.
This element will contain a unique control number assigned by the sender.
Typically this number is automatically assigned by the sending software. It is
suggested that the sender, receiver and all third parties be able to maintain an audit
trail of interchanges using this number.
ISA13
ISA14
This element contains a code sent by the sender to request an interchange
acknowledgment.
ISA15
This element contains a code to indicate whether data enclosed by this interchange
envelope is test or production. This element should be coded "T" during testing
and altered to a "P" when the trading partners are ready to enter production status.
ISA16
This element is reserved for future expansion in separating data element subgroups.
(In the interest of a migration to international standards, this must be different from
the data element separator.)
Example:
ISA*00*THEINSCO*00**9111111111*01*9222222222*070125*1448*U*00303*000000002*
1*P*;(NL)
Note: * = blanks
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Segment: IEA - Interchange Control Trailer
Level:
Trailer
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To define the end of an interchange of one or more functional groups and
interchange-related control segments.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
IEA01
I16
Number of Included Functional Groups
M
M N0 01/05
IEA02
I12
Interchange Control Number
M
M N0 09/09
Mortgagee Billing/Payment Usage Notes
This segment is required. It is used to indicate the end of an interchange.
IEA01
This element contains the total number of functional groups in this interchange.
IEA02
This element contains the control number used in the corresponding header
(ISA13).
Example:
IEA*1*000000002(NL)
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Segment: GS - Functional Group Header
Level:
Control
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To indicate the beginning of a functional group and to provide control
information.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
GS01
479
Functional ID Code
M
M ID 02/02
GS02
142
Application Sender's Code
M
M AN 02/15
GS03
124
Application Receiver's Code
M
M AN 02/15
GS04
373
Group Date
M
M DT 06/06
GS05
337
Group Time
M
M TM 04/04
GS06
028
Group Control Number
M
M N0 01/09
GS07
455
Responsible Agency Code
M
M ID 01/02
GS08
480
Version/Release Identifier Code
M
M ID 01/12
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Mortgagee Billing/Payment Usage Notes
This segment is required. It is used to indicate the beginning of a functional group.
GS01
This element contains a code identifying a group of application related Transaction
Sets. For Mortgagee Billing, it should be coded "CI", Consolidated Service
Invoice/Statement (811). For Mortgagee Payment, it should be coded "RA",
Payment Order/Remittance Advice (820).
GS02
This element contains a code identifying the party sending the transmission. Codes
are agreed to by trading partners.
GS03
This element contains a code identifying the party receiving the transmission.
Codes are agreed to by trading partners.
GS04
This element contains the date (YYMMDD) format.
GS05
This element contains the time (HHMMSS) format.
GS06
This element will contain an assigned number originated and maintained by the
sender. It must be identical to the same data element in the associated Functional
Group Trailer GE02 element.
GS07
This element is used to identify the issuer of the standard. It will be coded "X",
Accredited Standards Committee X12.
GS08
This element contains a code indicating the version, release, and sub release and
industry identifier of the EDI standard being used, including the GS and GE
segments. Positions 1-3, version number; positions 4-6, release and sub release
level of version; positions 7-12, industry or trade association identifier (optionally
assigned by the user). Recommended value is "003030".
Example:
GS*RA*911111111*922222222*070125*1448*2*X*003030(NL)
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Segment: GE - Functional Group Trailer
Level:
Trailer
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To indicate the end of a functional group and to provide control information.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
GE01
097
Number of Included Sets
M
M N0 01/06
GE02
028
Group Control Number
M
M N0 01/09
Mortgagee Billing/Payment Usage Notes
This segment is required. It is used to indicate the end of a functional group.
GE01
This element contains the total number of transaction sets in the functional group.
GE02
This element contains the control number used in the corresponding header
(GS06).
Example:
GE*1*2(NL)
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811 Mapping - Segment Uses and Sequence
Header (Table 1)
Page
No.
Pos.
No.
Seg
ID
1.01
010
ST
1.02
020
Name
Mrtg
Req.
X1
Req.
Max.
Use
Transaction Set Header
M
M
1
BIG
Beginning Segment for Invoice
M
M
1
030
NTE
Note/Special Instruction
NU
O
100
040
CUR
Currency
NU
O
1
050
REF
Reference Numbers
NU
O
>1
060
PER
Administrative Communications Contact
NU
O
3
070
ITD
Terms of Sale/Deferred Terms of Sale
NU
O
5
080
DTM
Date/Time Reference
NU
O
>1
090
TXI
Tax Information
NU
O
1
100
N1
Name
Insurance Company (Sending Partner)
M
O
1
110
N2
Additional Name Information
O
O
2
120
N3
Address Information
O
O
2
130
N4
Geographic Location
O
O
1
140
REF
Reference Number
NU
O
12
150
PER
Administrative Communication Contact
O
O
3
1.031.08
Occurrence 1: Sending Partner (Insurance Entity)
1.091.13
Occurrence 2: Receiving Partner (Mortgage
Co./Service Bureau)
20
August 1, 2007
Loop
Repeat
N1/>1
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Detail (Table 2)
Page
No.
2.1
Pos.
No.
010
Seg
ID
HL
2.2
020
LX
025
VEH
030
SI
040
PID
045
2.3
Name
Mrtg
Req.
M
X12
Req.
M
Max.
Use
1
Loop
Repeat
HL/>1
Assigned Number
M
O
1
LX/>1
Vehicle Information
NU
O
1
Service Characteristic Identification
NU
O
2
Product/Item Description
NU
O
200
MEA
Measurements
NU
O
20
050
REF
Reference Numbers
Occurrence 1: Routing Transit Number
Occurrence 2: Account Number
Occurrence 3: Branch Number
M
O
>1
060
AMT
Monetary Amount
NU
O
5
070
DTM
Date/Time Reference
NU
O
2
080
TXI
Tax Information
NU
O
>1
090
QTY
Quantity
NU
O
1
100
SI
Service Characteristic Ident.
NU
O
1
HL
Hierarchical Level 2
NU
Hierarchical Level
Level 1 (Branch/Region)
QTY/10
2.5
010
HL
Hierarchical Level
Level 3 (Mortgagee Level)
M
M
1
HL/>1
2.6
020
LX
Assigned Number
M
O
1
LX/>1
025
VEH
Vehicle Information
NU
O
1
030
SI
Service Characteristic Identification
NU
O
2
040
PID
Product/Item Description
NU
O
200
045
MEA
Measurements
NU
O
20
050
REF
Reference Numbers
NU
O
>1
2.7
060
AMT
Monetary Amount
Total Policy Premiums
M
O
5
2.8
070
DTM
Date/Time Reference
Remittance Due Date
M
O
2
080
TXI
Tax Information
NU
O
>1
090
QTY
Quantity
Total Number of Policies
M
O
1
100
SI
Service Characteristic Ident.
NU
O
1
2.9
21
August 1, 2007
QTY/10
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Page
No.
Pos.
No.
Seg
ID
2.10
110
N1
2.11
120
2.12
2.13
Mrtg
Req.
X12
Req.
Max.
Use
Loop
Repeat
Name
Mortgagee Name
M
O
1
N1/1
N2
Additional Name Information
Mortgagee Name Line 2
Mortgagee Name Line 3
O
O
2
130
N3
Address Information
O
O
2
140
N4
Geographic Location
O
O
1
150
REF
Reference Numbers
NU
O
2
160
PER
Administrative Communications
NU
O
>1
170
TXI
Tax Information
NU
O
>1
2.14
010
HL
Hierarchical Level
Level 4 (Policy Detail)
M
M
1
HL/>1
2.15
020
LX
Assigned Number
M
O
1
LX/>1
025
VEH
Vehicle Information
NU
O
1
030
SI
Service Characteristic Identification
NU
O
2
040
PID
Product/Item Description
M
O
200
045
MEA
NU
O
20
2.18
050
REF
M
O
>1
2.20
060
AMT
Measurements
Reference Numbers
Occurrence 1: Line of Business
Occurrence 2: NAIC Co. Code
Occurrence 3: Loan Number
Occurrence 4: Policy Number
Occurrence 5: Account Number
Occurrence 6: Number of Units in Building
Monetary Amount
Occurrence 1: Dwelling Coverage
Occurrence 2: Policy Premium
Occurrence 3: Estimated Replacement Cost
M
O
5
2.21
070
DTM
Date/Time Reference
Occurrence 1: Effective Date
Occurrence 2: Expiration Date
Occurrence 3: Cancellation Date
Occurrence 4: Policy Issue Date
M
O
4
080
TXI
Tax Information
NU
O
>1
090
QTY
Quantity
NU
O
1
100
SI
Service Characteristic Ident.
NU
O
1
2.16
Name
22
August 1, 2007
QTY/10
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Page
No.
Mrtg
Req.
X12
Req.
Max.
Use
Loop
Repeat
Name
NU
O
1
N1/1
N2
Additional Name Information
NU
O
2
130
N3
Address Information
NU
O
2
140
N4
Geographic Location
NU
O
1
150
REF
Reference Numbers
NU
O
2
160
PER
Administrative Communications
NU
O
>1
170
TXI
Tax Information
NU
O
>1
180
ITA
Allowance, Charge or Service
NU
O
1
190
DTM
Date/Time Reference
NU
O
1
200
TXI
Tax Information
NU
O
>1
2.23
210
IT1
Baseline Item Data(Invoice)
M
O
1
2.26
220
SI
Service Characteristic Identification
M
O
2
230
PID
Product/Item Description
NU
O
200
235
MEA
Measurements
NU
O
20
240
INC
Installment Information
NU
O
1
250
TXI
Tax Information
NU
O
>1
260
REF
Reference Numbers
NU
O
1
270
DTM
Date/Time Reference
NU
O
10
280
MSG
Message Text
O
O
>1
285
AMT
Monetary Amount
NU
O
1
290
QTY
NU
O
1
300
SI
Service Characteristic Ident.
NU
O
1
310
ITA
Allowance, Charge or Service
NU
O
1
320
DTM
Date/Time Reference
NU
O
1
2.28
Pos.
No.
Seg
ID
110
N1
120
Name
Quantity
23
August 1, 2007
ITA/>1
IT1/
999999
QTY/>1
ITA/10
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
330
TXI
Tax Information
NU
24
August 1, 2007
O
>1
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Page
No.
Pos.
No.
Seg
ID
Name
Mrtg
Req.
X12
Req.
Max.
Use
2.29
340
N1
Name
M
O
1
2.30
350
N2
Additional Name Information
O
O
2
2.31
360
N3
Address Information
M
O
2
2.32
370
N4
Geographic Location
M
O
1
380
PER
Administrative Communications
NU
O
3
HL
Hierarchical Level 5 - 7
NU
Loop
Repeat
N1/>1
2.33
010
HL
Hierarchical Level
Level 8 (Policy Transaction Detail)
O
M
1
HL/>1
2.34
390
SLN
Subline Item Detail
M
O
1
SLN/>1
2.36
400
SI
Service Characteristic Identification
M
O
2
410
PID
Product/Item Description
NU
O
200
415
MEA
Measurements
NU
O
20
420
CUR
Currency
NU
O
1
430
INC
Installment Information
NU
O
1
440
ITA
Allowance, Charge or Service
NU
O
10
450
TXI
Tax Information
NU
O
>1
460
REF
Reference Numbers
Occurrence 1: Policy Number
Occurrence 2: Line of Business
Occurrence 3: Account Number
M
O
>1
470
PER
Administrative Communications
NU
O
3
480
DTM
Date/Time Reference
M
O
10
490
500
AMT
MSG
Monetary Amount
Message Text
NU
NU
O
O
10
>1
510
QTY
Quantity
NU
O
1
520
SI
Service Characteristic Identification
NU
O
1
530
N1
Name
NU
O
1
540
N2
Additional Name Information
NU
O
2
550
N3
Address Information
NU
O
2
2.38
2.40
25
August 1, 2007
QTY/>1
N1/>1
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Page
No.
Pos.
No.
Seg
ID
Name
Mrtg
Req.
X12
Req.
Max.
Use
560
N4
Geographic Location
NU
O
1
570
REF
Reference Numbers
NU
O
2
580
PER
Administrative Communications
NU
O
3
590
TCD
Itemized Call Detail
NU
O
1
600
SI
Service Characteristic Identification
NU
O
2
610
TXI
Tax Information
NU
O
>1
620
USD
Usage sensitive Detail
NU
O
1
630
ITA
Allowance, Charge or Service
NU
O
2
640
TRF
Rating Factors
NU
O
18
650
QTY
Quantity
NU
O
1
660
SI
Service Characteristic Identification
NU
O
1
26
August 1, 2007
Loop
Repeat
TCD/>1
USD/>1
QTY/>1
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Trailer (Table 3)
Page
No.
3.01
Pos.
No.
Seg
ID
Name
Mrtg
Req.
X12
Req.
Max.
Use
Loop
Repeat
010
TDS
Total Monetary Value Summary
M
M
1
020
ITA
Allowance, Charge or Service
NU
O
1
030
DTM
Date/Time Reference
NU
O
1
040
BAL
Balance Detail
NU
O
1
050
DTM
Date/Time Reference
NU
O
1
060
N1
Name
NU
O
1
N1/>1
070
BAL
Balance Detail
NU
O
1
BAL/>1
080
DTM
Date/Time Reference
NU
O
1
090
ITA
Allowance, Charge or Service
NU
O
1
100
DTM
Date/Time Reference
NU
O
1
3.02
110
CTT
Transaction Totals
M
O
1
3.03
120
SE
Transaction Trailer Set
M
M
1
27
August 1, 2007
ITA/>1
BAL/>1
ITA/>1
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: ST - Transaction Set Header
Level:
Heading
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To indicate the start of a transaction set and to assign a control number.
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
ST01
143
Transaction Set ID
M
M ID 03/03
ST02
329
Transaction Set Control Number
M
M AN 04/09
Mortgagee Billing Usage Notes
This segment is required and indicates the transaction set number '811'.
ST01
This element contains a code uniquely identifying a Transaction Set. It should be
coded "811", Consolidated Service Invoice Statement.
ST02
This element contains an identifying control number that must be unique within the
transaction set function group assigned by the originator for a transaction set. This
number is used to aid in error reconciliation and research and must be the same as
the number in the SE02 element.
Example:
ST*811*0002(NL)
28
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: BIG - Beginning Segment for Invoice
Level:
Heading
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To indicate the start of an invoice transaction set and to transmit identifying
numbers and dates.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
BIG01
245
Invoice Date
M
M DT 06/06
BIG02
76
Invoice Number Assigned by Sender
M
M AN 01/22
BIG03
323
PO Date
NU
O DT 06/06
BIG04
324
PO Number
NU
O AN 01/22
BIG05
328
Release Number
NU
O AN 01/30
BIG06
327
Change Order Sequence Number
NU
O AN 01/08
BIG07
640
Transaction Type Code
NU
O ID 02/02
Mortgagee Billing Usage Notes
This segment is required. It provides information that uniquely identifies the bill.
BIG01
This element should contain the billing cycle date of the 811 as YYMMDD..
BIG02
This element should contain the invoice number assigned to the 811 transaction.
Example:
BIG*070125*0000000112A23134361(NL)
29
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N1 - Name
Level:
Heading
Loop:
N1 Repeat: >1
Usage:
Mandatory
Max Use:
1
Purpose:
To identify party by type of organization.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
98
Entity ID Code
M
M ID 02/02
N102
93
Name
O
X AN 01/35
N103
66
ID Code Qualifier
M
X ID 01/02
N104
67
ID Code
M
X AN 02/17
Mortgagee Billing Usage Notes
At least two N1 loops should be used for all transaction sets to identify the sending partner
(Insurance Entity) and receiving partner (Mortgage Entity/Service Bureau) as parties to the
transaction.
Occurrence 1:
This segment is required and is used to communicate insurance company identification
information.
N101
This element should be coded "IN" to indicate an insurance company is sending the
data.
N102
If used, this element will contain the name of the insurance company.
N103
This element should be coded "FI" to indicate the taxpayer identification number is
being used.
N104
This element should contain the taxpayer ID number of the insurance company.
30
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Example:
N1*IN**FI*742222109(NL)
31
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Heading
Loop:
N1 Repeat: >1
Usage:
Optional
Max Use:
2
Purpose:
To specify additional names or those longer than 35 characters in length.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
93
Name
O
M AN 01/35
N202
93
Name
O
O AN 01/35
Mortgagee Billing Usage Notes
Occurrence 1:
This segment is optional. If used, it will contain additional name information for the insurance
company.
N201
If used, this element should contain additional name information that would not fit
in N102.
N202
If used, this element should contain additional name information that would not fit
in N201.
Example:
N2*ADDITIONAL NAME*AND MORE NAME(NL)
32
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N3 - Address Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the location of the named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address Information
O
M AN 01/35
N302
166
Address Information
O
O AN 01/35
Mortgagee Billing Usage Notes
Occurrence 1:
This segment is optional. If used, it will occur once containing the address of the insurance
company.
N301
This element contains the first 35 characters of the address of the insurance
company.
N302
This element may be used if the address specified in element N301 is longer than
35 characters, or requires two lines.
Example:
N3*P O BOX 111111*RURAL ROUTE 1(NL)
33
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N4 - Geographic Location
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Repeat: >1
Data Element Summary
Seq. No.
ANSI X12 Name
Ref.
No.
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
O
X AN 02/19
N402
156
State/Prov. Code
O
O ID 02/02
N403
116
Postal Code
O
O ID 04/09
N404
26
Country Code
O
O ID 02/02
N405
309
Location Qualifier
NU
X ID 01/02
N406
310
Location Identifier
NU
X AN 01/25
Mortgagee Billing Usage Notes
Occurrence 1:
This segment is optional for the insurance company.
N401
If used, this element contains the trading partner city name.
N402
If used, this element contains the trading partner state or province name.
N403
If used, this element contains the trading partner postal code.
N404
If used, this element is used to indicate a country code other than the United States.
34
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Example:
N4*CITY NAME*IL*61761(NL)
35
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: PER - Administrative Communications Contact
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify a contact name to be called for trading partner issues.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
PER01
366
PER02
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
Contact Function Code
O
M ID 02/02
93
Name
O
O AN 01/35
PER03
365
Communication Number Qualifier
O
X AN 02/02
PER04
364
Communication Number
O
X AN 07/21
PER05
365
Communication Number Qualifier
NU
X ID 02/02
PER06
364
Communication Number
NU
X AN 01/25
Mortgagee Billing Usage Notes
Occurrence 1:
This segment is optional. If used, it appears once for the insurance company and contains
information on a contact person.
PER01
If used, this element should be coded as one of the following:
"AD" - Indicating the contact is the Accounting Department.
"AR" - Indicating the contact is the Accounts Receivable Department.
"EA" - Indicating the contact is the EDI Coordinator.
PER02
If used, this element should contain the name of the person to be contacted for
trading partner communication.
PER03
If used, this element should be coded as "TE", to indicate the communication
number will be a telephone number.
36
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Billing Usage Notes
PER04
If used, this element should contain the telephone number of the communication
contact listed in PER02.
Example:
PER*AD*JOHN DOE*TE*5124984051(NL)
37
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment N1- Name
Level:
Heading
Loop:
N1
Usage:
Mandatory
Max Use:
1
Purpose:
To identify party by type of organization.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
98
Entity ID Code
M
M ID 02/02
N102
93
Name
O
X AN 01/35
N103
66
ID Code Qualifier
M
X ID 01/02
N104
67
ID Code
M
X AN 02/17
Mortgagee Billing Usage Notes
Occurrence 2:
This segment is required. The second occurrence in the N1 Loop describes the recipient of the
transaction set.
