EDI 255 Segments and Elements for the Underwriting Information Services Standard


AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI255UIUnderwriting Information Services InsuranceDownload


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Research and Development:
See the list of EDI 255 segments and elements in below data grid. The Jobisez.com site has an online translation tool that converts the EDI 255 (Underwriting Information Services) document into a CSV file. If you are researching the 255s, 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.

Solutions:
Are you looking to trade the EDI 255 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 255? Or perhaps you would like to use a Cloud-Based application, so you can plug your 255 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 255 by using the EDI Mobile Device solution.


The EDI 255 Segments and Elements

SegmentDescriptionSectReqMax LoopMax UsagePos
BGNBeginning SegmentHM011
CURCurrencyHO012
NM1Individual Or Organizational NameHO913
N3Party LocationHO024
N4Geographic LocationHO015
REFReference InformationHO096
PERAdministrative Communications ContactHO037
ACTAccount IdentificationDM99999918
AM1Informational ValuesDO099
PWKPaperworkDO0110
REFReference InformationDO099999911
PERAdministrative Communications ContactDO0312
DTMDate/Time ReferenceDO0913
MSGMessage TextDO0914
YNQYes/No QuestionDO01515
NTENote/Special InstructionDO099999916
NM1Individual Or Organizational NameDM999999117
N2Additional Name InformationDO0318
LXTransaction Set Line NumberDM999999119
N3Party LocationDO0320
N4Geographic LocationDO0121
ASIAction Or Status IndicatorDO0122
PERAdministrative Communications ContactDO0323
DMGDemographic InformationDO0124
INDAdditional Individual Demographic InformationDO0125
CD2Multi-Valued CharacteristicsDO0926
MSGMessage TextDO0927
EFIElectronic Format IdentificationDO999999128
BINBinary Data SegmentDO0129
PO1Baseline Item DataDO999999130
ASIAction Or Status IndicatorDO0131
DMAAdditional Demographic InformationDO0932
REFReference InformationDO0933
DTPDate Or Time Or PeriodDO0934
MSGMessage TextDO0935
LSLoop HeaderDO0136
LXTransaction Set Line NumberDO999999137
NM1Individual Or Organizational NameDM0138
N2Additional Name InformationDO0339
NX2Location Id ComponentDO099999940
N4Geographic LocationDO0141
RECReal Estate ConditionDO0142
INDAdditional Individual Demographic InformationDO0143
EMSEmployment PositionDO0144
PERAdministrative Communications ContactDO0345
CN1Contract InformationDO0146
DTPDate Or Time Or PeriodDO0947
CD2Multi-Valued CharacteristicsDO0948
REFReference InformationDO0949
PWKPaperworkDO0150
MSGMessage TextDO0951
AM1Informational ValuesDO099999952
LELoop TrailerDO0153


