820 |
|
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Notes |
Usage |
|
|
|
|
|
|
Interchange Control Header |
M |
1 |
|
|
Required |
|||||
|
|
Functional Group Header |
M |
1 |
|
|
Required |
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Notes |
Usage |
|
|
|
|
|
010 |
820 Header |
M |
1 |
|
|
Required |
|||||
|
020 |
Financial Information |
M |
1 |
|
|
Required |
|||||
|
035 |
Reassociation Key |
O |
1 |
|
N1/035 |
Required |
|||||
|
040 |
Non-US Dollars Currency |
O |
1 |
|
N1/040 |
Situational |
|||||
|
050 |
Premium Receivers Identification Key |
O |
>1 |
|
|
Situational |
|||||
|
060 |
Process Date |
O |
1 |
|
|
Situational |
|||||
|
060 |
Delivery Date |
O |
1 |
|
|
Situational |
|||||
|
060 |
Coverage Period |
O |
1 |
|
|
Situational |
|||||
LOOP ID - 1000A |
|
|
1 |
N1/070L |
|
|
|
|
|
|||
|
070 |
Premium Receiver's Name |
O |
1 |
|
N1/070 |
Required |
|||||
|
080 |
Premium Receiver Additional Name |
O |
1 |
|
|
Situational |
|||||
|
090 |
Premium Receiver's Address |
O |
1 |
|
|
Situational |
|||||
|
100 |
Premium Receiver's City, State, Zip |
O |
1 |
|
|
Situational |
|||||
LOOP ID - 1000B |
|
|
1 |
N1/070L |
|
|
|
|
|
|||
|
070 |
Premium Payer's Name |
O |
1 |
|
N1/070 |
Required |
|||||
|
080 |
Premium Payer Additional Name |
O |
1 |
|
|
Situational |
|||||
|
090 |
Premium Payer's Address |
O |
1 |
|
|
Situational |
|||||
|
100 |
Premium Payer's City, State, Zip |
O |
1 |
|
|
Situational |
|||||
|
120 |
Premium Payer's Administrative Contact |
O |
>1 |
|
|
Situational |
|||||
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Notes |
Usage |
|
|
|
|
LOOP ID - 2000A |
|
|
1 |
N2/010L |
|
|
|
|
|
|||
|
010 |
Organization Summary Remittance |
O |
1 |
|
N2/010 |
Situational |
|||||
LOOP ID - 2300A |
|
|
>1 |
N2/150L |
|
|
|
|
|
|||
|
150 |
Organization Summary Remittance Detail |
O |
1 |
|
N2/150 |
Required |
|||||
LOOP ID - 2310A |
|
|
1 |
N2/190L |
|
|
|
|
|
|||
|
190 |
Summary Line Item |
O |
1 |
|
N2/190 |
Situational |
|||||
LOOP ID - 2315A |
|
|
>1 |
|
|
|
|
|
|
|||
|
204 |
Member Count |
O |
1 |
|
|
Situational |
|||||
LOOP ID - 2320A |
|
|
>1 |
N2/210L |
|
|
|
|
|
|||
|
210 |
Organization Summary Remittance Level Adjustment |
O |
1 |
|
N2/210 |
Situational |
|||||
LOOP ID - 2000B |
|
|
>1 |
N2/010L |
|
|
|
|
|
|||
|
010 |
Individual Remittance |
O |
1 |
|
N2/010 |
Situational |
|||||
LOOP ID - 2100B |
|
|
>1 |
N2/020L |
|
|
|
|
|
|||
|
020 |
Individual Name |
O |
1 |
|
N2/020 |
Situational |
|||||
LOOP ID - 2300B |
|
|
>1 |
N2/150L |
|
|
|
|
|
|||
|
150 |
Individual Premium Remittance Detail |
O |
1 |
|
N2/150 |
Situational |
|||||
|
180 |
Individual Coverage Period |
O |
1 |
|
|
Situational |
|||||
LOOP ID - 2320B |
|
|
>1 |
N2/210L |
|
|
|
|
|
|||
|
210 |
Individual Premium Adjustment |
O |
1 |
|
N2/210 |
Situational |
|||||
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Notes |
Usage |
|
|
|
|
|
010 |
820 Trailer |
M |
1 |
|
|
Required |
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Notes |
Usage |
|
|
|
|
|
|
Functional Group Trailer |
M |
1 |
|
|
Required |
|||||
|
|
Interchange Control Trailer |
M |
1 |
|
|
Required |
1/035 |
The TRN segment is used to uniquely identify a payment order/remittance advice. |
1/040 |
The CUR segment does not initiate a foreign exchange transaction. |
1/070L |
The N1 loop allows for name/address information for the payer and payee which would be utilized to address remittance(s) for delivery. |
1/070 |
The N1 loop allows for name/address information for the payer and payee which would be utilized to address remittance(s) for delivery. |
1/070L |
The N1 loop allows for name/address information for the payer and payee which would be utilized to address remittance(s) for delivery. |
1/070 |
The N1 loop allows for name/address information for the payer and payee which would be utilized to address remittance(s) for delivery. |
2/010L |
The ENT loop is for vendor or consumer third party consolidated payments.
|
2/010 |
The ENT loop is for vendor or consumer third party consolidated payments.
|
2/150L |
Loop RMR is for open items being referenced or for payment on account. |
2/150 |
Loop RMR is for open items being referenced or for payment on account. |
2/190L |
Loop IT1 within the RMR loop is the remittance line item detail loop. |
2/190 |
Loop IT1 within the RMR loop is the remittance line item detail loop. |
2/210L |
This ADX loop can only contain adjustment information for the immediately preceding RMR segment and affects the amount (RMR04) calculation. If this adjustment amount is not netted to the immediately preceding RMR, use the outer ADX loop (position 080). |
2/210 |
This ADX loop can only contain adjustment information for the immediately preceding RMR segment and affects the amount (RMR04) calculation. If this adjustment amount is not netted to the immediately preceding RMR, use the outer ADX loop (position 080). |
2/010L |
The ENT loop is for vendor or consumer third party consolidated payments.
|
2/010 |
The ENT loop is for vendor or consumer third party consolidated payments.
|
2/020L |
Allowing the NM1 segment to repeat in this area allows the paying entity within a payer and the paid entity within a payee to be identified (not the payer and payee). |
2/020 |
Allowing the NM1 segment to repeat in this area allows the paying entity within a payer and the paid entity within a payee to be identified (not the payer and payee). |
2/150L |
Loop RMR is for open items being referenced or for payment on account. |
2/150 |
Loop RMR is for open items being referenced or for payment on account. |
2/210L |
This ADX loop can only contain adjustment information for the immediately preceding RMR segment and affects the amount (RMR04) calculation. If this adjustment amount is not netted to the immediately preceding RMR, use the outer ADX loop (position 080). |
2/210 |
This ADX loop can only contain adjustment information for the immediately preceding RMR segment and affects the amount (RMR04) calculation. If this adjustment amount is not netted to the immediately preceding RMR, use the outer ADX loop (position 080). |