Auto EDI Notifications

Example Transaction Set Segment Uses & Sequence

Overview
Example Transaction Set Segment Uses & Sequence

997 Functional Acknowledgement electronic file
811 Auto Test File Example

Example Transaction Set Segment Uses and Sequence

HEADER

ISAXX000000000001000000000000000ZZ000000000 LH9222222222222229201251448U00304000000000 021*T~	Interchange Control Header
GSCI11111111192222222292012514482X003040~	Functional Group Header

TABLE 1 - Sender -> Insurance Co/Agent

ST8110001~	Begin transaction set 811, control #0001
BIG921101001*****IC ~	Information current as of date, statement #0001, Insurance Coverage Notification
N1INSTATEFARMFI123456780~	Insurance company is State Farm whose Federal Taxpayer ID code is 12-3456780
N2ADDITIONAL NAMEAND MORE NAME~	Additional name
N3*ABC BLVD~	Address is ABC Blvd
N3*123 DALLAS DR~	Address is 123 Dallas Dr
N4ANYWHERETX*12345~	City, State, Zip Code
REFTJ123456400~	Federal Taxpayer ID is 12-3456400
PERAMJOHN DOEFX5551234567~	Administrator is John Doe whose FAX number is 555-123-4567
N1LMAA LENDING INSTITUTIONFI039621260~	Lending Institution is AA Lending Institution whose Federal Taxpayer ID is 03-9621260
N2ADDITIONAL NAMEMORE ADDITIONAL NAME ~	Additional Name
N3*PO BOX 1111~	Address is PO Box 1111
N3*0000 MINERAL PT RD~	Address is 0000 Mineral Pt Rd
N4ANYWHERETX*12345~	City, State, Zip Code
PERAMJOHN SMITHFX 5551111111~	Administrator is John Smith whose fax number is 555-111-1111

TABLE 2 – Receiver -> Financial Institution/Service Bureau

Level 1 – Interested Financial Institution

HL111~	Hierarchical Count is 1, Information has no Parent. Hierarchical Level is 1, Information has Children.
NM1LM2ABC CREDIT UNION ***FI1234567890~	Lending Institution is ABC Credit Union whose Federal Taxpayer ID is 12-34567890
N2*ADDITIONAL NAME AND MORE NAME~	Additional Name
N3*PO BOX 300~	Address is P.O. Box 300
N3*6060 MONROE ST~	Address is 6060 Monroe St
N4ANYWHEREWI53201RJ* 01~	City, State, Zip; Region or Branch is 01

Level 2 – Agency/Agent/Branch

HL2121~	Hierarchical Count is 1, Information has Parent, Hierarchical Level is 2, Information has Children.
NM1AGEFG AGENCY* ****FI0683327766~	Agent is EFG Texas Agency whose Federal Taxpayer ID is 06-83327766
N2ADDITIONAL NAMEAND MORE NAME~	Additional Name
N3*PO BOX 11111~	Address is PO Box 11111
N3*RURAL ROUTE 1~	Address is Rural Route 1
N4ANYWHERETX*12345~	City, State, Zip Code
PERAMJOHN SMITHTE 5554985637~	John Smith, Administrator Telephone number is 555-498-5637

Level 4 Named Insured - Insurance Company

HL3241~	Hierarchical Count is 1, Information has Parent. Hierarchical Level is 4, Information Has Children.
NM1IL1RICHARDJAMES*A~	Insured name is James A Richards
N2ADDITIONAL NAMEAND MORE NAME ~	Additional Name
N3*1020 W MARION~	Address is 1020 W Marion
N4SOMEWHEREHI2111100~	City, State, Zip code; Country, Branch 00
IT11IP*0~	Quantity Invoiced is 1. The information is an Insurance Policy and the Unit Price is 0.
SIAD08*CER~	The Table is Provided by ACORD. The Table Name is 08. The Type of Policy Transaction is New Business
SIAD09*CON~	The table is provided by ACORD, The Table Name is 09. The Type of Policy Term is continuous.
REFIG12345678~	Insurance Policy is 1245678
DTM007920201***19~	The Effective Date is 02/01/92, Effective Century is 1900.
DTM009921202~	The Process Date is 12/02/92.
DTM152921202~	The Effective Date of Change is 12/02/92.

Level 5 – Vehicle – Coverage/Lienholder Loss Payee Endorsement

HL4351~	Hierarchical Count is 1, Information has Parent. Hierarchical Level is 5, Information Has Children 1.
LX*1~	signed by Sender
VEH12P4FH5138JR5347771988NAPLYMVOYG WGN***IL~	1st Vehicle on Policy, Vehicle Identification Number is 2P4FH5138JR534777, Vehicle Century is 1900, Vehicle Year is 88, Agency Providing Codes is NICB (National Insurance Crime Bureau), Vehicle Make is Plymouth, Vehicle Model is Voyager, Vehicle Style is Wagon, Vehicle Length is not given, Vehicle Location is in Illinois

PID IS USED WHEN THE VEHICLE MAKE, MODEL AND STYLE ARE IN NON-STANDARD FORMAT. VEH & PID ARE NOT TO BE USED TOGETHER; SHOWN FOR ILLUSTRATION PURPOSES ONLY.

PIDXADVEHMK* PLYMOUTH~	The Information is in Semi-structured Text (X), the Table is Provided by ACORD, and the Vehicle is a Plymouth
PIDXADVEHMD*VOYAGER ~	The Information is in Semi-structured Text (X), the Table is Provided by ACORD, and the Vehicle Make is Voyager
PIDXADVEHTY*WAGON ~	The Information is in Semi-structured Text (X), the Table is Provided by ACORD, and the Vehicle Type is Wagon
REFLD39002651~	The Loan Number is 39-000265-01
IIICVCOMP~	The Table is provided by ACORD indicating Policy Coverage and the coverage is comprehensive.
DTP007D6*921202~	The Effective Date is 12/02/92
DTP009D6*921202~	The Process Date is 12/02/92
DTP152D6*921202~	The Effective Date of Change 12/02/92
AMTPH100~	$100 per occurrence deductible
OR:
PCTPP10~	10% deductible per person limit
IIICVLP~	The Table is provided by ACORD indicating Policy Coverage and the coverage is collision
DTP007D6*921202~	The Effective Date is 12/02/92.
DTP009D6*921202~	The Process Date is 12/02/92
DTP152D6*921202~	The Effective Date of Change 12/02/92
AMTPH250~	$25 per occurrence deductible

OR:

PCTPP10~	10% deductible per person limit
IIICVLP~	The Institution Referenced in Level 1 is Loss Payee

Level 8 – Excluded Driver, Additional Insured or other Interested Party, Lending Institution, Lessor End (Rather than AI & LP)

HL54*8~	Hierarchical Count is 5, Information has parent, Hierarchical Level 8, Information has No Children
SLN1I0*EA~	Assigned # of 1, Policy Information is I, Quantity is 0, EA will indicate the limit to follow
NM1I12*GENERAL SOLUTIONS~	The Interested Party is General Solutions.
N2ADDITIONAL NAMEAND MORE NAME~	Additional Name
N3*0000 BROWN AVENUE~	Address is 0000 Brown Avenue
N4NOWHERETX*12345~	City, State & Zip code

TABLE 3 – Summary Data

TDS*1~	Total Invoice Amount
CTT*30~	Total number of insurance policies in 811 transaction set is 30
SE12000001~	1200 is a fictional number, it should represent the total number of segments in between the ST and SE including the ST and SE, the control number is 0001

TRAILER

GE12~	Functional Group Trailer
IEA1000000002~	Interchange Control Trailer