EDI 141 Segments and Elements for the Product Service Claim Response Standard


AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI141WAProduct Service Claim Response Supply ChainDownload


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Research and Development:
See the list of EDI 141 segments and elements in below data grid. The Jobisez.com site has an online translation tool that converts the EDI 141 (Product Service Claim Response) document into a CSV file. If you are researching the 141s, you can view other trading partner's mapping specifications. You can also gain knowledge by researching all EDI document types. Jobisez LLC can also provide assistance if you need additional help.

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The EDI 141 Segments and Elements

SegmentDescriptionSectReqMax LoopMax UsagePos
BGNBeginning SegmentHM011
QTYQuantity InformationHO032
N9Extended Reference InformationHO09999993
N1Party IdentificationHM214
N2Additional Name InformationHO025
N3Party LocationHO046
N4Geographic LocationHO017
REFReference InformationHO028
PERAdministrative Communications ContactHO029
LXTransaction Set Line NumberDM999999110
REFReference InformationDM0811
PCSProduct Claim StatusDO0112
DTMDate/Time ReferenceDO099999913
MSGMessage TextDO099999914
AMTMonetary Amount InformationDO099999915
PERAdministrative Communications ContactDO0116
RCRoot CauseDO0117
TDSTotal Monetary Value SummarySO1118
AMTMonetary Amount InformationSO099999919
CURCurrencySO0120


SegmentElementDescriptionReqMin LengthMax LengthType
BGN1Transaction Set Purpose CodeM22ID
BGN2Reference IdentificationM150AN
BGN3DateM88DT
BGN4TimeC48TM
BGN5Time CodeO22ID
BGN6Reference IdentificationO150AN
BGN7Transaction Type CodeO22ID
BGN8Action CodeO12ID
BGN9Security Level CodeO22ID
QTY1Quantity QualifierM22ID
QTY2QuantityC115R
QTY3Unit Or Basis For Measurement CodeO22ID
QTY4ExponentO115R
QTY5MultiplierO110R
QTY6Unit Or Basis For Measurement CodeO22ID
QTY7ExponentO115R
QTY8MultiplierO110R
QTY9Unit Or Basis For Measurement CodeO22ID
QTY10ExponentO115R
QTY11MultiplierO110R
QTY12Unit Or Basis For Measurement CodeO22ID
QTY13ExponentO115R
QTY14MultiplierO110R
QTY15Unit Or Basis For Measurement CodeO22ID
QTY16ExponentO115R
QTY17MultiplierO110R
QTY18Free-Form InformationC130AN
N91Reference Identification QualifierM23ID
N92Reference IdentificationC150AN
N93Free-Form DescriptionC145AN
N94DateO88DT
N95TimeC48TM
N96Time CodeO22ID
N97Reference Identification QualifierO23ID
N98Reference IdentificationO150AN
N99Reference Identification QualifierO23ID
N910Reference IdentificationO150AN
N911Reference Identification QualifierO23ID
N912Reference IdentificationO150AN
N11Entity Identifier CodeM23ID
N12NameC160AN
N13Identification Code QualifierC12ID
N14Identification CodeC280AN
N15Entity Relationship CodeO22ID
N16Entity Identifier CodeO23ID
N21NameM160AN
N22NameO160AN
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
LX1Assigned NumberM16N0
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
PCS1Claim Status CodeC12ID
PCS2Agency Qualifier CodeC22ID
PCS3Source SubqualifierO115AN
PCS4Claim Response Reason CodeC13ID
PCS5Monetary AmountO118R
PCS6Follow-Up Action CodeO11ID
PCS7Agency Qualifier CodeC22ID
PCS8Source SubqualifierO115AN
PCS9Disposition CodeC33AN
PCS10DescriptionO180AN
PCS11Authorization IdentificationO14AN
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
MSG1Free-Form Message TextM1264AN
MSG2Printer Carriage Control CodeC22ID
MSG3NumberO19N0
AMT1Amount Qualifier CodeM13ID
AMT2Monetary AmountM118R
AMT3Credit/Debit Flag CodeO11ID
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
RC1Product/Service Id QualifierC22ID
RC2Product/Service IdC148AN
RC3NameO160AN
RC4Agency Qualifier CodeC22ID
RC5Source SubqualifierO115AN
RC6Causal Part Condition CodeC13AN
RC7DescriptionC180AN
RC8Free-Form Message TextO1264AN
RC9Yes/No Condition Or Response CodeO11ID
TDS1AmountM115N2
TDS2AmountO115N2
TDS3AmountO115N2
TDS4AmountO115N2
AMT1Amount Qualifier CodeM13ID
AMT2Monetary AmountM118R
AMT3Credit/Debit Flag CodeO11ID
CUR1Entity Identifier CodeM23ID
CUR2Currency CodeM33ID
CUR3Exchange RateO410R
CUR4Entity Identifier CodeO23ID
CUR5Currency CodeO33ID
CUR6Currency Market/Exchange CodeO33ID
CUR7Date/Time QualifierC33ID
CUR8DateO88DT
CUR9TimeO48TM
CUR10Date/Time QualifierC33ID
CUR11DateC88DT
CUR12TimeC48TM
CUR13Date/Time QualifierC33ID
CUR14DateC88DT
CUR15TimeC48TM
CUR16Date/Time QualifierC33ID
CUR17DateC88DT
CUR18TimeC48TM
CUR19Date/Time QualifierC33ID
CUR20DateC88DT
CUR21TimeC48TM


Official Definition:
Data contents of the Product Service Claim Response Transaction Set (141) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to transmit the status of a product service claim and the items accepted and rejected for payment from the product service claim. Each product service claim submission could have represented the repair of several individual products and each pair could have consisted of several repair actions involving parts and labor.



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