N101
This element should be coded as one of the following:
"SQ" - Indicating the recipient is a service bureau.
"MM" - Indicating the recipient is a mortgage company.
N102
If used, this element should contain the name of the recipient.
N103
This element should be coded "FI" to indicate the taxpayer identification number is
being used.
N104
This element should contain the taxpayer ID number of the service bureau or
mortgage company.
38
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Example:
N1*SQ*SERVICE BUREAU NAME*FI*572982961(NL)
39
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
2
Purpose:
To specify additional names or those longer than 35 characters in length.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
93
Name
O
M AN 01/35
N202
93
Name
O
M AN 01/35
Mortgagee Billing Usage Notes
Occurrence 2:
This segment is optional. If used, it will contain additional name information for the recipient.
N201
If used, this element should contain additional name information that would not fit
in N102.
N202
If used, this element should contain additional name information that would not fit
in N201.
Example:
N2*ADDITIONAL NAME*MORE ADDITIONAL NAME(NL)
40
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N3 - Address Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the location of the named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address Information
O
M AN 01/35
N302
166
Address Information
O
O AN 01/35
Mortgagee Billing Usage Notes
Occurrence 2:
This segment is optional. If used, it will contain address information for the recipient.
N301
This element contains the first 35 characters of the address of the recipient.
N302
This element may be used if the address specified in element N301 is longer than
35 characters, or requires two lines.
Example:
N3*P O BOX 111111*RURAL ROUTE 1(NL)
41
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N4 - Geographic Location
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
O
X AN 02/19
N402
156
State/Prov. Code
O
O ID 02/02
N403
116
Postal Code
O
O ID 04/09
N404
26
Country Code
O
O ID 02/02
N405
309
Location Qualifier
O
X ID 01/02
N406
310
Location Identifier
O
X AN 01/25
Mortgagee Billing Usage Notes
Occurrence 2:
This segment is optional. If used, it provides the branch or region information identification
number of the recipient.
N401
If used, this element contains the service bureau or mortgage company city name.
N402
If used, this element contains the service bureau or mortgage company state or
province name.
N403
If used, this element contains the service bureau or mortgage company postal code.
42
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
N404
If used, this element contains the country code of the service bureau or mortgage
company that is different from the United States.
N405
If used, this element should be coded "RJ" to indicate the following location ID
will be the branch or regional office of the service bureau or mortgage company.
N406
If used, this element contains the service bureau or mortgage company branch or
regional office identification.
Example:
N4****RJ*01(NL)
43
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: HL - Hierarchical Level
Level:
Level 1 (Insurance Company Branch or Billing Center)
Loop:
HL
Usage:
Mandatory
Max Use:
1
Purpose:
To identify dependencies among the content of hierarchically related groups of
data segments.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
HL01
628
Hierarchical ID Number
M
M AN 01/12
HL02
734
Hierarchical Parent ID
M
O AN 01/12
HL03
735
Hierarchical Level Code
M
M ID 01/02
HL04
736
Hierarchical Child Code
NU
O ID 01/01
Mortgagee Billing Usage Notes
This segment is required. It will occur once for every insurance company region or billing
center.
HL01
This element should be valued with a unique number to identify a particular HL
data segment within the transaction set.
HL02
This element is omitted at the first HL level. This element contains the number of
the next higher hierarchical data segment that the current HL level is subordinate
to. Since HL level 1 is the highest level in the hierarchy, this element is not
needed.
HL03
This element should be valued with a '1', indicating that this hierarchical level 1,
Service Billing Provider (Insurance Company Branch or Billing Center).
Example:
HL*1**1(NL)
44
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: LX - Assigned Number
Level:
Level 1 (Branch or Billing Center)
Loop:
HL/LX
Usage:
Optional
Max Use:
1
Purpose:
To reference a line number in a transaction set.
Repeat: >1
Data Element Summary
Seq. No.
LX01
Ref.
No.
554
ANSI X12 Name
Assigned Number
Mrt
Req.
M
ANSI X12
Attributes
M N0 01/06
Mortgagee Billing Usage Notes
This segment is required.
LX01
This element should be assigned a value of "1" in the HL level 1 loop.
Example:
LX*1(NL)
45
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: REF - Reference Numbers
Level:
Level 1 (Branch or Billing Center)
Loop:
HL/LX
Usage:
Optional
Max Use:
>1
Purpose:
To specify identifying numbers.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
REF01
128
Reference Number Qualifier
M
M ID 02/02
REF02
127
Reference Number
M
X AN 01/30
REF03
352
Description
NU
X AN 01/80
Mortgagee Billing Usage Notes
This segment is required and will occur three times. The REF segments in HL level 1 (Branch or
Billing Center) are used to communicate Branch or Billing Center Number, Bank Routing
Number and Transit Numbers. This information is coded using the following sequence.
Occurrence 1:
REF01
This element should be coded "01", indicating that the following REF02 contains a
Bank Routing Transit Number.
REF02
This element will contain the Bank Routing number of the Branch or Billing Center
that is to receive the payment for the policies listed in this bill.
Occurrence 2:
REF01
This element should be coded "11", indicating that the following REF02 contains a
Bank Account Number.
REF02
This element will contain the Bank Account Number of the Branch or Billing
Center that is to receive the payment for the policies listed in this bill.
46
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Occurrence 3:
REF01
This element should be coded "BF", indicating that the following REF02 contains a
Branch or Billing Center Number.
REF02
This element will contain the Branch or Billing Center Number.
Example:
REF*RR*11904503(NL)
REF*11*60370003155603(NL)
REF*BF*01(NL)
47
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: HL - Hierarchical Level
Level:
Level 3 (Mortgage Company)
Loop:
HL
Usage:
Mandatory
Max Use:
1
Purpose:
To identify dependencies among the content of hierarchically related groups of
data segments.
Repeat: >1
Data Element Summary
Ref.
No.
Seq. No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
HL01
628
Hierarchical ID Number
M
M AN 01/12
HL02
734
Hierarchical Parent ID
M
O AN 01/12
HL03
735
Hierarchical Level Code
M
M ID 01/02
HL04
736
Hierarchical Child Code
NU
O ID 01/01
Mortgagee Billing Usage Notes
This segment is required. It provides mortgage company identification information and will
occur once for every mortgage company included on the bill.
HL01
This element should be valued with a unique number to identify a particular HL
data segment in the transaction set.
HL02
This element should contain the number of the next higher hierarchical data
segment that the current HL level is subordinate to. The HL01 value of the
corresponding level 1 HL.
HL03
This element should be valued with '3', indicating that this is hierarchical level 3,
Group (Mortgage Company).
Example:
HL*2*1*3(NL)
48
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: LX - Assigned Number
Level:
Level 3 (Mortgage Company)
Loop:
HL/LX Repeat: >1
Usage:
Optional
Max Use:
1
Purpose:
To reference a line number in a transaction set.
Data Element Summary
Seq. No.
LX01
Ref.
No.
554
ANSI X12 Name
Assigned Number
Mrtg
Req.
M
ANSI X12
Attributes
M N0 01/06
Mortgagee Billing Usage Notes
This segment is required.
LX01
This element should be assigned a value of "1" in the HL level 3 loop.
Example:
LX*1(NL)
49
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: AMT - Monetary
Level:
Level 3 (Mortgage Company)
Loop:
HL/LX
Usage:
Optional
Max Use:
10
Purpose:
To indicate the total monetary amount.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
AMT01
522
Amount Qualifier Code
M
M ID 01/02
AMT02
782
Monetary Amount
M
M R 01/15
Mortgagee Billing Usage Notes
This segment is required. It occurs only once per Mortgage Company and describes the total of
all the line item premium amounts indicated in IT104.
AMT01
This element should be coded as '1' indicating the following amount is the total of
all the line items.
AMT02
This element should contain the total of all premium amounts (escrow and nonescrow) found in the IT104 in Level 4.
Example:
AMT*1*60000(NL)
50
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: DTM - Date/Time Reference
Level:
Level 3 (Mortgage Company)
Loop:
HL/LX
Usage:
Mandatory
Max Use:
1
Purpose:
To specify pertinent dates and times.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
DTM01
374
Date/Time Qualifier
M
M ID 03/03
DTM02
373
Date
M
X DT 06/06
DTM03
337
Time
NU
X TM 04/06
DTM04
623
Time Code
NU
O ID 02/02
DTM05
624
Century
O
O N0 02/02
Mortgagee Billing Usage Notes
This segment is required. It is used to communicate the Remittance Due Date.
DTM01
This element must be coded as "013", indicating that the following element
contains a "Due Date".
DTM02
This element will contain the due date for the policies billed.
DTM05
Optional. If used, this element contains the century of the remittance due date.
Example:
DTM*013*071103***20(NL)
51
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: QTY - Quantity
Level:
Level 3 (Mortgage Company)
Loop:
HL/LX/QTY
Usage:
Optional
Max Use:
10
Purpose:
To indicate a quantity count.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrt
Req.
ANSI X12
Attributes
QTY01
673
Quantity Qualifier
M
M ID 02/02
QTY02
380
Quantity
M
M R 01/15
QTY03
355
Unit or Basis for Measurement Code
NU
O ID 02/02
Mortgagee Billing Usage Notes
This segment is required. It occurs once per Mortgage Company and indicates the number of
policies (escrow and non-escrow) that are included in Level 4.
QTY01
This element should be coded as "46", indicating that the quantity is the total
number of transactions, for a Mortgage Company.
QTY02
This element should contain the total number of policies included in Level 4.
Example:
QTY*46*1(NL)
52
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N1 - Name
Level:
Level 3 (Mortgage Company)
Loop:
HL/N1
Usage:
Mandatory
Max Use:
1
Purpose:
To identify party by type of organization.
Repeat: 1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
098
Entity ID Code
M
M ID 02/02
N102
093
Name
O
X AN 01/35
N103
066
ID Code Qualifier
M
X AN 01/02
N104
067
Identification Code
M
X AN 02/17
Mortgagee Billing Usage Notes
This segment is required and is used to communicate the taxpayer number of the mortgage
company.
N101
This element should be assigned a value of "MM", indicating the entity identified
by the N1 segment is a mortgage company.
N102
This element's use is optional, if used this element will contain the mortgage
company's name.
N103
This element should be assigned a value of "FI", indicating the next element is the
mortgage company's "Federal Tax Id Number".
N104
This element contains the mortgage company's tax id number.
Example:
N1*MM**FI*742222209 (NL)
53
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Level 3 (Mortgage Company)
Loop:
HL/N1
Usage:
Optional
Max Use:
2
Purpose:
To specify additional names or those longer than 35 characters in length.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
093
Name
O
M AN 01/35
N202
093
Name
O
O AN 01/35
Mortgagee Billing Usage Notes
The segment is optional. If used, it will contain additional mortgage company name information.
N201
If used, this element will contain additional name information that would not fit in
N102.
N202
If used, this element should contain additional name information that would not fit
in N201.
Example:
Use of this field should not be necessary. Tax Identification Number (TIN) should be sufficient
to identify the Mortgage Company and therefore, no example is given.
54
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N3 - Address Information
Level:
Level 3 (Mortgage Company)
Loop:
HL/N1
Usage:
Optional
Max Use:
2
Purpose:
To specify the location of the named party.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address
O
M AN 01/35
N302
166
Address
O
O AN 01/35
Mortgagee Billing Usage Notes
This segment is optional. If used, this segment will contain mortgage company address
information.
N301
If used, this element contains the first 35 characters of the address for the payee.
N302
If used, this element may be used if the address specified in element N301 is longer
than 35 characters.
Example:
Use of this field should not be necessary. Tax Identification Number (TIN) should be sufficient
to identify the Mortgage Company and therefore, no example is given.
55
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N4 - Geographic Location
Level:
Level 3 (Mortgage Company)
Loop:
HL/N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
O
X AN 02/19
N402
156
State/Prov. Code
O
O ID 02/02
N403
116
Postal Code
O
O ID 04/09
N404
26
Country Code
O
O ID 02/02
N405
309
Location Qualifier
O
X ID 01/02
N406
310
Location Identifier
O
X AN 01/25
Mortgagee Billing Usage Notes
This segment is optional and if used, communicates a mortgage company's branch or region
number.
N401
The use of this element is optional, if used this element should contain the city
name.
N402
The use of this element is optional, if used this element should contain the state or
province code.
N403
The use of this element is optional, if used this element should contain the postal
code.
56
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Billing Usage Notes
N404
This element is optional. This element is used to indicate the mortgage company's
country if it is different from the United States.
N405
If used, this element is required and should contain a "RJ" to indicate that the next
element contains the mortgage company's Branch or Region code.
N406
If used, this element is used to indicate the mortgage company's branch or region
number.
Example:
N4*****RJ*01(NL)
57
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: HL - Hierarchical Level
Level:
Level 4 (Policy Detail)
Loop:
HL
Usage:
Mandatory
Max Use:
1
Purpose:
To identify dependencies among the content of hierarchically related groups of
data segments.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
HL01
628
Hierarchical ID Number
M
M AN 01/12
HL02
734
Hierarchical Parent ID
M
O AN 01/12
HL03
735
Hierarchical Level Code
M
M ID 01/02
HL04
736
Hierarchical Child Code
NU
O ID 01/01
Mortgagee Billing Usage Notes
This segment is required. It provides policy detail information and will occur once for every
policy included on the bill.
HL01
This element should be valued with a unique number to identify a particular HL
data segment in the transaction set.
HL02
This element should contain the number of the next higher hierarchical data
segment that the current HL level is subordinate to. The HL01 value of the
corresponding level 1 HL.
HL03
This element should be valued with '4', indicating that this is hierarchical level 4,
Group (Policy Detail).
Example:
HL*3*1*4(NL)
58
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: LX - Assigned Number
Level:
Level 4 (Policy Detail)
Loop:
HL/LX Repeat: >1
Usage:
Optional
Max Use:
1
Purpose:
To reference a line number in a transaction set.
Data Element Summary
Seq. No.
LX01
Ref.
No.
554
ANSI X12 Name
ANSI X12
Attributes
Mrtg
Req.
Assigned Number
M
M N0 01/06
Mortgagee Billing Usage Notes
This segment is required.
LX01
This element should be assigned a value of "1" in the HL level 4 loop.
Example:
LX*1(NL)
59
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: PID - Product Item Description
Level:
Level 4 (Policy Detail)
Loop:
HL/LX
Usage:
Optional
Max Use:
200
Purpose:
To describe a product or process in coded or free-form format.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
PID01
349
Item Description Type
M
M ID 01/01
PID02
750
Product Character Code
M
O ID 02/03
PID03
559
Agency Qualifier Code
M
X ID 02/02
PID04
751
Product Description Code
M
X AN 01/12
PID05
352
Description
NU
X AN 01/80
PID06
752
Layer/Position Code
NU
O ID 02/02
PID07
822
Source Subqualifier
NU
O AN 01/15
PID08
1073
Yes/No Condition Response Code
NU
O/Z ID 01/01
Mortgagee Billing Usage Notes
This segment can repeat 2 times. The first occurrence is required, the second optional. The first
describes the policy as either paid by the Mortgagee (escrow policy) or paid by the insured (nonescrow policy). The second occurs only if 'Full Value Replacement' applies to this policy.
Occurrence 1:
PID01
This element should be coded as 'S', indicating the information in the following
elements is in a structured format.
60
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Billing Usage Notes
PID02
This element should be coded as '02', indicating the information concerns an
ACORD table.
PID03
This element should be coded as 'AD', indicating ACORD Industry Codes are used
in this segment.
PID04
This element should be coded to indicate whether the policy being paid by the
mortgagee or the insured. Possible values are:
MG Policy premium is paid by the Mortgagee (escrow policy).
IN
Policy premium is paid by the insured (non-escrow policy).
Occurrence 2: (Optional)
The second PID would occur only if full value replacement exists.
PID01
If used, this element should be coded as 'S', indicating the information in the
following elements is in a structured format.
PID02
If used, this element should be coded as '214', indicating the information concerns
an ACORD table.
PID03
If used, this element should be coded as 'AD', indicating ACORD Industry Codes
are used in this segment.
PID04
If used, this element should be coded as 'FVREP' to indicate Full Value
Replacement or Guaranteed Replacement Coverage endorsement exists on the
dwelling.
Example:
PID*S*02*AD*MG(NL)
PID*S*214*AD*FVREP(NL)
61
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: REF - Reference Numbers
Level:
Level 4 (Policy Detail)
Loop:
HL/LX
Usage:
Optional
Max Use:
>1
Purpose:
To specify identifying numbers.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
REF01
128
Reference Number Qualifier
M
M ID 02/02
REF02
127
Reference Number
M
X AN 01/30
REF03
352
Description
NU
X AN 01/80
Mortgagee Billing Usage Notes
The segment can repeat 6 times. The first 4 occurrences are required, the fifth and sixth are
optional. Occurrences contain information that identifies the policy line of business, the insuring
company, the policy number, the loan number, a policy account number and the number of units
in a building.
Occurrence 1:
REF01
This element should be coded as 'TV', indicating that the following element
contains a 'line of business' code.
REF02
This element should be coded from the ACORD code list found in Appendix E for
the appropriate line of business.
Occurrence 2:
REF01
This element should be coded as 'NF', indicating that the following element
contains the NAIC code of the insuring company.
REF02
This element should be coded as the insuring company's NAIC identification code.
62
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Occurrence 3:
REF01
This element should be coded as 'LD', indicating that the following element
contains the loan number for the insured home/property.
REF02
This element should be coded with the loan number for the insured home /
property.
Occurrence 4:
REF01
This element should be coded as 'IG', indicating that the following element
contains a policy number.
REF02
This element should be coded with the policy number of the policy covering the
insured home/property.
Occurrence 5: (Optional)
REF01
If used, this element should be coded as '32', indicating account number
REF02
If used, this element should be coded as the account number of the policy to further
define the policy to the trading partner.
Occurrence 6: (Optional)
REF01
If used, this element should be coded as 'LU', indicating the number of units in a
building.
REF02
If used, this element should be coded with the number of units in the building being
insured.
Example:
REF*TV*HOME(NL)
REF*NF*99902(NL)
REF*LD*999999999900001(NL)
REF*IG*525720790A(NL)
REF*32*5257207(NL)
REF*LU*3(NL)
63
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: AMT - Monetary Amount
Level:
Level 4 (Policy Detail)
Loop:
HL/LX
Usage:
Optional
Max Use:
5
Purpose:
To indicate the total monetary amount.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
AMT01
522
Amount Qualifier Code
M
M ID 01/02
AMT02
782
Monetary Amount
M
M R 01/15
Mortgagee Billing Usage Notes
This segment may occur twice. The first occurrence is mandatory and the second is
conditionally required. The first occurrence describes the coverage amount for the insured
dwelling. The second occurrence describes the policies premium when a netted item is billed.
When a policy is billed as a netted line item, the full premium amount of a policy is required to
ensure the accuracy of a policy's loan escrow analysis.
Occurrence 1:
AMT01
This element should be coded as 'AU' indicating the following amount is the
dwelling coverage amount.
AMT02
This element should contain the dwelling coverage amount.
Occurrence 2:
AMT01
This element should be coded as 'PE' indicating the following amount is the full
premium amount for the policy. This occurrence is required when a netted billed
item, such as a Cancel/Rewrite is communicated.
AMT02
This element should contain the full premium amount for the policy.
64
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Occurrence 3:
AMT01
This element should be coded as 'AW' indicating the following amount is the
estimated replacement cost for the policy.
AMT02
This element should contain the Estimated Replacement Cost for the policy. This
amount is not intended to be used as the actual future cost to rebuild the dwelling.
