EDI 100 Format
ISA*01*0000000000*01*0000000000*ZZ*ABCDEFGHIJKLMNO*ZZ*123456789012345*101127*1719*U*00400*000003438*0*P*>
GS*PG*1234567890 *999999999 *20120125*1325*1*T*004010
ST*100*0001
BGN*00*Reference Identification*20120125*1325*01*Reference Identification*01*1*00
C3*CUR*433283*CUR*CUR
DTP*001*CC*Date Time Period
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
REF*01*Reference Identification*Description*01Reference Identification1Reference Identification1Reference Identification
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
N1*01*Name*1*Identification Code*01*01
N2*Name*Name
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
COM*AA*Communication Number
III*0*Industry Code*01*Free-Form Message Text*21485498*0143158130293911918169715624141982212425988541872985312067915267222*1S*1S*1S
MSG*Free-Form Message Text*AA*6187232
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe
N3*Address Information*Address Information
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
PID*F*01*10*Product Desc*Description*1S*Source Subquali*N*LAN
LIN*Assigned Identificat*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID
DTP*001*CC*Date Time Period
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01
BLI*A1*Product/Service ID*27920257061*01*ACT*2798913313178101*01*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*1*1*1*1*1
DTP*001*CC*Date Time Period
III*0*Industry Code*01*Free-Form Message Text*19*0158091304630633213771918124539111132422858125946145732373313952921068123138305008690271483*1S*1S*1S
AMT*1*514476602*C
QTY*01*65*01260941387304321657129381113216166161122374312562423501312173117812251210525412
SI*10*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID
AMT*1*538813688*C
QTY*01*1479*0117481153916378851350323529221217132569151696826112921831412578217197320381
AM1*01*A1*Product/Service ID*124402331*245*29956146
MSG*Free-Form Message Text*AA*258
PO1*Assigned Identificat*4841*01*75619743286555608*AA*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID
LIN*Assigned Identificat*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID
SPA*01*CC*Date Time Period*1*15*001*001*001*10*Product Desc*Source Subquali
III*0*Industry Code*01*Free-Form Message Text*171194058841141*012332510731215352550524166115530103620041214122795*1S*1S*1S
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier
SPA*01*CC*Date Time Period*1*1495*001*001*001*10*Product Desc*Source Subquali
AM1*01*A1*Product/Service ID*3056328601*26957647*1439
MSG*Free-Form Message Text*AA*20147
PO1*Assigned Identificat*3065*01*12461199*AA*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID
SPA*01*CC*Date Time Period*1*2596930853611*001*001*001*10*Product Desc*Source Subquali
SPA*01*CC*Date Time Period*1*136662354327753*001*001*001*10*Product Desc*Source Subquali
III*0*Industry Code*01*Free-Form Message Text*169834*01238371552311009134127549226686227451124211211276146576116*1S*1S*1S
SE*48*0001
GE*1*1
IEA*1*000000001
EDI 100 Specification
This X12 Transaction Set contains the format and establishes the data contents of the Insurance Plan Description Transaction Set (100) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to transmit life insurance, annuity, and disability insurance product availability and features, historical performance, investment options, distributions channels, and offering company information.
