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Examples for Consolidated Service Invoice/Statement (811) - Example 1 Insurance Verification

Table 2 - Mortgage Company Detail

Used to describe information about the mortgage company.
  • If the receiver of this transaction is a mortgage company this section will only occur once.
  • If the receiver is a mortgage company service provider, this section could occur more than once.

811 Data Format

Description

HL*2*1*3*1;

HL segments represent a looping structure within the standard transaction set. This loop is for Mortgage Company detail.

LX*1;

Section separator

DTM*013*20040715;

The Combined Remittance Due Date is used here to signify that the following policy detail are renewal billings and need to be paid with an 820 remittance advice on or before this date.

  • 013 Combined Remittance Due Date

NOTE: Insurance policies can be billed on a daily basis or in a combined list. When billed as a combined list, use the Combined Remittance Due Date here. If billed daily, use the Remittance Due Date in Table 2 – Policy Detail.

AMT*1*60000.15;

This amount represents a total of all the individual amount dues located in the IT104 segments to follow.

  • 1 Line item total

QTY*46*125;

This amount represents a total number of notifications to follow.

  • 46 Number of notifications/billings

NM1*MM*2*A-ONE MORTGAGE*****FI*987654321;

  • MM Mortgage company name
  • FI Mortgage company Tax ID

N4*****RJ*302;

  • RJ Mortgage company branch

 

 
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