Example:
AMT*AU*87000(NL)
AMT*PE*60000(NL)
AMT*AW*87000(NL)
65
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: DTM - Date/Time Reference
Level:
Level 4 (Policy Detail)
Loop:
HL/LX
Usage:
Optional
Max Use:
4
Purpose:
To specify pertinent dates and times.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
DTM01
374
Date/Time Qualifier
M
M ID 03/03
DTM02
373
Date
M
X DT 06/06
DTM03
337
Time
NU
X TM 04/06
DTM04
623
Time Code
NU
O ID 02/02
DTM05
624
Century
O
O N0 02/02
Mortgagee Billing Usage Notes
This segment can repeat 4 times, the first two occurrences are required, the third and fourth are
only applicable to cancellation and new policy transaction respectively. The first contains the
policy effective date and the second, the expiration date. The third, date contains the
cancellation date of the policy and the fourth date a new policy was issued.
Occurrence 1:
DTM01
This element should be coded as '007' indicating the following date is the policy
effective date.
DTM02
This element will contain the effective date of the policy in YYMMDD format.
DTM05
Optional. If used, this element contains the century of the policy effective date.
66
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Occurrence 2:
DTM01
This element should be coded as '036' indicating the following date is the policy
expiration date.
DTM02
This element will contain the expiration date of the policy in YYMMDD format.
DTM05
Optional. If used, this element contains the century of the policy expiration date.
Occurrence 3:
DTM01
This element should be coded as '177' indicating the following date is the effective
date of cancellation of a canceled policy.
DTM02
This element will contain the cancellation date of the policy in YYMMDD format.
DTM05
Optional. If used, this element contains the century of the policy cancellation date.
Occurrence 4:
DTM01
This element should be coded as '102' indicating the following date is the date the
policy was issued.
DTM02
This element will contain the issue date of the policy in YYMMDD format.
DTM05
Optional. If used, this element contains the century of the policy issue date.
Example:
DTM*007*071205***20(NL)
DTM*036*071205***20(NL)
DTM*177*071205***20(NL)
DTM*102*071205***20(NL)
67
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: IT1 - Baseline Item Data
Level:
Level 4 (Policy Detail)
Loop:
HL/IT1
Usage:
Mandatory
Max Use:
1
Purpose:
To specify the premium dollar amounts listed for a specific policy.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
IT101
350
Assigned Identification
O
O AN 01/11
IT102
358
Quantity Invoiced
M
M R 01/10
IT103
355
Unit of Basis for Measurement Code
M
M ID 02/02
IT104
212
Unit Price
M
M R 01/14
IT105
639
Basis of Unit Price Code
M
O ID 02/02
IT106
235
Product/Service ID Qualifier
NU
O ID 02/02
IT107
234
Product/Service ID
NU
X AN 01/30
IT108
235
Product/Service ID Qualifier
NU
O ID 02/02
IT109
234
Product/Service ID
NU
X AN 01/30
IT110
235
Product/Service ID Qualifier
NU
O ID 02/02
IT111
234
Product/Service ID
NU
X AN 01/30
IT112
235
Product/Service ID Qualifier
NU
O ID 02/02
IT113
234
Product/Service ID
NU
X AN 01/30
IT114
235
Product/Service ID Qualifier
NU
O ID 02/02
IT115
234
Product/Service ID
NU
X AN 01/30
68
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
IT116
235
Product/Service ID Qualifier
NU
O ID 02/02
IT117
234
Product/Service ID
NU
X AN 01/30
IT118
235
Product/Service ID Qualifier
NU
O ID 02/02
IT119
234
Product/Service ID
NU
X AN 01/30
IT120
235
Product/Service ID Qualifier
NU
O ID 02/02
IT121
234
Product/Service ID
NU
X AN 01/30
IT122
235
Product/Service ID Qualifier
NU
O ID 02/02
IT123
234
Product/Service ID
NU
X AN 01/30
IT124
235
Product/Service ID Qualifier
NU
O ID 02/02
IT125
234
Product/Service ID
NU
X AN 01/30
Mortgagee Billing Usage Notes
This segment is required and is used to communicate premium dollars owed for each policy.
Please take special note of the following:
Credits and Partial Payments: The mortgagee billing standard supports net billed
items such as partial payments and credits from cancel/rewrite policies. Bet billed items
are communicated by placing a "NE" in IT105 and the net dollar amount due in IT104.
Additionally, debit and credit policy transactions should be listed in the SLN (Subline
item) loop in HL Level 8 and the full premium amount should be placed in the second
occurrence of the AMT segment in the LX loop of HL Level 4.
Credits should not be sent in the IT1 segment as line items on an invoice. Placing credit
line items on an invoice is an unorthodox business practice and should not be used for
mortgagee billing. Credit line items are more appropriately placed in an 820 and
communicated as a refund transaction.
Policy Cancellations: If the policy specified in Level 4 is a cancellation, the IT104
amount should be zero.
IT101
This element is not required, if used this element will contain a sequential number
69
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
to identify this baseline item.
IT102
This element indicates the number of items invoiced and should be set to 1.
IT103
This element indicates the unit of measurement of element IT104. This element
should contain a value of "EA", indicating EACH.
IT104
This element contains the dollar amount due for the policy. The value in the IT104
should be either a positive number or zero.
IT105
This element indicates the type of premium dollar amount requested. Possible
values are:
AN
ME
NE
PM
PU
SA
Annual
Mid-Term Endorsement
Net (Net unit price)
Monthly
Quarterly
Semi-Annual
Example:
IT1**1*EA*600*NE(NL)
70
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: SI - Service Characteristic Identification
Level:
Level 4 (Policy Transaction Detail)
Loop:
HL/IT1
Usage:
Optional
Max Use:
2
Purpose:
To identify service characteristics associated with the subline item.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SI01
559
Agency Qualifier Code
M
M ID 2/2
SI02
1000
Service Characteristics Qualifier
M
M ID 2/2
SI03
234
Product/Service Id
M
M AN 1/30
SI04
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI05
234
Product/Service Id
NU
X AN 1/30
SI06
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI07
234
Product/Service Id
NU
X AN 1/30
SI08
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI09
234
Product/Service Id
NU
X AN 1/30
SI10
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI11
234
Product/Service Id
NU
X AN 1/30
SI12
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI13
234
Product/Service Id
NU
X AN 1/30
SI14
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI15
234
Product/Service Id
NU
X AN 1/30
71
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SI16
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI17
234
Product/Service Id
NU
X AN 1/30
SI18
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI19
234
Product/Service Id
NU
X AN 1/30
SI20
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI21
234
Product/Service Id
NU
X AN 1/30
Mortgagee Billing Usage Notes
This segment is required and is used to describe the type of policy transaction that is being sent
in the detail line item in level.
SI01
This element should be coded as 'AD' to indicate ACORD agency code list.
SI02
This element should be coded as '01', indicating policy transactions code list.
SI03
This element should be coded with the one of the following codes to indicate the
type of activity that is being sent on this policy.
NBS
RWL
PCH
XCL
REI
EPI
New Business
Renewal
Endorsement or Policy Change
Cancellation
Reinstatement
Insurance Verification
Example:
SI*AD*03*RWL(NL)
72
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: MSG - Message Text
Level:
Level 4 (Policy Detail)
Loop:
HL/IT1
Usage:
Optional
Max Use:
>1
Purpose:
To provide a free form format that would allow the transmission of text
information.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
MSG01
933
Free-Form Message Text
O
M AN 01/264
MSG02
934
Print Carriage Control Code
O
O ID 02/02
Mortgagee Billing Usage Notes
Use of this segment is optional and is strongly discouraged. Including message text in EDI
documents is disabling to the automation process.
73
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N1 - Name
Level:
Level 4 (Policy Detail)
Loop:
HL/IT1/N1
Usage:
Required
Max Use:
1
Purpose:
To identify a party by type of organization, name and code.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
098
Entity ID Code
M
M ID 02/02
N102
093
Name
M
X AN 01/35
N103
066
Identification Code Qualifier
NU
X ID 01/02
N104
067
Identification Code
NU
X AN 01/17
Mortgagee Billing Usage Notes
This segment is required. It appears once per policy. It contains the name of the insured.
N101
This element should be coded as 'IL', indicating the following name is that of the
insured.
N102
This element should contain the name of the insured. This name appears for
reference purposes only. The name should be formatted as follows: "LASTNAME,
FIRSTNAME".
Example:
N1*IL*DOE, JOHN(NL)
74
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Level 4 (Policy Detail)
Loop:
HL/IT1/N1
Usage:
Optional
Max Use:
2
Purpose:
To specify additional names or those longer than 35 characters in length.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
093
Name
O
M AN 01/35
N202
093
Name
O
O AN 01/35
Mortgagee Billing Usage Notes
This segment is optional. If used it appears once per policy. It contains additional name
information for the insured.
N201
If used, this element should contain additional name information that would not fit in
N102.
N202
If used, this element should contain additional name information that would not fit in
N201. You must have an N201 if you have an N202.
Example:
N2*ADDITIONAL NAME*AND MORE NAME(NL)
75
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N3 - Address Information
Level:
Level 4 (Policy Detail)
Loop:
HL/IT1/N1
Usage:
Optional
Max Use:
2
Purpose:
To specify the location of the named party.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address
M
M AN 01/35
N302
166
Address
O
O AN 01/35
Mortgagee Billing Usage Notes
This segment is required and appears once per policy. It describes the insured's property
location.
N301
This element should contain the first 30 characters of the address for the insured.
N302
Optional. If used, this element contains additional address information for the
insured.
Example:
N3*P O BOX 111111*RURAL ROUTE 1(NL)
76
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N4 - Geographic Location
Level:
Level 4 (Policy Detail)
Loop:
HL/IT1/N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
M
X AN 02/19
N402
156
State/Prov. Code
M
O ID 02/02
N403
116
Postal Code
M
O ID 04/09
N404
026
Country Code
O
O ID 02/02
N405
309
Location Qualifier
NU
X ID 01/02
N406
310
Location Code
NU
X AN 01/25
Mortgagee Billing Usage Notes
This segment is required and appears once per policy. It contains the insured's city, state, and
Zip code.
N401
This element should contain the insured's city name.
N402
This element should contain the insured's state code.
N403
This element should contain the insured's zip code.
N404
This element should contain the insured's country code.
Example:
N4*SAN ANTONIO*TX*782501234(NL)
77
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: HL - Hierarchical Level
Level:
Level 8 (Policy Transaction Detail)
Loop:
HL
Usage:
Optional
Max Use:
1
Purpose:
To identify dependencies among the content of hierarchically related groups of
data segments.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
HL01
628
Hierarchical ID Number
M
M AN 01/12
HL02
734
Hierarchical Parent ID
M
O AN 01/12
HL03
735
Hierarchical Level Code
M
M ID 01/02
HL04
736
Hierarchical Child Code
NU
O ID 01/01
Mortgagee Billing Usage Notes
This segment is optional but is required when a netted policy premium is billed. This loop
provides policy adjustment transactions that net to the amount shown in IT104. This loop is used
to communicate netted items such as Cancel/Rewrites.
HL01
This element should be valued with a unique number to identify a particular HL
data segment within the transaction set.
HL02
This element should contain the number of the next higher hierarchical data
segment that the current HL level is subordinate to. The HL01 value of the
corresponding level 4 HL.
HL03
This element should be valued with '8', indicating that this is hierarchical level 8,
Line Detail (Policy Transaction Detail).
Example:
HL*4*2*8(NL)
78
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: SLN - Subline Item Detail
Level:
Level 8 (Policy Transaction Detail)
Loop:
HL/SLN Repeat: >1
Usage:
Optional
Max Use:
1
Purpose:
To specify product subline detail item data.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SLN01
350
Assigned Identification
M
M AN 01/11
SLN02
350
Assigned Identification
M
O AN 01/11
SLN03
661
Configuration Code
M
M ID 01/01
SLN04
380
Quantity
M
M R 01/15
SLN05
355
Unit of Measure Code
M
M ID 02/02
SLN06
212
Unit Price
M
X R 01/14
SLN07
639
Basis Unit Price Code
NU
O ID 02/02
SLN08
662
Subline Price Change Code ID
NU
O ID 01/01
SLN09
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN10
234
Product/Service ID
NU
X AN 01/30
SLN11
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN12
234
Product/Service ID
NU
X AN 01/30
SLN13
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN14
234
Product/Service ID
NU
X AN 01/30
SLN15
235
Product/Service ID Qualifier
NU
O ID 02/02
79
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SLN16
234
Product/Service ID
NU
X AN 01/30
SLN17
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN18
234
Product/Service ID
NU
X AN 01/30
SLN19
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN20
234
Product/Service ID
NU
X AN 01/30
SLN21
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN22
234
Product/Service ID
NU
X AN 01/30
SLN23
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN24
234
Product/Service ID
NU
X AN 01/30
SLN25
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN26
234
Product/Service ID
NU
X AN 01/30
SLN27
235
Product/Service ID Qualifier
NU
O ID 02/02
SLN28
234
Product/Service ID
NU
X AN 01/30
Mortgagee Billing Usage Notes
The SLN loop is required. It provides detailed information about each policy. There is one loop
occurrence for each policy.
This Segment is required and appears once per policy. It is used to describe policy transactions
SLN01
This sequential number should be valued with the Assigned Identification of the
corresponding Baseline Item Detail.
SLN02
This sequence number should be incremented each time a new transaction, within
the HL8 loop, is described.
SLN03
This element should be coded as an 'I', indicating that this is detail information
about a policy included in the Baseline Item Detail for the policy.
80
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Billing Usage Notes
SLN04
This element should be coded as '1' indicating the number of transactions described
by the segment / loop occurrence.
SLN05
This element should be coded as 'EA' indicating that policy transactions are
described individually.
SLN06
This element should be coded as the transaction activity for the policy. This
amount could be negative if the policy transaction resulted in a return premium.
Example:
SLN*1*1*I*1*EA*600.00(NL)
81
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: SI - Service Characteristic Identification
Level:
Level 8 (Policy Transaction Detail)
Loop:
HL/SLN
Usage:
Optional
Max Use:
2
Purpose:
To identify service characteristics associated with the sub line item.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SI01
559
Agency Qualifier Code
M
M ID 2/2
SI02
1000
Service Characteristics Qualifier
M
M ID 2/2
SI03
234
Product/Service Id
M
M AN 1/30
SI04
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI05
234
Product/Service Id
NU
X AN 1/30
SI06
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI07
234
Product/Service Id
NU
X AN 1/30
SI08
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI09
234
Product/Service Id
NU
X AN 1/30
SI10
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI11
234
Product/Service Id
NU
X AN 1/30
SI12
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI13
234
Product/Service Id
NU
X AN 1/30
SI14
1000
Service Characteristics Qualifier
NU
X ID 2/2
82
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SI15
234
Product/Service Id
NU
X AN 1/30
SI16
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI17
234
Product/Service Id
NU
X AN 1/30
SI18
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI19
234
Product/Service Id
NU
X AN 1/30
SI20
1000
Service Characteristics Qualifier
NU
X ID 2/2
SI21
234
Product/Service Id
NU
X AN 1/30
Mortgagee Billing Usage Notes
This segment is required when Level 8 is used and describes the type of policy transaction that is
being sent in the detail line item in level.
SI01
This element should be coded as 'AD' to indicate ACORD agency code list.
SI02
This element should be coded as '03', indicating billing transactions code list.
SI03
This element should be coded with the one of the following codes listed in
Appendix F to indicate the type of activities that transpired on the billed policy.
Example:
SI*AD*03*010(NL)
83
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: REF - Reference Numbers
Level:
Level 8 (Policy Transaction Detail)
Loop:
HL/SLN
Usage:
Optional
Max Use:
>1
Purpose:
To specify identifying numbers.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
REF01
128
Reference Number Qualifier
M
M ID 02/02
REF02
127
Reference Number
M
X AN 01/30
REF03
352
Description
NU
X AN 01/80
Mortgagee Billing Usage Notes
The segment can repeat 4 times. All occurrences are optional. The occurrences are used to
specify a policy number, account number, line of business and NAIC that is different than the
one specified in Level 4. For example, these reference fields should be used to specify a policy
number when a credit transfer is made from a cancelled policy to the one specified in Level 4.
Occurrence 1:
REF01
This element should be coded as 'IG', indicating that the following element
contains a policy number.
REF02
This element should be coded with the cross reference policy number in the case of
transfers credits or debits.
Occurrence 2:
REF01
This element should be coded as 'TV', indicating that the following element contains
a ‘line of business” code.
REF02
This element should be coded from the ACORD code list found in Appendix E for
the appropriate line of business.
84
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Occurrence 3:
REF01
This element should be coded as 'NF', indicating that the following element contains
the NAIC code of the insuring company.
REF02
This element should be coded as the insuring company's NAIC identification code.
Occurrence 4: (Optional)
REF01
If used, this element should be coded as '32', indicating account number
REF02
If used, this element should be coded as the account number of the policy if the
trading partner has the ability to separate fields.
Example:
REF*IG*525720790A(NL)
REF*TV*HOME(NL)
REF*NF*99902(NL)
REF*32*5257207(NL)
85
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: DTM - Date/Time
Level:
Level 8 (Policy Transaction Detail)
Loop:
HL/SLN
Usage:
Optional
Max Use:
10
Purpose:
To specify pertinent dates and times.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
DTM01
374
Date/Time Qualifier
M
M ID 03/03
DTM02
373
Date
M
X DT 06/06
DTM03
337
Time
NU
X TM 04/06
DTM04
623
Time Code
NU
O ID 02/02
DTM05
624
Century
O
O N0 02/02
Mortgagee Billing Usage Notes
This segment is required when level 8 information is communicated and is used to specify the
effective date of the policy adjustment.
DTM01
This element should be coded as '306' indicating the following date is the policy
adjustment effective date.
DTM02
This element will contain the effective date of the policy adjustment in YYMMDD
format.
DTM05
Optional. If used, this element contains the century of the policy effective date.
Example:
DTM*007*071205***20(NL)
86
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: TDS - Total Monetary Value Summary
Level:
Trailer
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To specify the total invoice discounts and amounts.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
TDS01
361
Total Invoice Amount
M
M N2 01/10
TDS02
390
Amount Subject Terms Discount
NU
X N2 01/10
TDS03
391
Discounted Amount Due
NU
O N2 01/10
TDS04
362
Terms Discount Amount
NU
O N2 01/10
Mortgagee Billing Usage Notes
This segment is required and will contain the sum of all the policy premiums included in the
transaction.
TDS01
This element will contain the sum of all the IT104 elements included in this
transaction which represents a net invoice amount.
Example:
TDS*3425.12(NL)
87
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: CTT - Transaction Totals
Level:
Trailer
Loop:
Usage:
Optional
Max Use:
1
Purpose:
To transmit a hash total for a special element in the transaction set.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
CTT01
354
Number of Line Items
O
M N0 01/06
CTT02
347
Hash Total
NU
O R 01/10
CTT03
81
Weight
NU
O R 01/10
CTT04
355
Unit/Basis Measurement Code
NU
X ID 02/02
CTT05
183
Volume
NU
O R 01/08
CTT06
355
Unit/Basis Measurement Code
NU
X ID 02/02
CTT07
352
Description
NU
O AN 01/80
Mortgagee Billing Usage Notes
This segment is optional.
CTT01
Some translators automatically generate this segment.
Example:
CTT*02(NL)
88
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: SE - Transaction Set Trailer
Level:
Trailer
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To indicate the end of a transaction set and to provide a count of the transmitted
segments.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SE01
096
Number of Included Segments
M
M N0 01/06
SE02
329
Transaction Set Control Number
M
M AN 04/09
Mortgagee Billing Usage Notes
This segment is required.
