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Examples for Consolidated Service Invoice/Statement (811)

Table 2 - Branch or Billing Center

Used to describe the insurance company and their banking numbers.
  • If the sender of this transaction is an insurance service bureau, the use of this section may occur more than once depending on the number of insurance companies serviced by the bureau.
  • If the sender is a single insurance company, this section will occur only once.

811 Data Format

Description

HL*1**1*1;

HL segments represent a looping structure within the standard transaction set. This loop is for Branch or Billing Center detail.

LX*1;

Section separator

REF*RT*011001234; Routing transit number for the bank that accepts payment from you to State Farm. Use this number in the 820 remittance advice.

  • RT Bank routing transit number
REF*PY*60370003155603; The State Farm bank account number where payments from you can be sent using the 820 remittance advice. Use this number in the 820 remittance advice.
  • PY Bank account number

REF*8V*SFCF0100302;

The State Farm reference number at the bank accepting payments from you. This number is returned on FED-wire transfer memos.

  • 8V Further credit to reference number

NM1*IN*2*STATE FARM INSURANCE COMPANY*****FI*370533100;

  • IN Insurance company name
  • FI Insurance company Tax ID

 

 
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