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259Residential Mortgage Insurance Explanation of Benefits

This Draft Standard for Trial Use contains the format and establishes the data contents of the Residential Mortgage Insurance Explanation of Benefits Transaction Set (259) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to transmit the results of a claim for mortgage insurance benefits, referred to as an explanation of benefits (EOB), between a mortgage insurer and the customer receiving the financial benefit. This standard can be used for transmitting the results of both pool and primary mortgage insurance claims.

  • ST
    Transaction Set Header
    M必须(Mandatory)
    Repeat 1

    To indicate the start of a transaction set and to assign a control number

  • BGN
    Beginning Segment
    M必须(Mandatory)
    Repeat 1

    To indicate the beginning of a transaction set

  • N1Loop1Party Identification LOOPM必须(Mandatory)Repeat > 1
    N1N2N3N4REFPER
    • N1
      Party Identification
      M必须(Mandatory)
      Repeat 1

      To identify a party by type of organization, name, and code

    • N2
      Additional Name Information
      O可选(Optional)
      Repeat 1

      To specify additional names

    • N3
      Party Location
      O可选(Optional)
      Repeat 1

      To specify the location of the named party

    • N4
      Geographic Location
      O可选(Optional)
      Repeat 1

      To specify the geographic place of the named party

    • REF
      Reference Information
      O可选(Optional)
      Repeat 1

      To specify identifying information

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat 1

      To identify a person or office to whom administrative communications should be directed

  • N9Loop1Extended Reference Information LOOPM必须(Mandatory)Repeat > 1
    N9DTMAMTDFIREFPERPCTMSGN1Loop2DTMLoop1FISLoop1
    • N9
      Extended Reference Information
      M必须(Mandatory)
      Repeat 1

      To transmit identifying information as specified by the Reference Identification Qualifier

    • DTM
      Date/Time Reference
      M必须(Mandatory)
      Repeat > 1

      To specify pertinent dates and times

    • AMT
      Monetary Amount Information
      M必须(Mandatory)
      Repeat 1

      To indicate the total monetary amount

    • DFI
      Default Information
      M必须(Mandatory)
      Repeat 1

      To specify mortgage loan default information

    • REF
      Reference Information
      O可选(Optional)
      Repeat > 1

      To specify identifying information

    • PER
      Administrative Communications Contact
      O可选(Optional)
      Repeat 1

      To identify a person or office to whom administrative communications should be directed

    • PCT
      Percent Amounts
      O可选(Optional)
      Repeat 1

      To qualify percent amounts and supply percent amounts

    • MSG
      Message Text
      O可选(Optional)
      Repeat > 1

      To provide a free-form format that allows the transmission of text information

    • N1Loop2Party Identification LOOPM必须(Mandatory)Repeat > 1
      N1N2N3N4
      • N1
        Party Identification
        M必须(Mandatory)
        Repeat 1

        To identify a party by type of organization, name, and code

      • N2
        Additional Name Information
        O可选(Optional)
        Repeat 1

        To specify additional names

      • N3
        Party Location
        O可选(Optional)
        Repeat 1

        To specify the location of the named party

      • N4
        Geographic Location
        O可选(Optional)
        Repeat 1

        To specify the geographic place of the named party

    • DTMLoop1Date/Time Reference LOOPO可选(Optional)Repeat > 1
      DTMQTYINTAMTIII
      • DTM
        Date/Time Reference
        M必须(Mandatory)
        Repeat 1

        To specify pertinent dates and times

      • QTY
        Quantity Information
        O可选(Optional)
        Repeat 2

        To specify quantity information

      • INT
        Interest
        O可选(Optional)
        Repeat 1

        To specify interest rate and type and the applicable time period

      • AMT
        Monetary Amount Information
        O可选(Optional)
        Repeat 2

        To indicate the total monetary amount

      • III
        Information
        O可选(Optional)
        Repeat > 1

        To report information

    • FISLoop1Mortgage Loan Fiscal Data LOOPO可选(Optional)Repeat > 1
      FISIIIAWDLoop1
      • FIS
        Mortgage Loan Fiscal Data
        M必须(Mandatory)
        Repeat 1

        To specify mortgage loan fiscal data when applying for insurance claim benefits

      • III
        Information
        O可选(Optional)
        Repeat > 1

        To report information

      • AWDLoop1Amount with Description LOOPO可选(Optional)Repeat > 1
        AWDAMTIII
        • AWD
          Amount with Description
          M必须(Mandatory)
          Repeat 1

          To specify a code and/or description with an associated amount

        • AMT
          Monetary Amount Information
          O可选(Optional)
          Repeat 1

          To indicate the total monetary amount

        • III
          Information
          O可选(Optional)
          Repeat > 1

          To report information

  • SE
    Transaction Set Trailer
    M必须(Mandatory)
    Repeat 1

    To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Segment
X12 EDI Release 00602
STTransaction Set Header
To indicate the start of a transaction set and to assign a control number
Elements
  • ST01143Transaction Set Identifier Code
    ID
    M必须(Mandatory)
    Min 3 / Max 3

    Code uniquely identifying a Transaction Set

    Codes (320)
  • ST02329Transaction Set Control Number
    AN
    M必须(Mandatory)
    Min 4 / Max 9

    Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

  • ST031705Implementation Convention Preference
    AN
    O可选(Optional)
    Min 1 / Max 9

    Reference assigned to identify Implementation Convention

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