SE01
Number of included segments.
SE02
This element contains the control number assigned by the trading partner for each
invoice in a functional group. Typically this is a software assigned number and it
must be the same as the number in the ST segment.
Example:
SE*000076*0002(NL)
89
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
820 Mapping - Segment Uses and Sequence
Header (Table 1)
Page No.
Pos.
No.
Seg
ID
1.1
010
ST
1.2
020
Mrtg
Req.
X12
Req.
Max.
Use
Transaction Set Header
M
M
1
BPR
Beginning Segment - Payment
Order/Remittance Advice
M
M
1
030
NTE
Note/Special Instruction
NU
O
>1
035
TRN
Trace
M
O
1
040
CUR
Currency
NU
O
1
1.10
050
REF
Reference Numbers
O
O
>1
1.11
060
DTM
Date/Time Reference
Occurrence 1: Invoice Date
Occurrence 2: Due Date
|Occurrence 3: Processed Date
O
O
>1
070
N1
Name
O
O
1
080
N2
Additional Name Information
O
O
>1
090
N3
Address Information
O
O
>1
100
N4
Geographic Location
O
O
1
110
REF
Reference Numbers
O
O
>1
120
PER
Administrative Communications Contact
O
O
>1
1.8
Name
1.13 1.17
Occurrence 1: Payer (Mortgage Company)
1.19 1.24
Occurrence 2: Payee (Insurance Entity)
1.26 1.30
Occurrence 3: Service Bureau ID
90
August 1, 2007
Loop
Repeat
N1/>1
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Detail (Table 2)
Page
No.
Pos.
No.
Seg
ID
2.1
010
ENT
2.3
020
2.4
Mrtg
Req.
X12
Req.
Max.
Use
Loop
Repeat
Entity
O
O
1
ENT/>1
N1
Name
O
O
1
N1/>1
030
N2
Additional Name Information
O
O
>1
2.5
040
N3
Address Information
O
O
>1
2.6
050
N4
Geographic Location
O
O
1
060
REF
Reference Numbers
NU
O
>1
070
PER
Administrative Communications Contact
NU
O
>1
150
RMR
Remittance Advice
M
O
1
160
NTE
Note/Special Instruction
NU
O
>1
2.9
170
REF
Reference Numbers
O
O
>1
2.11
180
DTM
Date/Time Reference
Occurrence 1: Effective Date
Occurrence 2: Expiration Date
O
O
>1
2.13
210
ADX
Adjustment
O
O
1
220
NTE
Note/Special Instruction
NU
O
>1
230
PER
Administrative Communications Contact
NU
O
>1
2.7
Name
91
August 1, 2007
RMR/>1
ADX/>1
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Trailer (Table 3)
Page
No.
Seg
ID
3.1
SE
Name
Transaction Trailer Set
92
August 1, 2007
Mrtg
Req.
X12
Req.
Max.
Use
M
M
1
Loop
Repeat
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: ST - Transaction Set Header
Level:
Heading
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To indicate the start of a transaction set and to assign a control number.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
ST01
143
Transaction Set ID
M
M ID 03/03
ST02
329
Transaction Set Control Number
M
M AN 04/09
Mortgagee Payment Usage Notes
ST01
This element contains a code uniquely identifying a Transaction Set. It should be
coded "820", Payment Order/Remittance Advice.
ST02
This element contains an identifying control number that must be unique within the
transaction set functional group assigned by the originator for a transaction set. This
number aids in error reconciliation and research and must be the same as the number
in the SE02 element.
Example:
ST*820*0002(NL)
93
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: BPR - Beginning Segment for Payment Order/Remittance
Advice
Level:
Heading
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To (1) indicate the beginning of a Payment Order/Remittance Advice Transaction
Set and Total Payment Amount or (2) to enable related transfer of funds and/or
information from payer to payee to occur.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
BPR01
305
Transaction Handling Code
M
M ID 01/01
BPR02
782
Monetary Amount
M
M/Z R 01/15
BPR03
478
Credit/Debit Flag Code
M
M ID 01/01
BPR04
591
Payment Method Code
M
M ID 03/03
BPR05
812
Payment Format
X
O ID 01/10
BPR06
506
(DFI) ID Number Qualifier
M
X/Z ID 02/02
BPR07
507
(DFI) Identification Number
M
X AN 03/12
BPR08
896
Account Number Qualifier Code
X
O ID 02/02
BPR09
508
Account Number
O
X AN 01/35
BPR10
509
Originating Company Identifier
M
O AN 10/10
BPR11
510
Originating Company Suplemental Code
O
O AN 09/09
BPR12
506
(DFI) ID Number Qualifier
X
X/Z ID 02/02
BPR13
507
(DFI) Identification Number
X
X AN 03/12
94
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
BPR14
896
Account Number Qualifier Code
X
O ID 02/02
BPR15
508
Account Number
X
X/Z AN 01/35
BPR16
513
Effective Entry Date
X
O DT 06/06
BPR17
1048
Business Function Code
X
O/Z ID 01/03
Mortgagee Payment Usage Notes
This segment is mandatory. It contains transfer of funds information from payer to payee.
BPR01
This element contains a code designating the action to be taken by all parties.
Valid Codes:
C
Payment Accompanies Remittance Advice
The 820 is used as an instruction/advice that the payment and remittance
data will or has moved together.
I
Remittance Information Only
The 820 is used as an advice that remittance data will or has moved
separately from the payment.
X
Handling Party's Option to Split Payment and Remittance
Dollars and data move together through the banking system or the dollars
and data have been re-associated for advising purposes.
BPR02
This element specifies the payment amount. The total payment amount cannot
exceed specifications within various payment system rules. For example, when
converting to a NACHA format, the total payment amount cannot exceed eleven
characters, including the decimal (i.e., 99999999.99).
BPR03
This element contains a code indicating whether unit price difference or amount of
adjustment is a credit or debit amount. Code value "C" is a credit to the receiver and
a debit to the originator. "D" is a debit to the receiver and a credit to the originator.
BPR04
This element contains a code used to designate the actual funds transfer method.
95
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
Valid Codes:
BPR05
ACH
Automated Clearing House (ACH)
BKW
Book Entry
BOP
BOP means the financial institution will select the payment method
based upon prior arrangements.
CWT
Clearing House Interbank Payment System (CHIPS) - Funds/Wire
Transfer
FEW
Federal Reserve Fund/Wire Transfer - Repetitive
FWT
Federal Reserve Fund/Wire Transfer - Non-repetitive
PBC
Pay by Check
This option is not recommended and should be used only for
exceptions.
This element contains a code identifying the payment format to be used. This
element is mandatory if one of the codes below applies:
Valid Codes:
CTX
Corporate Trade Exchange (CTX) (ACH)
CCP
Cash Concentration/Disbursement plus addenda (CCD+) (ACH)
CCD
Cash Concentration/Disbursement (CCD) (ACH)
PBC
Commercial/Corporate Check
If BPR04 is PBC, the valid BPR05 payment format code is PBC.
If BPR04 is ACH, the valid BPR05 payment format codes are CTX, CCP, or CCD.
If BPR04 is not any of the above, omit this data element.
BPR06 through BPR09 relate to the Originating Financial Institution (ODFI) and account.
When using this transaction set to initiate a payment, all or some of BPR06 through
BPR16 may be required depending on the conventions of the specific payment
mechanisms being used and the arrangements with the originating financial
institutions.
96
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
BPR06
This element contains a code identifying the type of identification number of the
Depository Financial Institution (DFI). BPR06 refers to the originating financial
institution
Valid Codes:
01
ABA Routing Transit Number including Check Digit (9 digits)
03
CHIPS (3 or 4 digits)
BPR07
This element contains the Depository Financial Institution (DFI) identification
number. It is the originating financial institution identifier.
BPR08
This element contains a code identifying the type of bank account at the originating
financial institution. If "ACH" is used in BPR04, then one of the codes below must
be used.
Valid Codes:
DA
Demand Deposit
SG
Savings
BPR09
This element contains the originating company's account number.
BPR10
This element contains a unique identifier designating the company initiating the funds
transfer instructions. The first character is a one-digit ANSI identification code
designation (ICD) followed by a nine-digit identification number which may be an
IRS employer identification number (EIN). The ICD for an EIN is 1, followed by the
Mortgage Company Tax ID Number.
It is strongly recommended that this data element be used to identify the sender to the
receiver.
BPR11
This element contains a code defined between the originating company and the
Originating Depository Financial Institution (ODFI) that uniquely identifies the
company initiating the transfer instructions. If used, this element contains the
Mortgage Company Branch Number.
BPR12 through BPR15 relate to the Receiving Financial Institution (RDFI) and account
and are required for EFT.
BPR12
This element contains a code identifying the type of identification number of the
Depository Financial Institution (DFI). BPR12 refers to the receiving financial
institution.
97
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
Valid Codes:
01
ABA Transit Routing Number including Check Digit (9 digits)
03
CHIPS (3 or 4 digits)
BPR13
This element contains the Depository Financial Institution (DFI) identification
number. It is the receiving financial institution identifier.
BPR14
This element contains a code identifying the type of bank account at the receiving
financial institution. If "ACH" is used in BPR04, then one of the codes below must
be used.
Valid Codes:
DA
Demand Deposit
SG
Savings
BPR15
This element contains the receiver's account number.
BPR16
This element contains the date the originating company intends for the transaction to
be settled.
For ACH payments:
(A)
For credits: the date the originating company (the payer) intends to
provide good funds to the receiving company (the payee).
(B)
For debits: the date the originating company (the payee) intends to
receive good funds from the receiving company (the payer).
For check payments: the check issuance date.
For Fed wire payments: the date the originating company (the payer) intends to
provide good funds to the receiving company (the payee).
BPR17
This element contains a code identifying the business reason for this payment. This
element should be coded "VEN" to indicate that this 820 is a vendor payment.
Example:
BPR*C*3700.12*C*ACH*CTX*01*021000021*DA*123456*987654321*003001002*01*020000
21*DA*654321*071215*VEN(NL)
98
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: TRN - Trace
Level:
Heading
Loop:
Usage:
Optional
Max Use:
1
Purpose:
To uniquely identify a transaction to an application.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
TRN01
481
Trace Type Code
M
M ID 01/02
TRN02
127
Reference Number
M
M/Z AN 01/30
TRN03
509
Originating Company Identifier
M
O/Z AN 10/10
TRN04
127
Reference Number
O
O/Z AN 01/30
Mortgagee Payment Usage Notes
This segment is mandatory. It contains information identifying this payment order/remittance
advice transaction.
TRN01
This element contains a code identifying which transaction is being referenced. This
element should be coded "1" indicating that this is the trace segment for this
transaction.
TRN02
This element contains a reference number or identification number as defined for a
particular Transaction Set, or as specified by the Reference Number Qualifier.
This element contains the reference number that identifies this Payment
Order/Remittance Advice. This number should be unique within a sender/receiver
relationship and assigned by the originator's application if possible. If payment and
remittance are split, this number can be used for reassociation.
99
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
TRN03
This element contains a unique identifier designating the company initiating the funds
transfer instructions. The first character is a one-digit ANSI identification code
designation (ICD) followed by a nine-digit identification number which may be an
IRS employer identification number (EIN). The ICD for an EIN is 1, followed by the
Mortgage Company Tax ID Number.
TRN03 and BPR10 should be identical.
TRN04
This element contains a reference number or identification number as defined for a
particular Transaction Set or as specified by the Reference Number Qualifier. This
element uniquely identifies a subdivision within a company. If used, this element
contains the Mortgage Company Branch Number.
TRN04 and BPR11 should be identical.
Example:
TRN*1*7766554421*1987654321*003001002(NL)
100
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: REF - Reference Numbers
Level:
Heading
Loop:
Usage:
Optional
Max Use:
>1
Purpose:
To specify identifying numbers.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
REF01
128
Reference Number Qualifier
M
M ID 02/02
REF02
127
Reference Number
M
X AN 01/30
REF03
352
Description
NU
X AN 01/80
Mortgagee Payment Usage Notes
This segment occurs once.
REF01
This element should be coded "IV", indicating that the following REF02 contains an
Invoice Number.
REF02
This element will contain the Invoice number. This should be the same value as the
BIG02 data element which contains the invoice number assigned to the 811
transaction.
Example:
REF*IV*99237034(NL)
101
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: DTM - Date/Time Reference
Level:
Heading
Loop:
Usage:
Optional
Max Use:
>1
Purpose:
To specify pertinent dates and times.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
DTM01
374
Date/Time Qualifier
M
M ID 03/03
DTM02
373
Date
M
X DT 06/06
DTM03
337
Time
NU
X TM 04/06
DTM04
623
Time Code
NU
O ID 02/02
DTM05
624
Century
O
O N0 02/02
Mortgagee Payment Usage Notes
This segment appears 3 times, all occurrences are required. It contains the Billing Cycle Date of
the 811, the Remittance Due Date, and the Process Date generated by the sender.
Occurrence 1:
DTM01
This element should be coded as "003", indicating the following date is the Invoice
Date.
DTM02
This element will contain the billing cycle date of the 811, BIG01 data element in
YYMMDD format.
DTM05
Optional. If used, this element contains the century of the invoice date.
102
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
Occurrence 2:
DTM01
This element should be coded as "013", indicating that the following date is the
Due Date.
DTM02
This element will contain the due date for the policies billed.
DTM05
Optional. If used, this element contains the century of the due date for the policies
billed.
Occurrence 3:
DTM01
This element should be coded as "009", indicating that the following date is the
Process Date.
DTM02
This element will contain the process date generated by the sender.
DTM05
Optional. If used, this element contains the century of the process date generated by
the sender.
Example:
DTM*003*070125***20(NL)
DTM*013*071103***20(NL)
DTM*009*071214***20(NL)
103
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N1 - Name
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To identify a party by type of organization, name and code.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
098
Entity ID Code
M
M ID 02/02
N102
093
Name
O
X AN 01/35
N103
066
Identification Code Qualifier
M
X ID 01/02
N104
067
Identification Code
M
X AN 02/17
Mortgagee Payment Usage Notes
At least two N1 loops should be used for all payment methods to identify the payer and payee as
parties to the transaction. A third N1 loop used to convey information related to service bureaus
is optional.
Occurrence 1:
N101
This element should be coded as "PR", indicating the entity identified by the N1
segment is the Payer.
N102
Optional. If used, this element will contain the mortgage company (payer) name.
N103
This element should be assigned the value of "FI", indicating the next element is
the mortgage company's "Federal Tax ID Number".
N104
This element contains the mortgage company's tax ID number.
Example:
N1*PR*THE MORTGAGE CORP*FI*7422222(NL)
104
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify additional names or those longer than 35 characters in length.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
093
Name
O
M AN 01/35
N202
093
Name
O
O AN 01/35
Mortgagee Payment Usage Notes
Occurrence 1:
This segment is optional. If used, it contains the mortgage company (payer) name in the N1
segment which may need to be expanded for length.
N201
If used, this element should contain additional name information that would not fit in
the N1 segment.
N202
If used, this element should contain additional name information that would not fit in
N201.
Example:
The use of this field should not be necessary. Tax Identification Number (TIN) in N104 should
be sufficient to identify the payer. Therefore, no example is given.
105
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N3 - Address Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify the location of a named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address Information
O
M AN 01/35
N302
166
Address Information
O
O AN 01/35
Mortgagee Payment Usage Notes
Occurrence 1:
This segment is optional.
N301
If used, this element contains the first 35 characters of the address of the mortgage
company (payer).
N302
If used, this element should contain address information that would not fit in N301.
Example:
The use of this field should not be necessary. Tax Identification Number (TIN) in N104 should
be sufficient to identify the payer. Therefore, no example is given.
106
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N4 - Geographic Location
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
O
X AN 02/30
N402
156
State/Prov. Code
O
O ID 02/02
N403
116
Postal Code
O
O ID 03/09
N404
026
Country Code
O
O ID 02/03
N405
309
Location Qualifier
O
X ID 01/02
N406
310
Location Identifier
O
X AN 01/25
Mortgagee Payment Usage Notes
Occurrence 1:
This segment is optional for the first occurrence of the N1 loop containing payer information.
N401
Optional. If used, it contains the mortgage company (payer) city name.
N402
Optional. If used, it contains the mortgage company (payer) state or province name.
N403
Optional. If used, it contains the mortgage company (payer) postal code. The
extended nine-digit zip code must not include punctuation (hyphenation).
N404
Optional. If used, this element contains a code identifying the country.
N405
If used, this element should be coded "RJ" to indicate the following location ID will
be the branch or regional office of the mortgage company.
107
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
N406
If used, this element contains the mortgage company branch/region (payer)
identification number.
Example:
N4*****RJ*01(NL)
108
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: PER - Administrative Communications Contact
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To identify a person or office to whom administrative communications should be
directed.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
PER01
366
Contact Function Code
O
M ID 02/02
PER02
93
Name
O
O AN 01/35
PER03
365
Communication Number Qualifier
O
X ID 02/02
PER04
364
Communication Number
O
X AN 01/25
PER05
365
Communication Number Qualifier
NU
X ID 02/02
PER06
364
Communication Number
NU
X AN 01/25
Mortgagee Payment Usage Notes
This segment is optional. If used, it identifies administrative contacts.
Occurrence 1:
If used, this PER segment would contain information related to the first occurrence of the N1
loop - mortgage company (payer) loop.
PER01
If used, this element should be coded as one of the following:
"AD" - Indicating the contact is the Accounting Department.
"AR" - Indicating the contact is the Accounts Receivable Department.
"EA" - Indicating the contact is the EDI Coordinator.
109
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
PER02
If used, this element should contain the name of the person to be contacted for trading
partner communication.
PER03
If used, this element should be coded as "TE", to indicate the communication number
will be a telephone number.
PER04
If used, this element should contain the telephone number of the communication
contact listed in PER02.
Example:
PER*AD*JOHN DOE*TE*5124984051(N/L)
110
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N1 - Name
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To identify a party by type of organization, name and code.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
098
Entity ID Code
M
M ID 02/02
N102
093
Name
O
X AN 01/35
N103
066
Identification Code Qualifier
M
X ID 01/02
N104
067
Identification Code
M
X AN 02/17
Mortgagee Payment Usage Notes
At least two N1 loops should be used for all payment methods to identify the payer and payee as
parties to the transaction. A third N1 loop used to convey information related to service bureaus
is optional.
Occurrence 2:
N101
This element should be coded as "PE", indicating the entity identified by the N1
segment is the Payee.
N102
If used, this element will contain the insurance company (payee) name.
N103
This element should be assigned the value of "FI", indicating the next element is the
insurance company "Federal Tax ID Number".
N104
This element contains the tax ID number of the insurance company.
Example:
N1*PE*THE INSURANCE COMPANY*FI*742222109(NL)
111
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify additional names or those longer than 35 characters in length.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
093
Name
O
M AN 01/35
N202
093
Name
O
O AN 01/35
Mortgagee Payment Usage Notes
Occurrence 2:
This segment is optional. If used, it contains the insurance company (payee) name in the N1
segment which may need to be expanded for length.
N201
If used, this element should contain additional name information that would not fit in
the N1 segment.
N202
If used, this element should contain additional name information that would not fit in
N201.
Example:
The use of this field should not be necessary. Tax Identification Number (TIN) in N104 should
be sufficient to identify the payee. Therefore, no example is given.
112
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N3 - Address Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify the location of a named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address Information
O
M AN 01/35
N302
166
Address Information
O
O AN 01/35
Mortgagee Payment Usage Notes
Occurrence 2:
This segment is optional.
N301
If used, this element contains the first 35 characters of the address of the insurance
company (payee).
N302
If used, this element should contain address information that would not fit in N301.
Example:
The use of this field should not be necessary. Tax Identification Number (TIN) in N104 should
be sufficient to identify the payee. Therefore, no example is given.
113
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N4 - Geographic Location
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
O
X AN 02/30
N402
156
State/Prov. Code
O
O ID 02/02
N403
116
Postal Code
O
O ID 03/09
N404
026
Country Code
O
O ID 02/03
N405
309
Location Qualifier
NU
X ID 01/02
N406
310
Location Identifier
NU
X AN 01/25
Mortgagee Payment Usage Notes
Occurrence 2:
This segment is optional.
N401
If used, it contains the insurance company (payee) city name.
N402
If used, it contains the insurance company (payee) state or province name.
N403
If used, it contains the insurance company (payee) postal code. The extended ninedigit zip code must not include punctuation (hyphenation).
N404
If used, this element contains a code identifying the country.
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Example:
N4*CITY NAME(NL)
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Segment: REF - Reference Numbers
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
12
Purpose:
To specify identifying numbers.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
REF01
128
Reference Number Qualifier
O
M ID 02/02
REF02
127
Reference Number
O
X AN 01/30
REF03
352
Description
NU
X AN 01/80
Mortgagee Payment Usage Notes
Occurrence 2:
This REF segment is optional. If used, it contains information related to the second occurrence
of the N1 loop - insurance company (payee) loop.
REF01
If used, this element should be coded "BF", indicating that the following REF02
contains a Billing Center Number for the insurance company (payee).
REF02
If used, this element will contain the Branch or Billing Center Number for the
insurance company (payee).
Example:
REF*BF*01(NL)
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Segment: PER - Administrative Communications Contact
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To identify a person or office to whom administrative communications should be
directed.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrt
Req.
ANSI X12
Attributes
PER01
366
Contact Function Code
O
M ID 02/02
PER02
93
Name
O
O AN 01/35
PER03
365
Communication Number Qualifier
O
X ID 02/02
PER04
364
Communication Number
O
X AN 01/25
PER05
365
Communication Number Qualifier
NU
X ID 02/02
PER06
364
Communication Number
NU
X AN 01/25
Mortgagee Payment Usage Notes
This segment is optional. If used, it identifies administrative contacts.
Occurrence 2:
If used, this PER segment would contain information related to the second occurrence of the N1
loop - insurance company (payee) loop.
PER01
If used, this element should be coded as one of the following:
"AD" - Indicating the contact is the Accounting Department.
"AR" - Indicating the contact is the Accounts Receivable Department.
"EA" - Indicating the contact is the EDI Coordinator.
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
PER02
If used, this element should contain the name of the person to be contacted for
trading partner communication.
PER03
If used, this element should be coded as "TE", to indicate the communication
number will be a telephone number.
PER04
If used, this element should contain the telephone number of the communication
contact listed in the preceding PER02 element.
Example:
PER*AD*JOHN DOE*TE*5124984051(N/L)
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Segment: N1 - Name
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To identify a party by type of organization, name and code.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
098
Entity ID Code
X
M ID 02/02
N102
093
Name
O
X AN 01/35
N103
066
Identification Code Qualifier
X
X ID 01/02
N104
067
Identification Code
X
X AN 02/17
Mortgagee Payment Usage Notes
The third N1 loop is conditional. If present, it is used to convey information related to service
bureaus.
Occurrence 3:
N101
If used, this element should be coded as "SQ", indicating the entity identified by the
N1 segment is the Service Bureau.
N102
If used, this element will contain the name of the service bureau providing the
insurance data.
N103
If used, this element should be assigned the value of "FI", indicating the next element
is the service bureau "Federal Tax ID Number".
N104
If used, this element contains the tax ID number of the service bureau.
Example:
N1*SQ*SERVICE BUREAU COMPANY*FI*572982961(NL)
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify additional names or those longer than 35 characters in length.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
093
Name
O
M AN 01/35
N202
093
Name
O
O AN 01/35
Mortgagee Payment Usage Notes
Occurrence 3:
The third N1 loop is conditional. If present, it is used to convey information related to service
bureaus.
This segment is optional. If used, it contains the service bureau name in the N1 segment which
may need to be expanded for length.
N201
If used, this element should contain additional name information that would not fit in
the N1 segment.
N202
If used, this element should contain additional name information that would not fit in
N201.
Example:
The use of this field should not be necessary. Tax Identification Number (TIN) in N104 should
be sufficient to identify the service bureau. Therefore, no example is given.
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Segment: N3 - Address Information
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify the location of a named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address Information
O
M AN 01/35
N302
166
Address Information
O
O AN 01/35
Mortgagee Payment Usage Notes
The third N1 loop is optional and is used to convey information related to service bureaus.
Occurrence 3:
N301
If used, this element contains the first 35 characters of the address of the service
bureau.
N302
If used, this element may be used if the address specified in element N301 is longer
than 35 characters.
Example:
The use of this field should not be necessary. Tax Identification Number (TIN) in N104 should
be sufficient to identify the service bureau. Therefore, no example is given.
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Segment: N4 - Geographic Location
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
O
X AN 02/30
N402
156
State/Prov. Code
O
O ID 02/02
N403
116
Postal Code
O
O ID 03/09
N404
026
Country Code
O
O ID 02/03
N405
309
Location Qualifier
O
X ID 01/02
N406
310
Location Identifier
O
X AN 01/25
Mortgagee Payment Usage Notes
The third N1 loop is conditional. It is used to convey information related to service bureaus.
Occurrence 3:
N401
If used, this element contains the service bureau city name.
N402
If used, this element contains the service bureau state or province name.
N403
If used, this element contains the service bureau postal code. The extended nine-digit
zip code must not include punctuation (hyphenation).
N404
If used, this element contains a code identifying the country..
N405
If used, this element should be coded "RJ", indicating the following location ID will
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
be the branch or regional office of the service bureau.
Mortgagee Payment Usage Notes:
N406
If used, this element contains a code which identifies a specific location of the service
bureau.
Example:
N4*****RJ*01(NL)
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: PER - Administrative Communications Contact
Level:
Heading
Loop:
N1
Usage:
Optional
Max Use:
>1
Purpose:
To identify a person or office to whom administrative communications should be
directed.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
PER01
366
Contact Function Code
O
M ID 02/02
PER02
93
Name
O
O AN 01/35
PER03
365
Communication Number Qualifier
O
X ID 02/02
PER04
364
Communication Number
O
X AN 01/25
PER05
365
Communication Number Qualifier
NU
X ID 02/02
PER06
364
Communication Number
NU
X AN 01/25
Mortgagee Payment Usage Notes
This segment is optional. If used, it identifies administrative contacts.
Occurrence 3:
If used, this PER segment would contain information related to the third occurrence of the N1
loop - service bureau loop.
PER01
If used, this element should be coded as one of the following:
"AD" - Indicating the contact is the Accounting Department.
"AR" - Indicating the contact is the Accounts Receivable Department.
"EA" - Indicating the contact is the EDI Coordinator.
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Mortgagee Payment Usage Notes
PER02
If used, this element should contain the name of the person to be contacted for trading
partner communication.
PER03
If used, this element should be coded as "TE", to indicate the communication number
will be a telephone number.
PER04
If used, this element should contain the telephone number of the communication
contact listed in the preceding PER02 element.
Example:
PER*AD*JOHN DOE*TE*5124984051(N/L)
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: ENT Entity
Level:
Detail
Loop:
ENT/Repeat: >1
Usage:
Optional (Mandatory if loop is present)
Max Use:
1
Purpose:
To designate the entities which are parties to a transaction and specify a reference
meaningful to those entities.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
ENT01
554
Assigned Number
M
O N0 01/06
ENT02
098
Entity Identifier Code
O
X ID 02/02
ENT03
066
Identification Code Qualifier
O
X ID 01/02
ENT04
067
Identification Code
O
X AN 02/17
ENT05
098
Entity Identifier Code
NU
X ID 02/02
ENT06
066
Identification Code Qualifier
NU
X ID 01/02
ENT07
067
Identification Code
NU
X AN 02/17
ENT08
128
Reference Number Qualifier
NU
X ID 02/02
ENT09
127
Reference Number
NU
X AN 01/30
Mortgagee Payment Usage Notes
The ENT loop is required. It provides detailed information about the policies. It appears once
per policy. It is used to describe policy payment information.
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
ENT01
This element contains a number assigned for differentiation within a transaction set.
The number is incremented for each occurrence of the ENT loop.
In a single/single relationship, the ENT01 must be used to satisfy X12 syntax but has
no special significance. No other data elements in the ENT segment need be used in
this case.
ENT02, ENT03, and ENT04 are used only when a corrected loan number is sent.
ENT02
If used, this element contains a code identifying an organizational entity or a
physical location. This element contains the originating company sub entity. This
element should be coded "MM" indicating Mortgage Company.
ENT03
If used, this element should be coded "CL" indicating that the following ENT04
contains a Corrected Loan Number.
ENT04
If used, this element will contain either a loan number or corrected loan number as
indicated by the value of the preceding ENT03 element.
Example:
ENT*1*ME*CL*99999999900001(NL)
127
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N1 - Name
Level:
Detail
Loop:
ENT/N1 Repeat: >1
Usage:
Optional
Max Use:
1
Purpose:
To identify a party by type of organization, name and code.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N101
098
Entity ID Code
O
M ID 02/02
N102
093
Name
O
X AN 01/35
N103
066
Identification Code Qualifier
NU
X ID 01/02
N104
067
Identification Code
NU
X AN 02/17
Mortgagee Payment Usage Notes
Name information is mandatory for inserted policies. This segment contains the name of the
insured.
N101
This element should be coded as "IL", indicating that the following name is that of
the insured.
N102
This element should contain the name of the insured. This name appears for reference
purposes only. The name should be formatted as follows: "LASTNAME,
FIRSTNAME".
Example:
N1*IL*DOE, JOHN(NL)
128
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N2 - Additional Name Information
Level:
Detail
Loop:
ENT/N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify additional names or those longer than 35 characters in length.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N201
093
Name
O
M AN 01/35
N202
093
Name
O
O AN 01/35
Mortgagee Payment Usage Notes
This segment is optional. If used, it contains additional name information for the insured.
N201
If used, this element should contain additional name information that would not fit in
N102.
N202
If used, this element should contain additional name information that would not fit in
N201.
129
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N3 - Address Information
Level:
Detail
Loop:
ENT/N1
Usage:
Optional
Max Use:
>1
Purpose:
To specify the location of a named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N301
166
Address Information
O
M AN 01/35
N302
166
Address Information
O
O AN 01/35
Mortgagee Payment Usage Notes
Address information is required on inserted policies. This segment contains the address of the
insured.
N301
This element should contain the first 35 characters of the address for the insured.
N302
This element contains additional address information for the insured.
Example:
N3*P O BOX 111111*RURAL ROUTE 1(NL)
130
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: N4 - Geographic Location
Level:
Detail
Loop:
ENT/N1
Usage:
Optional
Max Use:
1
Purpose:
To specify the geographic place of the named party.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
N401
019
City Name
O
X AN 02/30
N402
156
State/Prov. Code
O
O ID 02/02
N403
116
Postal Code
O
O ID 03/09
N404
026
Country Code
O
O ID 02/03
N405
309
Location Qualifier
NU
X ID 01/02
N406
310
Location Identifier
NU
X AN 01/25
Mortgagee Payment Usage Notes
Address information is required on inserted policies. This segment contains the insured's city,
state, and zip code.
N401
This element should contain the insured's city name.
N402
This element should contain the insured's state or province code.
N403
This element should contain the insured's zip code. The extended nine-digit zip code
must not include punctuation (hyphenation).
N404
If used, this element is used to indicate a country code other than the United States.
Example:
131
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
N4*SAN ANTONIO*TX*782131234(NL)
Segment: RMR - Remittance Advice
Level:
Detail
Loop:
ENT/RMR
Usage:
Optional
Max Use:
1
Purpose:
To specify the accounts receivable open item(s) to be included in the cash
application and to convey the appropriate detail.
Repeat: >1
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
RMR01
128
Reference Number Qualifier
M
X ID 02/02
RMR02
127
Reference Number
M
O AN 01/30
RMR03
482
Payment Action Code
NU
O ID 02/02
RMR04
782
Monetary Amount
M
O R 01/15
RMR05
777
Total Invoice or Credit/Debit Amount
M
O R 01/15
RMR06
780
Discount Amount Taken
NU
O R 01/15
Mortgagee Payment Usage Notes
This segment is required. The RMR loop is for open items being referenced or for payment on
account.
RMR01
This element should be coded as "IG", indicating that the following RMR02
contains an insurance policy number.
RMR02
This element should contain the policy number of the policy covering the insured
home/property.
RMR03
This element is not used.
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
RMR04
RMR05
This element should contain the amount being paid. Assuming no discrepancies,
this element is the net amount paid. Inclusive of discounts and adjustments (net
paid). RMR04 must be signed if negative. If the value is negative, it reduces the
BPR payment amount. If the value is positive, it increases the BPR payment
amount. The recommended value for this element is the term premium (including
taxes).
This element should contain the amount of the invoice (including charges, less
allowances) before terms discount (if discount is applicable) or debit amount or
credit amount of the referenced item. This element identifies the original or historic
value of the document.
Example:
RMR*IG*525720790A**600*600(NL)
133
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: REF - Reference Numbers
Level:
Detail
Loop:
ENT/RMR Repeat: >1
Usage:
Optional
Max Use:
>1
Purpose:
To specify identifying numbers.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
REF01
128
Reference Number Qualifier
M
M ID 02/02
REF02
127
Reference Number
M
X AN 01/30
REF03
352
Description
NU
X AN 01/80
Mortgagee Payment Usage Notes
The segment is repeated up to three times for each RMR loop. The REF segments contain
information identifying the account number of the policy, the insuring company's NAIC
identification code and line of business.
Occurrence 1:
This occurrence of the REF segment is required.
REF01
This element should be coded as "NF", indicating that the following REF02 contains
the National Association of Insurance Commissioners (NAIC) Code of the insuring
company.
REF02
This element should be coded as the insuring company's NAIC identification code.
Occurrence 2:
This occurrence of the REF segment is optional.
REF01
If used, this element should be coded as "TV", indicating that the following REF02
contains a "line of business" code.
134
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes
REF02
If used, this element should be coded from the ACORD appendix to designate line of
business.
Occurrence 3:
This occurrence of the REF segment is optional.
REF01
If used, this element should be coded as "32", indicating account number.
REF02
If used, this element should contain the account number of the policy.
Example:
REF*NF*99902(NL)
REF*TV*HOME(NL
REF*32*5257207(NL)
135
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: DTM - Date/Time Reference
Level:
Detail
Loop:
ENT/RMR Repeat: >1
Usage:
Optional
Max Use:
>1
Purpose:
To specify pertinent dates and times.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
DTM01
374
Date/Time Qualifier
M
M ID 03/03
DTM02
373
Date
M
X DT 06/06
DTM03
337
Time
NU
X TM 04/06
DTM04
623
Time Code
NU
O ID 02/02
DTM05
624
Century
O
O N0 02/02
Mortgagee Payment Usage Notes
This segment appears two times, both occurrences are required. It contains the policy effective
and expiration dates.
Occurrence 1:
DTM01
This element should be coded as "007", indicating the following date is the policy
effective date.
DTM02
This element will contain the effective date of the policy in YYMMDD format.
DTM05
If used, this element contains the century of the policy effective date. The first two
characters in the designation of the year (CCYY).
136
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Mortgagee Payment Usage Notes:
Occurrence 2:
DTM01
This element should be coded as "036", indicating the following date is the policy
expiration date.
DTM02
This element will contain the expiration date of the policy in YYMMDD format.
DTM05
If used, this element contains the century of the policy expiration date. The first two
characters in the designation of the year (CCYY).
Example:
DTM*007*071205***20(NL)
DTM*036*071205***20(NL)
137
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: ADX - Adjustment
Level:
Detail
Loop:
ENT/RMR/ADX Repeat: >1
Usage:
Optional
Max Use:
1
Purpose:
To convey accounts payable adjustment for the purpose of cash application,
including payer-generated debit/credit memos.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
ADX01
782
Monetary Amount
M
M R 01/15
ADX02
426
Adjustment Reason code
M
M ID 02/02
ADX03
128
Reference Number Qualifier
NU
X ID 02/02
ADX04
127
Reference Number
NU
O AN 01/30
Mortgagee Payment Usage Notes
This segment is required if the amount paid is different than the amount invoiced. Loop ADX
within the RMR loop is the adjustment loop for the remittance detail in this payment. This
adjustment loop can only contain adjustment information for the previous RMR segment and
affects the amount (RMR04) calculation (RMR04 = RMR05 - ADX01). The interrelationship
between the RMR and ADX segments are further illustrated in Appendix D.
ADX01
This element contains the amount of the adjustment.
ADX02
This element contains a reason for credit memo, or to invoice credit memo, or
payment.
138
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Mortgagee Payment Usage Notes
Valid Codes:
H1
Information Forthcoming
Awaiting paper correspondence with associated details.
H2
Payment Previously Sent
Payee received compensation at a prior time.
H3
Loan Paid in Full
Mortgage company no longer has interest in property/loan is paid-up.
H4
Bill Insured
Non-escrowed policy, collect premium directly from policyholder.
H5
Loan Service Released
Mortgage companies, servicing rights to a loan were sold to another
company; therefore the mortgage company no longer has an interest in the
property
H6
Partial Payment Remitted
Total compensation was not sent
H7
Payment Forthcoming
Total compensation will be sent in the future
H8
Bill Mortgagee
The mortgage company is informing the insurance company that they are
escrowing for a policy that the insurance company indicated as nonescrow.
H9
Coverage Summary Needed
The mortgage company is informing the insurance company that coverage
information was not provided with the renewal notification
K1
Other Coverage Placed
An indication that the insured has obtained permanent insurance from a
firm other than the one that is currently billing
K2
Invalid Policy Number
The lender was not able to identify policy for which a notification was
received
K3
Renewal Not Received
The mortgage company is informing the insurance company that they
have a loan with an expiring policy for which a renewal notification was
not received. This exception code is strictly governed by trading
partner approval.
139
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Example:
ADX*600*H4(NL)
140
August 1, 2007
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Segment: SE - Transaction Set Trailer
Level:
Trailer
Loop:
Usage:
Mandatory
Max Use:
1
Purpose:
To indicate the end of a transaction set and to provide a count of the transmitted
segments.
Data Element Summary
Seq. No.
Ref.
No.
ANSI X12 Name
Mrtg
Req.
ANSI X12
Attributes
SE01
096
Number of Included Segments
M
M N0 01/06
SE02
329
Transaction Set Control Number
M
M AN 04/09
Mortgagee Payment Usage Notes
SE01
Number of included segments.
SE02
This element contains the control number assigned by the originating company for
each Payment Order/Remittance Advice in a functional group. Typically, this is a
software assigned number and it must be the same as the number in the ST02
element.
Example:
SE*000076*0002(NL)
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Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
Appendix A: Payment Alternatives
The movement of the remittance advice and payment order information can be accomplished in
many different ways. The remittance information may travel with the payment information as
one transaction, or may be split and travel as two separate transactions. The major advantage of
the information traveling together is that once the information is received by the mortgage
company, it does not have to be re-associated. This re-association (or matching the payment
with the remittance advice) can be costly to the receiver, add another level of complexity to the
process, and introduces another area for potential errors. For these reasons, having the payment
information and remittance information travel together is the preferred method.
Movement of the payment and remittance information in a single transaction can be
accomplished by sending a CTX transaction through the Automated Clearing House Association
(ACH) network. A second alternative is to split the payment and remittance information,
sending the payment through the ACH in either a CCD or CCD plus format and sending the
remittance information to the insurance company either directly or through a Value Added
Network (VAN). A third alternative is to make the payment using a wire transfer, such as a
Fedwire, and send the remittance information to the insurance company either directly or through
a VAN. The cost of a wire is many times higher than the cost of an ACH transaction (dollars
compared to pennies). While there are other options as to how to exchange the payment and
remittance information, these three are the preferred alternatives and are listed in order of
preference.
Definitions of the different types of transactions are as follows:
CTX - Corporate Trade Exchange: This format incorporates the strengths of both the ACH
fixed record format and the variable length record format of ANSI ASC X12. The actual
payment instructions are contained in the ACH portion of the transaction (the Company Batch
Header Record, the 5 record and the Entry Detail Record, the 6 record). The remittance
information is contained in the Addenda Records (the 7 records) in their native X12 format.
CCD+ - Cash Concentration or Disbursement Plus: This format allows for the movement of
fund with the added feature of up to 80 characters of supporting remittance information can be
included in a single Addenda Record (the 7 record). This information is in X12 formatted
segments or other ACH approved formats. The addenda information can be used to pass either
limited invoice information, or an application generated trace number that will exist both in the
CCD + transaction and in the remittance information in order to facilitate re-associating the
payment and remittance information by the receiver. The later use of CCD + is preferred.
CCD - Cash Concentration or Disbursement: This format allows for the movement of funds
and includes no supporting remittance information.
Fedwire Transactions: In creating a Fedwire transaction, a reference number and the
Mortgagee TIN and Branch Number needs to be passed in both the Fedwire payment and the
remittance advice in order to facilitate the re-association of these items. The TRN segment in the
820 transaction set accomplishes this. The reference number field (TRN02) should be passed in
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the Fedwire transaction in the RFB field (Reference for the Beneficiary). This field is variable in
length, with a maximum of 20 characters (including the tag RFB=). In addition, the Mortgagee
TIN and Branch Number should also be transmitted in the Fedwire. The OBI (Originator to
Beneficiary Information) field should be used. This field is variable in length and should be
formatted as follows: OBI=nnnnnnnnn; or OBI=nnnnnnnnn:bbb ("nnnnnnnnn" is the mortgagee
TIN and "bbb" is the Branch Number). For additional information on the Fedwire formats,
please consult your financial institution.
The following sections provide details on how the ACH and Wire transactions should be
formatted. The information is not intended to be complete, it contains only the information that
is specific to the payment of insurance premiums. For additional information on the ACH and
Fedwire formats, consult you financial institution.
Field Inclusion Requirements
The information below defines the need for including certain data fields in ACH entries.
For ACH processing:
M = Mandatory
A Mandatory field is necessary to ensure the proper routing and/or posting
of an ACH entry. Any mandatory field not included in an ACH record
will cause that entry, batch, or file to be rejected by the ACH Operator. A
rejected entry will be returned to the Originating Depository Financial
Institution (ODFI) by the ACH Operator. A rejected batch or rejected file
will be reported to the ODFI or Sending Point by the ACH Operator.
R = Required
A Required field contains data which should be included by the Originator
and ODFI to avoid processing and control problems at the Receiving
Depository Financial Institution (RDFI). The omission of a required field
will not cause an entry reject at the ACH Operator, but may cause a reject
at the RDFI. An example is the DFI Account Number field in the Entry
Detail Record. If this field is omitted by an ODFI, the RDFI may return
the entry as non postable.
O = Optional
The inclusion or omission of an Optional data field is at the discretion of
the Originator and ODFI. However, if a DFI does originate files using
optional data fields, these fields must be returned to the ODFI if the entry
is returned.
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CTX - Company Batch Header Record
FIELD
1
DATA
ELEMENT
NAME
2
3
4
5
RECORD SERVICE
COMPANY
TYPE
CLASS COMPANY DISCRETION COMPANY
NAME
ID
CODE
CODE
DATA
6
7
STANDARD
ENTRY
COMPANY
ENTRY
CLASS
CODE
DESCRIPT
8
9
COMPANY
DESCRIPT
DATE
EFFECT
ENTRY
DATE
10
11
SETTLE ORIGINATOR
DATE
STATUS
(JULIAN)
CODE
13
ORIGIN
DFI
ID
BATCH
NUMBER
M
M
FIELD
INCLUSION
REQUIREMENT
M
M
M
O
M
M
M
CONTENTS
'5'
Numeric
Alphameric
Alphameric
Alphameric
Alphameric
Alphameric
LENGTH
1
3
16
20
10
3
10
6
6
3
1
8
7
POSITION
01-01
02-04
05-20
21-40
41-50
51-53
54-63
64-69
70-75
76-78
79-79
80-87
88-94
O
R
Inserted by
Operator
ACH
12
Alphameric YYMMDD Numeric
M
Alphameric
TTTTAAAA Numeric
Field 01 - Record Type
Identifies record type, "5" = company/batch header.
Field 02 - Service Class Code
Identifies the general classification of dollar entries to be exchanged.
"200" - ACH Entries Mixed Debits and Credits
"220" - ACH Credits Only
Field 03 - Company Name
The value of this fields is established by the originator for purposes of further identifying the source of the entry, and for descriptive purposes for the receiver.
Field 04 - Company Discretionary Data
This field allows originators and/or ODFIs to include codes of significance only to them.
Field 04 - Company Discretionary Data
This field allows originators and/or ODFIs to include codes of significance only to them.
Field 05 - Company Identification
Originators are identified by a unique identification number. ANSI one-digit identification code designators (ICD) are used, followed by the nine-digit identification number. The ICD
codes are:
"1" - IRS Employer Identification Number (EIN)
"3" - Data Universal Number Systems (DUNS)
"9" - User Assigned Number
The first digit is always the ICD followed by the appropriate nine-digit alphanumeric code.
Field 06 - Standard Entry Class Code
Identifies the type of transactions. "CTX" = Corporate Trade Exchange
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Field 07 - Company Entry Description
The originator establishes the value of this field to provide a description of the purpose of the entry. For example, "INSUR PYMT".
Field 08 - Company Descriptive Date
Established by originator, a date can be used for descriptive purposes.
Field 09 - Effective Entry Date
This is the date specified by the originator on which it intends the batch of entries to be settled.
Field 10 - Settlement Date
This date is in Julian format, and is the settlement date for the batch of entries. This should be inserted by the Receiving ACH.
Field 11 - Originator Status Code
This code refers to the ODFI initiating the entry. The values are as follows:
"1" - Identifies the originator as a depository financial institution
"2" - Identifies the originator as a federal government entity or agency
Field 12 - Originating DFI Identification
This is the transit/routing number of the depository financial institution originating the entries.
Field 13 - Batch Number
This is assigned in ascending sequence to each batch by the sending point within a file.
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CTX - Corporate Entry Detail Record
FIELD
1
DATA
ELEMENT
NAME
2
3
RECORD
RECEIVING
TYPE TRANS
DFI
CODE
CODE
ID
FIELD
INCLUSION
REQUIREMENT
M
CONTENTS
'6'
M
M
Numeric TTTTAAAA
4
5
6
7
8
9
10
11
12
13
CHECK
DIGIT
DFI
ACCOUNT
NUMBER
TOTAL
AMOUNT
M
R
M
O
M
R
N/A
O
M
M
Numeric
Alphameric
$$$$$$$$cc
Alphameric
Numeric
Alphameric
Blank
Alphameric
Numeric
Numeric
SENDING NUMBER RECEIVING
COMPANY
OF
COMPANY
ADDENDA
DISCRETION RECORD
TRACE
AUDIT ADDENDA NAME/ID
DATA
NUMBER RECORDS NUMBER RESERVED
INDICATOR NUMBER
LENGTH
1
2
8
1
17
10
15
4
16
2
2
1
15
POSITION
01-01
02-03
04-11
12-12
13-29
30-39
40-54
55-58
59-74
75-76
77-78
79-79
80-94
Field 01 - Record Type
Identifies record type, "6" = entry detail record
Field 02 - Transaction Code
This identifies the type of transaction. The following values are possible:
"22" - Demand (checking) credit automated deposit
"23" - Demand credit prenotification
"24" - Demand credit zero dollar transaction with remittance data
"32" - Savings credit automated deposit
"33" - Savings credit prenotification
"34" - Savings credit zero dollar transaction with remittance data
Field 03 - Receiving DFI Identification
This is the transit/routing number used to identify the receiving DFI. This does not include the check digit.
Field 04 - Check Digit
The check digit is computed on the DFI identification (routing/transit 8 digit number) using Modulus 10 as follows (or this check digit can be obtained from your DFI):
1)Multiply each digit in the transit/routing number by a weighting factor. The weighting factors for each digit are:
Position:12345678
Weights:37137137
2)Add the results of the eight multiplications.
3)Subtract the sum from the next highest multiple of 10. The result is the check digit.
Example:
Transit number:
0 7 6 4 0 1 2 5
Multiply by:
3 7 1 3 7 1 3 7
Sum:
0 49 6 12 0 1 6 35 = 109
Check Digit = 1 (110 minus 109)
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Field 05 - DFI Account Number
This is the bank account number at the receiving DFI of the receiver of the transaction.
Field 06 - Total Amount
This is the amount of the transaction. A zero amount is acceptable only with specific transaction codes (zero dollar and prenotes).
Field 07 - Sending Company Audit Number
This field may be used by the originator to insert their own number for tracing purposes.
Field 08 - Number of Addenda Records
This number represents the number of addenda records associated with the corporate entry detail record (6 record).
Field 09 - Receiving Company Name/Id Number
This field identifies the receiver and can be used for descriptive purposes. The field may contain the receiving company's name or an identifying number for the company.
Field 10 - Reserved
Reserved for future use.
Field 11 - Discretionary Data
This field allows ODFIs to include codes, of significance only to them, to enable specialized handling of the entry.
Field 12 - Addenda Record Indicator
This field indicates the existence of an addenda record. A value of "1" indicates that one or more addenda records follow, and "0" means no such record is present. In a CTX transaction
there can be many addenda records (up to 9999).
Field 13 - Trace Number
A trace number is assigned by the ODFI in ascending sequence. Trace numbers uniquely identify each entry within a batch.
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CTX - Addenda Record
FIELD
1
2
3
4
5
RECORD
TYPE
CODE
ADDENDA TYPE
CODE
PAYMENT RELATED INFORMATION
ADDENDA SEQUENCE NUMBER
ENTRY DETAIL SEQUENCE
NUMBER
FIELD
INCLUSION
REQUIREMENT
M
M
M
M
M
CONTENTS
'7'
'05'
Alphameric
Numeric
Numeric
LENGTH
1
2
80
4
7
POSITION
01-01
02-03
04-83
84-87
88-94
DATA
ELEMENT
NAME
Field 01 - Record Type
Identifies record type, "7" = addenda record
Field 02 - Addenda Type Code
This defines the format for the addenda information (field 3). The value should be "05" for CTX transactions.
Field 03 - Payment Related Information
This section allows for the transmission of information formatted in accordance with the syntax of ANSI ASC X12.4, X12.5, X12.6, and X12.85. Only the ASC X12 Interchange Control
Structures, Application Control Structure, and the 820 transaction set should be in the addenda in the Payment Related Information area of the addenda records. For CTX entries which use
multiple addenda, the addenda are, in effect, chained together with each succeeding addenda record carrying the next 80 characters of the message. That is, once the X12 transaction set is
constructed, it is divided into 80 character segments and inserted within the addenda records. Each X12 segment will immediately follow the preceding segment, no spaces should be
inserted.
Field 04 - Addenda Sequence Number
This number is consecutively assigned to each addenda record following an entry detail record.
Field 05 - Entry Detail Sequence Number
This field contains the ascending sequence number section of the entry detail trace number. This number is the same as the last seven digits of the trace number (field 13) of the related
entry detail record.
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CTX - Company/Batch Control Record
FIELD
1
DATA
ELEMENT
NAME
2
RECORD SERVICE
TYPE
CLASS
CODE
CODE
3
4
5
6
7
8
9
10
11
ENTRY/
TOTAL DEBIT TOTAL CREDIT
ORIGINATING
MESSAGE
ADDENDA ENTRY ENTRY DOLLAR ENTRY DOLLAR
COMPANY
AUTHENTICATION
DFI
BATCH
HASH
RESERVED IDENTIFICATION NUMBER
IDENTIFICATION
COUNT
AMOUNT
AMOUNT
CODE
FIELD
INCLUSION
REQUIREMENT
M
M
M
M
M
M
R
R
N/A
M
M
CONTENTS
'8'
Numeric
Numeric
Numeric
$$$$$$$$$$cc
$$$$$$$$$$cc
Alphameric
Alphameric
Blank
TTTTAAAA
Numeric
LENGTH
1
3
6
10
12
12
10
19
6
8
7
POSITION
01-01
02-04
05-10
11-20
21-32
33-44
45-54
55-73
74-79
80-87
88-94
Field 01 - Record Type
Identifies record type, "8" = company/batch control record
Field 02 - Service Class Code
Identifies the general classification of dollar entries to be exchanged.
"200" - ACH Entries Mixed Debits and Credits
"220" - ACH Credits Only
Field 03 - Entry/Addenda Count
This count is a tally of each Entry Detail Record (6 record) and each Addenda Record (7 record) within the batch.
Field 04 - Entry Hash
The receiving DFI identification in each Entry Detail Record (6 record) is hashed to provide a check against inadvertent alteration of data contents.
Field 05 - Total Debit Entry Dollar Amount
This field contains accumulated entry detail debit totals within the batch.
Field 06 - Total Credit Entry Dollar Amount
This field contains accumulated entry detail debit totals within the batch.
Field 07 - Company Identification
Originators are identified by a unique identification number. ANSI one-digit identification code designators (ICD) are used, followed by the nine-digit identification number. The ICD
codes are:
"1" - IRS Employer Identification Number (EIN)
"3" - Data Universal Number Systems (DUNS)
"9" - User Assigned Number
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The first digit is always the ICD followed by the appropriate nine-digit alphanumeric code. This must have the same value as in the company identification field of the company/batch
header record (5 record).
Field 08 - Message Authentication Code
This is an optional field. An eight character code derived from a special key used in conjunction with the DES algorithm can be used to validate the authenticity of the ACH entries. This
will be used based on trading partner agreements.
Field 09 - Reserved
This field is reserved for future use.
Field 10 - Originating DFI Identification
This is the transit/routing number of the depository financial institution originating the entries. This must have the same value as in the originating DFI identification field of the
Company/Batch Header Record (5 record).
Field 11 - Batch Number
This is assigned in ascending sequence to each batch by the sending point within a file. This must have the same value as in the batch number field of the Company/Batch Header Record (5
record).
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CCD Plus - Company Batch Header Record
FIELD
1
DATA
ELEMENT
NAME
2
3
4
5
RECORD SERVICE
COMPANY
TYPE
CLASS COMPANY DISCRETION COMPANY
CODE
CODE
NAME
DATA
ID
6
7
8
STANDARD
COMPANY COMPANY
ENTRY
ENTRY
DESCRIPT
CLASS
DESCRIPT
DATE
CODE
9
EFFECT
ENTRY
DATE
10
11
SETTLE ORIGINATOR
DATE
STATUS
(JULIAN)
CODE
12
13
ORIGIN
DFI
ID
BATCH
NUMBER
M
M
FIELD
INCLUSION
REQUIREMENT
M
M
M
O
M
M
M
CONTENTS
'5'
Numeric
Alphameric
Alphameric
Alphameric
Alphameric
Alphameric
LENGTH
1
3
16
20
10
3
10
6
6
3
1
8
7
POSITION
01-01
02-04
05-20
21-40
41-50
51-53
54-63
64-69
70-75
76-78
79-79
80-87
88-94
O
R
Inserted by
Operator
ACH
Alphameric YYMMDD Numeric
M
Alphameric
TTTTAAAA Numeric
Field 01 - Record Type
Identifies record type, "5" = company/batch header.
Field 02 - Service Class Code
Identifies the general classification of dollar entries to be exchanged.
"200" - ACH Entries Mixed Debits and Credits
"220" - ACH Credits Only
Field 03 - Company Name
The value of this fields is established by the originator for purposes of further identifying the source of the entry, and for descriptive purposes for the receiver.
Field 04 - Company Discretionary Data
This field allows originators and/or ODFIs to include codes of significance only to them.
Field 05 - Company Identification
Originators are identified by a unique identification number. ANSI one-digit identification code designators (ICD) are used, followed by the nine-digit identification number. The ICD
codes are:
"1" - IRS Employer Identification Number (EIN)
"3" - Data Universal Number Systems (DUNS)
"9" - User Assigned Number
The first digit is always the ICD followed by the appropriate nine-digit alphanumeric code.
Field 06 - Standard Entry Class Code
Identifies the type of transactions. CCD = Cash Concentration or Disbursement
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Field 07 - Company Entry Description
The originator establishes the value of this field to provide a description of the purpose of the entry. For example, "INSUR PYMT".
Field 08 - Company Descriptive Date
Established by originator, a date can be used for descriptive purposes.
Field 09 - Effective Entry Date
This is the date specified by the originator on which it intends the batch of entries to be settled.
Field 10 - Settlement Date
This date is in Julian format, and is the settlement date for the batch of entries. This should be inserted by the Receiving ACH.
Field 11 - Originator Status Code
This code refers to the ODFI initiating the entry. The values are as follows:
"1" - Identifies the originator as a depository financial institution
"2" - Identifies the originator as a federal government entity or agency
Field 12 - Originating DFI Identification
This is the transit/routing number of the depository financial institution originating the entries.
Field 13 - Batch Number
This is assigned in ascending sequence to each batch by the sending point within a file.
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CCD Plus - Entry Detail Record
FIELD
1
DATA
ELEMENT
NAME
2
3
4
5
RECORD
DFI
TYPE TRANSACTION RECEIVING DFI CHECK ACCOUNT
CODE
CODE
IDENTIFICATION DIGIT NUMBER
FIELD
INCLUSION
REQUIREMENT
M
M
M
CONTENTS
'6'
Numeric
TTTTAAAA
LENGTH
1
2
8
1
POSITION
01-01
02-03
04-11
12-12
M
R
6
AMOUNT
7
8
9
INDIVIDUAL
ADDENDA
IDENTIFICATION INDIVIDUAL DISCRETIONARY RECORD
NUMBER
NAME
DATA
INDICATOR
11
TRACE
NUMBER
M
O
R
O
M
M
$$$$$$$$cc
Alphameric
Alphameric
Alphameric
Numeric
Numeric
17
10
15
22
2
1
15
13-29
30-39
40-54
55-76
77-78
79-79
80-94
Numeric Alphameric
Field 01 - Record Type
Identifies record type, "6" = entry detail record
Field 02 - Transaction Code
This identifies the type of transaction. The following values are possible:
"22" - Demand (checking) credit automated deposit
"23" - Demand credit prenotification
"24" - Demand credit zero dollar transaction with remittance data
"32" - Savings credit automated deposit
"33" - Savings credit prenotification
"34" - Savings credit zero dollar transaction with remittance data
Field 03 - Receiving DFI Identification
This is the transit/routing number used to identify the receiving DFI. This does not include the check digit.
Field 04 - Check Digit
The check digit is computed on the DFI identification (routing/transit 8 digit number) using Modulus 10 as follows (or this check digit can be obtained from your DFI):
1) Multiply each digit in the transit/routing number by a weighting factor. The weighting factors for each digit are:
Position:12345678
Weights:37137137
2) Add the results of the eight multiplications.
3) Subtract the sum from the next highest multiple of 10. The result is the check digit.
Example:
Transit number: 0 7 6 4 0 1 2 5
Multiply by:
3 7 1 3 7 1 3 7
Sum:
0 49 6 12 0 1 6 35 = 109
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Check Digit = 1 (110 minus 109)
Field 05 - DFI Account Number
This is the bank account number at the receiving DFI of the receiver of the transaction.
Field 06 - Amount
This is the amount of the transaction. A zero amount is acceptable only with specific transaction codes (zero dollar and prenotes).
Field 07 - Individual Identification Number
This field contains the accounting number by which the receiver is known to the originator. It is included for further identification and for descriptive purposes.
Field 08 - Individual Name
This field entered by the originator provides additional identification for the receiver.
Field 09 - Discretionary Data
This field allows ODFIs to include codes, of significance only to them, to enable specialized handling of the entry.
Field 10 - Addenda Record Indicator
This field indicates the existence of an addenda record. A value of "1" indicates that one or more addenda records follow, and "0" means no such record is present. In a CCD transaction
there will be no addenda records. In a CCD + transaction there will be 1 addenda record.
Field 11 - Trace Number
A trace number is assigned by the ODFI in ascending sequence. Trace numbers uniquely identify each entry within a batch.
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CCD Plus - Addenda Record
FIELD
DATA
ELEMENT
NAME
1
2
3
4
5
RECORD
TYPE
CODE
ADDENDA TYPE
CODE
PAYMENT RELATED INFORMATION
SPECIAL ADDENDA SEQUENCE
NUMBER
ENTRY DETAIL SEQUENCE
NUMBER
FIELD
INCLUSION
REQUIREMENT
M
M
M
M
M
CONTENTS
'7'
'05'
Alphameric
Numeric
Numeric
LENGTH
1
2
80
4
7
POSITION
01-01
02-03
04-83
84-87
88-94
Field 01 - Record Type
Identifies record type, "7" = addenda record
Field 02 - Addenda Type Code
This defines the format for the addenda information (field 3). The value should be "05" for CCD + transactions.
Field 03 - Payment Related Information
This field must contain ANSI ASC X12.4 and X12.85 data segments or NACHA endorsed banking conventions. This field should contain a TRN segment as specified on page ???? of the
820 implementation guide. The TRN segment is used to facilitate re-associating the payment and remittance information when they have been split and sent separately.
Field 04 - Addenda Sequence Number
This number is consecutively assigned to each addenda record following an entry detail record. For CCD + addenda records it will have a value "01".
Field 05 - Entry Detail Sequence Number
This field contains the ascending sequence number section of the entry detail trace number. This number is the same as the last seven digits of the trace number (field 14) of the related entry
detail record.
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CCD Plus - Company/Batch Control Record
FIELD
1
DATA
ELEMENT
NAME
2
3
RECORD SERVICE ENTRY/
TYPE
CLASS ADDENDA
CODE
CODE
COUNT
4
ENTRY
HASH
5
6
7
8
9
10
11
TOTAL DEBIT TOTAL CREDIT
MESSAGE
ORIGINATING
COMPANY
BATCH
ENTRY DOLAR ENTRY DOLLAR
AUTHENTICATION
DFI
RESERVED IDENTIFICATION NUMBER
AMOUNT
AMOUNT
IDENTIFICATION
CODE
FIELD
INCLUSION
REQUIREMENT
M
M
M
M
M
M
R
R
N/A
M
M
CONTENTS
'8'
Numeric
Numeric
Numeric
$$$$$$$$$$cc
$$$$$$$$$$cc
Alphameric
Alphameric
Blank
TTTTAAAA
Numeric
LENGTH
1
3
6
10
12
12
10
19
6
8
7
POSITION
01-01
02-04
05-10
11-20
21-32
33-44
45-54
55-73
74-79
80-87
88-94
Field 01 - Record Type
Identifies record type, "8" = company/batch control record
Field 02 - Service Class Code
Identifies the general classification of dollar entries to be exchanged.
"200" - ACH Entries Mixed Debits and Credits
"220" - ACH Credits Only
Field 03 - Entry/Addenda Count
This count is a tally of each Entry Detail Record (6 record) and each Addenda Record (7 record) within the batch.
Field 04 - Entry Hash
The receiving DFI identification in each Entry Detail Record (6 record) is hashed to provide a check against inadvertent alteration of data contents.
Field 05 - Total Debit Entry Dollar Amount
This field contains accumulated entry detail debit totals within the batch.
Field 06 - Total Credit Entry Dollar Amount
This field contains accumulated entry detail debit totals within the batch.
Field 07 - Company Identification
Originators are identified by a unique identification number. ANSI one-digit identification code designators (ICD) are used, followed by the nine-digit identification number. The ICD
codes are:
"1" - IRS Employer Identification Number (EIN)
"3" - Data Universal Number Systems (DUNS)
"9" - User Assigned Number
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The first digit is always the ICD followed by the appropriate nine-digit alphanumeric code. This must have the same value as in the company identification field of the Company/Batch
Header Record (5 record).
Field 08 - Message Authentication Code
This is an optional field. An eight character code derived from a special key used in conjunction with the DES algorithm can be used to validate the authenticity of the ACH entries. This
will be used based on trading partner agreements.
Field 09 - Reserved
This field is reserved for future use.
Field 10 - Originating DFI Identification
This is the transit/routing number of the depository financial institution originating the entries. This must have the same value as in the originating DFI identification field of the
Company/Batch Header Record (5 record).
Field 11 - Batch Number
This is assigned in ascending sequence to each batch by the sending point within a file. This must have the same value as in the batch number field of the Company/Batch Header Record (5
record).
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CCD - Company Batch Header Record
FIELD
1
DATA
ELEMENT
NAME
2
3
4
5
RECORD SERVICE
COMPANY
TYPE
CLASS COMPANY DISCRETION COMPANY
CODE
CODE
NAME
DATA
ID
FIELD
INCLUSION
REQUIREMENT
M
CONTENTS
'5'
LENGTH
1
3
POSITION
01-01
02-04
M
M
6
7
8
9
10
11
12
13
STANDARD
ENTRY
CLASS
CODE
COMPANY
ENTRY
DESCRIPT
COMPANY
DESCRIPT
DATE
EFFECT
ENTY
DATE
SETTLE
DATE
(JULIAN)
ORIGINATOR
STATUS
CODE
ORIGIN
DFI
ID
BATCH
NUMBER
R
Inserted by
Operator
ACH
M
M
M
Numeric
Alphameric
O
M
M
M
Alphameric
Alphameric
Alphameric
Alphameric
16
20
10
3
10
6
6
3
1
8
7
05-20
21-40
41-50
51-53
54-63
64-69
70-75
76-78
79-79
80-87
88-94
Numeric Alphameric
O
Alphameric YYMMDD
TTTTAAAA Numeric
Field 01 - Record Type
Identifies record type, "5" = company/batch header.
Field 02 - Service Class Code
Identifies the general classification of dollar entries to be exchanged.
"200" - ACH Entries Mixed Debits and Credits
"220" - ACH Credits Only
Field 03 - Company Name
The value of this fields is established by the originator for purposes of further identifying the source of the entry, and for descriptive purposes for the receiver.
Field 04 - Company Discretionary Data
This field allows originators and/or ODFIs to include codes of significance only to them.
Field 05 - Company Identification
Originators are identified by a unique identification number. ANSI one-digit identification code designators (ICD) are used, followed by the nine-digit identification number. The ICD
codes are:
"1" - IRS Employer Identification Number (EIN)
"3" - Data Universal Number Systems (DUNS)
"9" - User Assigned Number
The first digit is always the ICD followed by the appropriate nine-digit alphanumeric code.
Field 06 - Standard Entry Class Code
Identifies the type of transactions. CCD = Cash Concentration or Disbursement
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Field 07 - Company Entry Description
The originator establishes the value of this field to provide a description of the purpose of the entry. For example, "INSUR PYMT".
Field 08 - Company Descriptive Date
Established by originator, a date can be used for descriptive purposes.
Field 09 - Effective Entry Date
This is the date specified by the originator on which it intends the batch of entries to be settled.
Field 10 - Settlement Date
This date is in Julian format, and is the settlement date for the batch of entries. This should be inserted by the Receiving ACH.
Field 11 - Originator Status Code
This code refers to the ODFI initiating the entry. The values are as follows:
"1" - Identifies the originator as a depository financial institution
"2" - Identifies the originator as a federal government entity or agency
Field 12 - Originating DFI Identification
This is the transit/routing number of the depository financial institution originating the entries.
Field 13 - Batch Number
This is assigned in ascending sequence to each batch by the sending point within a file.
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CCD - Entry Detail Record
FIELD
1
DATA
ELEMENT
NAME
2
3
4
5
6
7
8
9
10
11
RECORD
INDIVIDUAL
ADDENDA
TRACE
TYPE TRANSACTION RECEIVING DFI CHECK DFI ACCOUNT
IDENTIFICATION INDIVIDUAL DISCRETIONARY RECORD
AMOUNT
CODE
CODE
IDENTIFICATION DIGIT
NUMBER
NUMBER
NAME
DATA
INDICATOR NUMBER
FIELD
INCLUSION
REQUIREMENT
M
M
M
M
R
M
O
R
O
M
M
CONTENTS
'6'
Numeric
TTTTAAAA
Numeric
Alphameric
$$$$$$$$cc
Alphameric
Alphameric
Alphameric
Numeric
Numeric
LENGTH
1
2
8
1
17
10
15
22
2
1
15
POSITION
01-01
02-03
04-11
12-12
13-29
30-39
40-54
55-76
77-78
79-79
80-94
Field 01 - Record Type
Identifies record type, "6" = entry detail record
Field 02 - Transaction Code
This identifies the type of transaction. The following values are possible:
"22" - Demand (checking) credit automated deposit
"23" - Demand credit prenotification
"24" - Demand credit zero dollar transaction with remittance data
"32" - Savings credit automated deposit
"33" - Savings credit prenotification
"34" - Savings credit zero dollar transaction with remittance data
Field 03 - Receiving DFI Identification
This is the transit/routing number used to identify the receiving DFI. This does not include the check digit.
Field 04 - Check Digit
The check digit is computed on the DFI identification (routing/transit 8 digit number) using Modulus 10 as follows (or this check digit can be obtained from your DFI):
1) Multiply each digit in the transit/routing number by a weighting factor. The weighting factors for each digit are:
Position:12345678
Weights:37137137
2) Add the results of the eight multiplications.
3) Subtract the sum from the next highest multiple of 10. the result is the check digit.
Example:
Transit number: 0 7 6 4 0 1 2 5
Multiply by:
3 7 1 3 7 1 3 7
Sum:
0 49 6 12 0 1 6 35 = 109
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Check Digit = 1 (110 minus 109)
Field 05 - DFI Account Number
This is the bank account number at the receiving DFI of the receiver of the transaction.
Field 06 - Amount
This is the amount of the transaction. A zero amount is acceptable only with specific transaction codes (zero dollar and prenotes).
Field 07 - Individual Identification Number
This field contains the accounting number by which the receiver is known to the originator. It is included for further identification and for descriptive purposes. This field should be used
for the Trace Number (TRN02).
Field 08 - Individual Name
This field entered by the originator provides additional identification for the receiver.
Field 09 - Discretionary Data
This field allows ODFIs to include codes, of significance only to them, to enable specialized handling of the entry.
Field 10 - Addenda Record Indicator
This field indicates the existence of an addenda record. A value of "0" indicates that no addenda record is present.
Field 11 - Trace Number
A trace number is assigned by the ODFI in ascending sequence. Trace numbers uniquely identify each entry within a batch.
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CCD - Company/Batch Control Record
FIELD
1
DATA
ELEMENT
NAME
2
3
4
5
6
7
8
9
10
11
RECORD SERVICE ENTRY/
TOTAL DEBIT TOTAL CREDIT
ORIGINATING
MESSAGE
TYPE
CLASS ADDENDA ENTRY ENTRY DOLLAR ENTRY DOLLAR
COMPANY
AUTHENTICATION
DFI
BATCH
HASH
RESERVED IDENTIFICATION NUMBER
IDENTIFICATION
CODE
CODE
COUNT
AMOUNT
AMOUNT
CODE
FIELD
INCLUSION
REQUIREMEN
T
M
M
M
M
M
M
R
R
N/A
M
M
CONTENTS
'8'
Numeric
Numeric
Numeric
$$$$$$$$$$cc
$$$$$$$$$$cc
Alphameric
Alphameric
Blank
TTTTAAAA
Numeric
LENGTH
1
3
6
10
12
12
10
19
6
8
7
POSITION
01-01
02-04
05-10
11-20
21-32
33-44
45-54
55-73
74-79
80-87
88-94
Field 01 - Record Type
Identifies record type, "8" = company/batch control record
Field 02 - Service Class Code
Identifies the general classification of dollar entries to be exchanged.
"200" - ACH Entries Mixed Debits and Credits
"220" - ACH Credits Only
Field 03 - Entry/Addenda Count
This count is a tally of each Entry Detail Record (6 record) and each Addenda Record (7 record) within the batch.
Field 04 - Entry Hash
The receiving DFI identification in each Entry Detail Record (6 record) is hashed to provide a check against inadvertent alteration of data contents.
Field 05 - Total Debit Entry Dollar Amount
This field contains accumulated entry detail debit totals within the batch.
Field 06 - Total Credit Entry Dollar Amount
This field contains accumulated entry detail debit totals within the batch.
Field 07 - Company Identification
Originators are identified by a unique identification number. ANSI one-digit identification code designators (ICD) are used, followed by the nine-digit identification number. The ICD
codes are:
"1" - IRS Employer Identification Number (EIN)
"3" - Data Universal Number Systems (DUNS)
"9" - User Assigned Number
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The first digit is always the ICD followed by the appropriate nine-digit alphanumeric code. This must have the same value as in the company identification field of the company/batch
header record (5 record).
Field 08 - Message Authentication Code
This is an optional field. An eight character code derived from a special key used in conjunction with the DES algorithm can be used to validate the authenticity of the ACH entries. This
will be used based on trading partner agreements.
Field 09 - Reserved
This field is reserved for future use.
Field 10 - Originating DFI Identification
This is the transit/routing number of the depository financial institution originating the entries. This must have the same value as in the originating DFI identification field of the
Company/Batch Header Record (5 record).
Field 11 - Batch Number
This is assigned in ascending sequence to each batch by the sending point within a file. This must have the same value as in the batch number field of the Company/Batch Header Record (5
record).
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Appendix B: 811 Example
Header - Table 1
ST*811*0002(NL)
BIG*920125*911112BANCP00000001(NL)
N1*IN**FI*742222109(NL)
N2*ADDITIONAL NAME*AND MORE NAME(NL)
N3*P O BOX 111111*RURAL ROUTE 1(NL)
N4*CITY NAME*IL*61761(NL)
PER*AD*JOHN DOE*TE*5124984051(NL)
N1*SQ*SERVICE BUREAU NAME*FI*572982961(NL)
N2*ADDITIONAL NAME*MORE ADDITIONAL NAME(NL)
N3* P O BOX 111111*RURAL ROUTE 1(NL)
N4****RJ*01(NL)
Table 2 - Hierarchical Level 1
HL*1**1(NL)
LX*1(NL)
REF*RR*11904503(NL)
REF*11*60370003155603(NL)
REF*BF*01(NL)
Table 2 Hierarchical Level 3
HL*2*1*3(NL)
LX*1(NL)
AMT*1*60000(NL)
DTM*013*071103***20(NL)
QTY*46*1(NL)
N1*MM**FI*7422222(NL)
N4*****RJ*01(NL)
Table 2 - Hierarchical Level 4
HL*3*1*4(NL)
LX*1(NL)
PID*S*02*AD*MG(NL)
PID*S*214*AD*FVREP(NL)
REF*TV*HOME(NL)
REF*NF*99902(NL)
REF*LD*999999999900001(NL)
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REF*IG*525720790A(NL)
REF*32*5257207(NL)
REF*LU*3(NL)
AMT*AU*87000(NL)
AMT*PE600(NL)
AMT*AW*87000*NL)
DTM*007*071205***20(NL)
DTM*036*071205***20(NL)
DTM*177*071205***20(NL)
DTM*102*071205***20(NL)
IT1**1*EA*600*NE(NL)
SI*AD*03*RWL(NL)
N1*IL*DOE,JOHN(NL)
N2*ADDITIONAL NAME*AND MORE NAME(NL)
N3*P O BOX 111111*RURAL ROUTE 1(NL)
N4*SAN ANTONIO*TX*782501234(NL)
Table 2 - Hierarchical Level 8
HL*4*3*8(NL)
SLN*1*1*I*1*EA*600.00(NL)
SI*AD*03*010(NL)
REF*IG*525720790A(NL)
REF*TV*HOME(NL)
REF*NF*99902(NL)
REF*32*5257207(NL)
DTM*007*071205***20(NL)
Table 3 - Trailer
TDS*3425.12(NL)
CTT*02(NL)
SE*000076*0002(NL)
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Appendix C: 820 Example
Header - Table 1
ST*820*0002(NL)
BPR*C*3700.12*C*ACH*CTX*01*021000021*DA*123456*987654321*003001002*01*020000
21*DA*654321*071215*VEN(NL)
TRN*1*7766554421*1987654321*003001002(NL)
REF*IV*99237034(NL)
DTM*003*070125***20(NL)
DTM*013*071103***20(NL)
DTM*009*071214***20(NL)
N1*PR*THE MORTGAGE CORP*FI*7422222(NL)
N4*****RJ*01(NL)
PER*AD*JOHN DOE*TE*5124984051(N/L)
N1*PE*THE INSURANCE COMPANY*FI*742222109(NL)
N4*CITY NAME(NL)
REF*BF*01(NL)
PER*AD*JOHN DOE*TE*5124984051(N/L)
N1*SQ*SERVICE BUREAU COMPANY*FI*572982961(NL)
N4*****RJ*01*(NL)
PER*AD*JOHN DOE*TE*5124984051(N/L)
Detail - Table 2
ENT*1*ME*CL*99999999900001(NL)
N1*IL*DOE, JOHN (NL)
N3*P O BOX 111111*RURAL ROUTE 1(NL)
N4*SAN ANTONIO*TX*782131234(NL)
RMR*IG*525720790A**600*600(NL)
REF*NF*99902(NL)
REF*TV*HOME(NL)
REF*32*5257207(NL)
DTM*007*071205***20(NL)
DTM*036*071205***20(NL)
ADX*600*H4(NL)
Trailer - Table 3
SE*000076*0002(NL)
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Appendix D: Payment Exception Codes
The following are a list of example usages of the payment exception code and an explanation of
the interrelationship between the RMR and ADX segments. The Simplest way to explain the
relationship between the RMR04, RMR05 and ADX01 is by the following formula.
RMR04 = RMR05 - ADX01.
ADX02 code values H1, H2, H3, H4, H5, H7, H9, K1 and K2 are all reasons for non-payment
and therefore explain why a payment was not remitted. ADX02 code values H6, H8 K3 explain
partial remittances, payments on non-escrowed policies or payments for non-billed items,
respectively.
H1 -Information Forthcoming
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'H1'
H2 -Payment Previously Sent
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'H2'
H3 -Loan Paid in Full
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'H3'
H4 - Bill Insured
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'H4'
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H5 -Loan Serviced Released
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'H5'
H6 -Partial Payment Remitted
RMR04= 550.00
RMR05= 600.00
ADX01= 10.00
ADX02= 'H6'
H7 - Payment Forthcoming
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'H7'
H8 - Bill Mortgagee
RMR04= 600.00
RMR05= 0.00
or
ADX01= 600.00ADX02= 'H8'
H9 -Coverage Summary Needed
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'H9'
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RMR04
RMR05
= 600.00
= 600.00
ADX01
ADX02
= 0.00
= 'H8'
Mortgagee Coverage Notification, Billing and Payment of Insurance Premium
K1 - Other Coverage Placed
RMR04= 0.00
RMR05= 600.00
ADX01 = 600.00
ADX02= 'K1'
K2 -Invalid Policy Number
RMR04= 0.00
RMR05= 600.00
ADX01= 600.00
ADX02= 'K2'
K3 - Renewal Not Received
RMR04= 600.00
RMR05= 0.00
ADX01= 600.00ADX02= 'K3'
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Appendix E: Acord Table 244 - Line of Business
CNT
DFIRE
EQKP
FLOOD
HOME
PPART
PPCHO
PPCHR
PPMBH
RDP
RCUP
FARM
BOAT
COTHR
BOP
PAP
PLU
Contractors
Fire
Earthquake
Flood
Home Owners
Apartment
Condominium Association
Church
Mobil Home
Rental Dwelling to Others
Rental Condominium Unit Owner
Farm Ranch Owners
Boat Owners
Other Commercial
Business Owners
Personal Artocles
Personal Liability Umbrella
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Appendix F: Acord Table 003 - Type of Trans
010
015
020
025
030
035
040
045
050
055
060
065
070
080
090
100
105
110
115
120
125
Policy Premium
Premium Rewrite
Premium Transfer
Renewal Premium
Policy Adjustment
Reinstated Policy
Cancellation
Cancellation to Rewrite
Discount
Dividend
Discount Adjustment
Cancellation Prior Policy Period
Tax/Surcharge
Payment
Payment Rejected and Not Deposited
Refunded to Insured
Refunded to Third Party
Transfer Credit from Another Policy
Transfer Debit from Another Policy
Transfer Credit to Another Policy
Transfer Debit to Another Policy
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Appendix G: Functional Acknowledgment
STANDARD
997 Functional Acknowledgment
Functional Group ID:
FA
This Draft Standard for Trial Use contains the format and establishes the data contents of
the Functional Acknowledgment Transaction Set (997) for use within the context of an
Electronic Data Interchange (EDI) environment. The transaction set can be used to define
the control structures for a set of acknowledgments to indicate the results of the syntactical
analysis of the electronically encoded documents. The encoded documents are the
transaction sets, which are grouped in functional groups, used in defining transactions for
business data interchange. This standard does not cover the semantic meaning of the
information encoded in the transaction sets.
Header
POS. #
SEG.ID
NAME
REQ.
DES.
MAX
USE
010
ST
Transaction Set Header
M
1
020
AK1
Functional Group Response Header
M
1
LOOP
REPEAT
LOOP ID - AK2
030
AK2
999999
Transaction Set Response Header
O
1
LOOP ID - AK2/AK3
999999
040
AK3
Data Segment Note
O
1
050
AK4
Data Element Note
O
99
060
AK5
Transaction Set Response Trailer
M
1
070
AK9
Functional Group Response Trailer
M
1
080
SE
Transaction Set Trailer
M
1
NOTES:
1/010
1/010
These acknowledgments shall not be acknowledged, thereby preventing an endless cycle of
acknowledgments of acknowledgments.
The Functional Group Header Segment (GS) is used to start the envelope for the Functional
Acknowledgment Transaction Sets. In preparing the functional group of acknowledgments, the
application sender's code and the application receiver's code, taken from the functional group being
acknowledged, are exchanged; therefore, one acknowledgment functional group responds to only those
functional groups from one application receiver's code to one applications sender's code.
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1/010
1/020
1/030
1/040
There is only one Functional Acknowledgment Transaction Set per acknowledged functional group.
AK1 is used to respond to the functional group header and to start the acknowledgment for a functional
group. There shall be one AK1 segment for the functional group that is being acknowledged.
AK2 is used to start the acknowledgment of a transaction set within the received functional group. The
AK2 segments shall appear in the same order as the transaction sets in the functional group that has
been received and is being acknowledged.
The data segments of this standard are used to report the results of the syntactical analysis of the
functional groups of transaction sets; they report the extent to which the syntax complies with the
standards for transaction sets and functional groups. They do not report on the semantic meaning of
the transaction sets (for example, on the ability of the receiver to comply with the request of the
sender).
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IMPLEMENTATION
Transaction Set Header
Loop:
Usage:
Repeat:
Example:
----REQUIRED
1
ST*997*0001~
STANDARD
ST
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Semantic:
Transaction Set Header
Header
010
----Mandatory
1
To indicate the start of a transaction set and to assign a control number.
1 The transaction set identifier (ST01) used by the translation routines of the
interchange partners to select the appropriate transaction set definition (e.g., 810
selects the invoice transaction set).
DIAGRAM
Seq.
No.
Ref.
No.
ASC X12 Name
SF
Req.
ASC X12
Attributes
ST01
143
Transaction Set Identifier Code
R 3/3
M/Z ID 3/3
ST02
329
Transaction Set Control Number
R 4/9
M AN 4/9
ELEMENT SUMMARY
ST01
Transaction Set Identifier Code
Code uniquely identifying a Transaction Set
CODE
997
DEFINITION
Functional Acknowledgment
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ST02
Transaction Set Control Number
Identifying control number that must be unique within the transaction set functional
group assigned by the originator for a transaction set
The Transaction Set Control Number in ST02 and SE02 must be identical. The number is
assigned by the originator and must be unique within a functional group (GS-GE). The number
also aids in error resolution research. For example, start with the number 0001 and increment
from there.
Use the corresponding value in ST02 for this transaction set
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IMPLEMENTATION
Functional Group Response Header
Usage:
Repeat:
REQUIRED
1
Example:
AK1*CI*1~
STANDARD
AK1 Functional Group Response
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Set Notes:
Semantic:
Header
020
----Mandatory
1
To start acknowledgment of a functional group.
1. AK1 is used to respond to the functional group header and to start the
acknowledgment for a functional group. There shall be one AK1 segment
for the functional group that is being acknowledged.
01 AK101 is the functional ID found in the GS segment (GS01) in the functional
group being acknowledged.
02 AK102 is the functional group control number found in the GS segment in
the functional group being acknowledged.
DIAGRAM
Seq.
No.
Ref.
No.
AK101
479
AK102
28
ASC X12 Name
SF
Req.
ASC X12
Attributes
Functional Identifier Code
R 2/2
M/Z ID 2/2
Group Control Number
R 1/9
M/Z N0 1/9
ELEMENT SUMMARY
AK101
Functional Identifier Code
Code identifying a group of application related Transaction Sets.
CODE
CI
AK102
DEFINITION
Consolidated Service Invoice/Statement
Group Control Number
Assigned number originated and maintained by the sender.
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IMPLEMENTATION
Transaction Set Response Header
Loop:
Usage:
Repeat:
Example:
TRANSACTION SET RESPONSE HEADER
REQUIRED
1
Repeat: 999999
AK2*811*0005~
STANDARD
AK2
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Set Notes:
Semantic:
Transaction Set Response
Header
030
AK2
Repeat: 999999
Optional
1
To start acknowledgment of a single transaction set.
1 AK2 is used to start the acknowledgment of a transaction set within the received
functional group. The AK2 segments shall appear in the same order as the
transaction sets in the functional group that has been received and is being
acknowledged.
01 AK201 is the transaction set ID found in the ST segment (ST01) in the transaction
set being acknowledged.
02 AK202 is the transaction set control number found in the ST segment in the
transaction set being acknowledged.
DIAGRAM
Seq.
No.
Ref.
No.
ASC X12 Name
SF
Req.
ASC X12
Attributes
AK201
143
Transaction Set Identifier Code
R 3/3
M/Z ID 3/3
AK202
329
Transaction Set Control Number
R 4/9
M/Z N0 4/9
ELEMENT SUMMARY
AK201
Transaction Set Identifier Code
Code uniquely identifying a Transaction Set.
CODE
811
AK202
DEFINITION
Consolidated Service Invoice/Statement
Transaction Set Control Number
Identifying control number that must be unique within the transaction set functional group assigned by
the originator of a transaction set.
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IMPLEMENTATION
Data Segment Note
Loop:
Usage:
Repeat:
Example:
DATA SEGMENT NOTE
OPTIONAL
1
Repeat: 999999
AK3*NM1*37~
STANDARD
AK3 Data Segment Note
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Set Notes:
Header
040
AK2/AK3
Repeat: 999999
Optional
1
To report errors in a data segment and to identify the location of the data segment.
1. The data segments of this standard are used to report the results of the syntactical
analysis of the functional groups of transaction sets; they report the extent to
which the syntax complies with the standards for transaction sets and functional
groups. They do not report on the semantic meaning of the transaction sets (for
example, on the ability of the receiver to comply with the request of the sender).
DIAGRAM
Seq. No.
Ref.
No.
AK301
721
AK302
ASC X12 Name
SF
Req.
ASC X12
Attributes
Segment ID Code
R 2/3
M ID 2/3
719
Segment Position in Transaction Set
R 1/6
M N0 1/6
AK303
447
Loop Identifier Code
O 1/4
O AN 1/4
AK304
720
Segment Syntax Error Code
O 1/3
O ID 1/3
ELEMENT SUMMARY
AK301
Segment ID Code
Code defining the segment ID of the data segment in error. See Appendix A - Number 77.
This is the 2 or 3 characters which occur at the beginning of a segment.
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AK302
Segment Position in Transaction Set
The numerical count position of this data segment from the start of the transaction set; the transaction set header is
count position 1.
This is a data count, not a segment position in the standard description.
AK303
Loop Identifier Code
The loop ID number given on the transaction set diagram is the value for this data element in segments LS and LE.
Code identifying a loop within the transaction set which is bounded by the related LS and LE
segments (corresponding LS and LE segments must have the same value for loop identifier).
(Note: The loop ID number given on the transaction set diagram is recommended as the
value for this data element in the segments LS and LE).
AK304
Segment Syntax Error Code
Code indicating error found based on the syntax editing of a segment.
CODE
1
DEFINITION
Unrecognized Segment ID
2
Unexpected Segment
3
Mandatory Segment Missing
4
Loop Occurs Over Maximum Times
5
Segment Exceeds Maximum Use
6
Segment Not in Defined Transaction Set
7
Segment Not in Proper Sequence
8
Segment Has Data Element Errors
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IMPLEMENTATION
Data Element Note
Loop:
Usage:
Repeat:
Example:
DATA SEGMENT NOTE
OPTIONAL
99
AK4*1*98*7~
STANDARD
AK4
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Data Element Note
Header
050
AK2/AK3
Optional
99
To report errors in a data element and to identify the location of the data element.
DIAGRAM
Seq. No.
Ref.
No.
AK401
C030
AK401-1
722
AK401-2
ASC X12 Name
SF
Req.
ASC X12
Attributes
R
M
Element Position in Segment
R 1/2
M N0 1/2
1528
Component Data Element Position in Composite
O 1/2
O N0 1/2
AK402
725
Data Element Reference Number
O 1/4
O N0 1/4
AK403
723
Data Element Error Code
R 1/3
M ID 1/3
AK404
724
Copy of Bad Data Element
O 1/99
O AN 1/99
Position in Segment
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ELEMENT SUMMARY
AK401
Position in Segment
Code indicating the relative position of a simple data element, or the relative position of a composite data structure combined
with the relative position of the component data element within the composite data structure, in error; the count starts with 1
for the simple data element or composite data structure immediately following the segment ID.
AK401-1
Element Position in Segment
This is used to indicate the relative position of a simple data element, or the relative position of a composite data structure
with the relative position of the component within the composite data structure, in error; in the data segment the count
starts with 1 for the simple data element or composite data structure immediately following the segment ID.
AK401-2
Component Data Element Position in Composite
To identify the component data element position within the composite that is in error.
AK402
Data Element Reference Number
Reference number used to locate the data element in the Data Element Dictionary.
The Data Element Reference Number for this data element is 725. All reference
numbers are found with the segment descriptions in this guide.
AK403
Data Element Syntax Error Code
Code indicating the error found after syntax edits of a data element.
AK404
CODE
1
DEFINITION
Mandatory Data Element Missing
2
Conditional Required Data Element Missing
3
Too Many Data Elements
4
Data Element Too Short
5
Data Element Too Long
6
Invalid Character in Data Element
7
Invalid Code Value
8
Invalid Date
9
Invalid Time
10
Exclusion Condition Violated
Copy of Bad Data Element
This is a copy of the data element in error.
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IMPLEMENTATION
Transaction Set Response Trailer
Loop:
Usage:
Repeat:
Example:
DATA SEGMENT NOTE
REQUIRED
1
AK5*E*5~
STANDARD
AK5 Transaction Set Response Trailer
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Header
060
AK2
Mandatory
1
To acknowledge acceptance or rejection and to report errors in a transaction set.
DIAGRAM
Seq. No.
Ref.
No.
AK501
717
AK502
ASC X12 Name
SF
Req.
ASC X12
Attributes
Transaction Set Acknowledgment Code
M 1/1
M ID 1/1
718
Transaction Set Syntax Error Code
O 1/3
O ID 1/3
AK503
718
Transaction Set Syntax Error Code
O 1/3
O ID 1/3
AK504
718
Transaction Set Syntax Error Code
O 1/3
O ID 1/3
AK505
718
Transaction Set Syntax Error Code
O 1/3
O ID 1/3
AK506
718
Transaction Set Syntax Error Code
O 1/3
O ID 1/3
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ELEMENT SUMMARY
AK501
Transaction Set Acknowledgment Code
Code indicating accept or reject condition based on the syntax editing of the transaction set.
AK502
CODE
A
DEFINITION
Accepted
(ADVISED)
E
Accepted But Errors Were Noted
R
Rejected
(ADVISED)
Transaction Set Syntax Error Code
Code indicating error found based on the syntax editing of a transaction set.
This element is required if an error exists
AK503
CODE
1
DEFINITION
Transaction Set Not Supported
2
Transaction Set Trailer Missing
3
Transaction Set Control Number in Header and Trailer
Do Not Match
4
Number of Included Segments Does Not Match Actual Count
5
One or More Segments in Error
6
Missing or Invalid Transaction Set Identifier
7
Missing or Invalid Transaction Set Control number
23
Transaction Set Control Number Not Unique within the
Functional Group
Transaction Set Syntax Error Code
Code indicating error found based on the syntax editing of a transaction set.
Use the same codes that were listed in AK502.
AK504
Transaction Set Syntax Error Code
Code indicating error found based on the syntax editing of a transaction set.
Use the same codes that were listed in AK502.
AK505
Transaction Set Syntax Error Code
Code indicating error found based on the syntax editing of a transaction set.
Use the same codes that were listed in AK502.
AK506
Transaction Set Syntax Error Code
Code indicating error found based on the syntax editing of a transaction set.
Use the same codes that were listed in AK502.
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IMPLEMENTATION
Functional Group Response Trailer
Usage:
Repeat:
Example:
REQUIRED
1
AK9*A*2*2*2~
STANDARD
AK9
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Comments:
Functional Group Response Trailer
Header
070
-------Mandatory
1
To acknowledge acceptance or rejection of a functional group and report the
number of included transaction sets from the original trailer, the accepted sets, and
the received sets in this functional group.
A
If AK901 is 'A' or 'E', then the transmitted functional group is accepted. If
AK901 is 'R', then the transmitted group is rejected.
DIAGRAM
Seq.
No.
Ref.
No.
AK901
715
AK902
ASC X12 Name
SF
Req.
ASC X12
Attributes
Functional Group Acknowledge Code
R 1/1
M ID 1/1
97
Number of Transaction Sets Included
R 1/6
M N0 1/6
AK903
123
Number of Received Transaction Sets
R 1/6
M N0 1/6
AK904
2
Number of Accepted Transaction Sets
R 1/6
M N0 1/6
AK905
716
Functional Group Error Code
O 1/3
O ID 1/3
AK906
716
Functional Group Error Code
O 1/3
O ID 1/3
AK907
716
Functional Group Error Code
O 1/3
O ID 1/3
AK908
716
Functional Group Error Code
O 1/3
O ID 1/3
AK909
716
Functional Group Error Code
O 1/3
O ID 1/3
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ELEMENT SUMMARY
AK901
Functional Group Acknowledge Code
Code indicating accept or reject condition based on the syntax editing of the functional group.
AK902
CODE
A
DEFINITION
Accepted
ADVISED
E
Accepted, But Errors Were Noted
P
Partially Accepted, At Least One Transaction Set Was Rejected
ADVISED
R
Rejected
ADVISED
Number of Transaction Sets Included
Total number of transaction sets included in the functional group or interchange (transmission) group terminated by the trailer containing this
data element.
This is the value of the original GE01.
AK903
Number of Received Transaction Sets
Number of Transaction Sets received.
AK904
Number of Accepted Transaction Sets
Number of accepted Transaction Sets in a Functional Group.
AK905
Functional Group Syntax Error Code
Code indicating error found based on the syntax editing of the functional group header and/or trailer.
AK906
CODE
1
DEFINITION
Functional Group Not Supported
2
Functional Group Version Not Supported
3
Functional Group Trailer Missing
4
Group Control Number in the Functional Group Header and Trailer Do Not Agree
5
Number of Included Transaction Sets Does Not Match Actual Count
6
Group Control Number Violates Syntax
Functional Group Syntax Error Code
Code indicating error found based on the syntax editing of the functional group header and/or trailer.
Use the same codes that were listed in AK905.
AK907
Functional Group Syntax Error Code
Code indicating error found based on the syntax editing of the functional group header and/or trailer.
Use the same codes that were listed in AK905.
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AK908
Functional Group Syntax Error Code
Code indicating error found based on the syntax editing of the functional group header and/or trailer.
Use the same codes that were listed in AK905.
AK909
Functional Group Syntax Error Code
Code indicating error found based on the syntax editing of the functional group header and/or trailer.
Use the same codes that were listed in AK905.
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IMPLEMENTATION
Transaction Set Trailer
Usage:
Repeat:
Example:
REQUIRED
1
SE*67*0001~
STANDARD
SE
Level:
Position:
Loop:
Requirement:
Max Use:
Purpose:
Comment:
Transaction Set Trailer
Header
080
---Mandatory
1
To indicate the end of a transaction set and to provide a count of the transmitted
segments.
1 SE is the last segment of each transaction set.
DIAGRAM
Seq. No.
Ref.
No.
ASC X12 Name
SE01
096
SE02
329
SF
Req.
ASC X12
Attributes
Number of Included Segments
R 1/10
M N0 1/10
Transaction Set Control Number
R 4/9
M AN 4/9
ELEMENT SUMMARY
SE01
Number of Included Segments
Total number of segments included in a transaction set including ST and SE segments
SE02
Transaction Set Control Number
Identifying control number that must be unique within the transaction set functional group assigned by the originator for a
transaction set
The Transaction Set Control Numbers in ST02 and SE02 must be identical. The number is
assigned by the originator and must be unique within a functional group (GS-GE). The
number also aids in error resolution research. For example, start with the number 0001 and
increment from there.
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Change Summary
The following changes have occurred between version 1.10 of the guide and the new version
2.0
Version 1.11
• In the Specific Information section on page 2, number 2 has been changed.
Version 1.12 – September, 2004
• Mortgagee 820; Page 93-121; Added 997 Functional Acknowledgement information.
Version 2.0 – August, 2007
• Mortgagee 811; Page 62 – 63; Added Occurrence 6 of the REF segment to identify
the Number of Units in a Building.
• Mortgagee 811; Page 64 – 65; Added Occurrence 3 of the AMT segment to identify
the Estimated Replacement Cost.
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