SegmentElementDescriptionReqMin LengthMax LengthType
BGN1Transaction Set Purpose CodeM22ID
BGN2Reference IdentificationM150AN
BGN3DateM88DT
BGN4TimeC48TM
BGN5Time CodeO22ID
BGN6Reference IdentificationO150AN
BGN7Transaction Type CodeO22ID
BGN8Action CodeO12ID
BGN9Security Level CodeO22ID
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
NM11Entity Identifier CodeM23ID
NM12Entity Type QualifierM11ID
NM13Name Last Or Organization NameC160AN
NM14Name FirstO135AN
NM15Name MiddleO125AN
NM16Name PrefixO110AN
NM17Name SuffixO110AN
NM18Identification Code QualifierC12ID
NM19Identification CodeC280AN
NM110Entity Relationship CodeC22ID
NM111Entity Identifier CodeO23ID
NM112Name Last Or Organization NameO160AN
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
ACT1Account NumberM135AN
ACT2NameO160AN
ACT3Identification Code QualifierC12ID
ACT4Identification CodeC280AN
ACT5Account Number QualifierC13ID
ACT6Account NumberC135AN
ACT7DescriptionO180AN
ACT8Payment Method Type CodeO12ID
ACT9Benefit Status CodeO11ID
AM11Code CategoryM22ID
AM12Product/Service Id QualifierM22ID
AM13Product/Service IdM148AN
AM14Monetary AmountO118R
AM15QuantityO115R
AM16Percentage As DecimalO110R
PWK1Report Type CodeM22ID
PWK2Report Transmission CodeO12ID
PWK3Report Copies NeededO12N0
PWK4Entity Identifier CodeO23ID
PWK5Identification Code QualifierC12ID
PWK6Identification CodeC280AN
PWK7DescriptionO180AN
PWK8Paperwork/Report Action CodeO12ID
PWK9Paperwork/Report Action CodeO12ID
PWK10Paperwork/Report Action CodeO12ID
PWK11Paperwork/Report Action CodeO12ID
PWK12Paperwork/Report Action CodeO12ID
PWK13Request Category CodeO12ID
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
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
MSG1Free-Form Message TextM1264AN
MSG2Printer Carriage Control CodeC22ID
MSG3NumberO19N0
YNQ1Condition IndicatorC23ID
YNQ2Yes/No Condition Or Response CodeM11ID
YNQ3Date Time Period Format QualifierC23ID
YNQ4Date Time PeriodC135AN
YNQ5Free-Form Message TextO1264AN
YNQ6Free-Form Message TextO1264AN
YNQ7Free-Form Message TextO1264AN
YNQ8Code List Qualifier CodeC13ID
YNQ9Industry CodeC130AN
YNQ10Free-Form Message TextC1264AN
NTE1Note Reference CodeO33ID
NTE2DescriptionM180AN
NM11Entity Identifier CodeM23ID
NM12Entity Type QualifierM11ID
NM13Name Last Or Organization NameC160AN
NM14Name FirstO135AN
NM15Name MiddleO125AN
NM16Name PrefixO110AN
NM17Name SuffixO110AN
NM18Identification Code QualifierC12ID
NM19Identification CodeC280AN
NM110Entity Relationship CodeC22ID
NM111Entity Identifier CodeO23ID
NM112Name Last Or Organization NameO160AN
N21NameM160AN
N22NameO160AN
LX1Assigned NumberM16N0
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
ASI1Action CodeM12ID
ASI2Maintenance Type CodeM33ID
ASI3Status Reason CodeO33ID
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
DMG1Date Time Period Format QualifierC23ID
DMG2Date Time PeriodC135AN
DMG3Gender CodeO11ID
DMG4Marital Status CodeO11ID
DMG5Race Or Ethnicity CodeC11ID
DMG6Code List Qualifier CodeC13ID
DMG7Industry CodeC130AN
DMG8Citizenship Status CodeO12ID
DMG9Country CodeO23ID
DMG10Basis Of Verification CodeO12ID
DMG11QuantityO115R
DMG12Code List Qualifier CodeC13ID
DMG13Industry CodeC130AN
IND1Country CodeO23ID
IND2State Or Province CodeO22ID
IND3County DesignatorO55ID
IND4City NameO230AN
IND5Language CodeO23ID
IND6Language Proficiency IndicatorO11ID
IND7Language CodeO23ID
IND8Language CodeO23ID
IND9Identification Code QualifierC12ID
IND10Identification CodeC280AN
IND11Identification Code QualifierC12ID
IND12Identification CodeC280AN
CD21Code CategoryM22ID
CD22Product/Service Id QualifierM22ID
CD23Medical Code ValueM115AN
CD24Medical Code ValueO115AN
CD25Medical Code ValueO115AN
CD26Medical Code ValueO115AN
CD27Medical Code ValueO115AN
CD28Medical Code ValueO115AN
MSG1Free-Form Message TextM1264AN
MSG2Printer Carriage Control CodeC22ID
MSG3NumberO19N0
EFI1Security Level CodeM22ID
EFI2Free-Form Message TextO1264AN
EFI3Security Technique CodeO22ID
EFI4Version IdentifierC130AN
EFI5Program IdentifierO130AN
EFI6Version IdentifierC130AN
EFI7Interchange FormatO130AN
EFI8Version IdentifierC130AN
EFI9Compression TechniqueO130AN
EFI10Drawing Sheet Size CodeO22AN
EFI11File NameO164AN
EFI12Block TypeO14AN
EFI13Record LengthO115N0
EFI14Block LengthO15N0
EFI15Version IdentifierC130AN
EFI16Filter Id CodeC33ID
BIN1Length Of Binary DataM115N0
BIN2Binary DataM14096B
PO11Assigned IdentificationO120AN
PO12QuantityC115R
PO13Unit Or Basis For Measurement CodeO22ID
PO14Unit PriceC117R
PO15Basis Of Unit Price CodeO22ID
PO16Product/Service Id QualifierC22ID
PO17Product/Service IdC148AN
PO18Product/Service Id QualifierC22ID
PO19Product/Service IdC148AN
PO110Product/Service Id QualifierC22ID
PO111Product/Service IdC148AN
PO112Product/Service Id QualifierC22ID
PO113Product/Service IdC148AN
PO114Product/Service Id QualifierC22ID
PO115Product/Service IdC148AN
PO116Product/Service Id QualifierC22ID
PO117Product/Service IdC148AN
PO118Product/Service Id QualifierC22ID
PO119Product/Service IdC148AN
PO120Product/Service Id QualifierC22ID
PO121Product/Service IdC148AN
PO122Product/Service Id QualifierC22ID
PO123Product/Service IdC148AN
PO124Product/Service Id QualifierC22ID
PO125Product/Service IdC148AN
ASI1Action CodeM12ID
ASI2Maintenance Type CodeM33ID
ASI3Status Reason CodeO33ID
DMA1Reference IdentificationO150AN
DMA2State Or Province CodeO22ID
DMA3Reference IdentificationC150AN
DMA4State Or Province CodeC22ID
DMA5Applicant Type CodeO11ID
DMA6Code For Licensing, Certification, Registration, Or AccreditationC12ID
DMA7Country CodeC23ID
DMA8Language CodeO23ID
DMA9Status CodeO22ID
DMA10City NameO230AN
DMA11ColorO110AN
DMA12ColorO110AN
DMA13Measurement Unit QualifierC11ID
DMA14HeightC18R8
DMA15Weight Unit CodeC11ID
DMA16WeightC110R
DMA17DescriptionO180AN
DMA18Country CodeO23ID
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
MSG1Free-Form Message TextM1264AN
MSG2Printer Carriage Control CodeC22ID
MSG3NumberO19N0
LS1Loop Identifier CodeM14AN
LX1Assigned NumberM16N0
NM11Entity Identifier CodeM23ID
NM12Entity Type QualifierM11ID
NM13Name Last Or Organization NameC160AN
NM14Name FirstO135AN
NM15Name MiddleO125AN
NM16Name PrefixO110AN
NM17Name SuffixO110AN
NM18Identification Code QualifierC12ID
NM19Identification CodeC280AN
NM110Entity Relationship CodeC22ID
NM111Entity Identifier CodeO23ID
NM112Name Last Or Organization NameO160AN
N21NameM160AN
N22NameO160AN
NX21Address Component QualifierM22ID
NX22Address InformationM155AN
NX23County DesignatorO55ID
NX24Address Component QualifierC22ID
NX25Address InformationC155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
REC1Occupancy CodeM22ID
REC2Real Estate Property Condition CodeC22ID
REC3Property Damage CodeO12ID
REC4Yes/No Condition Or Response CodeO11ID
REC5QuantityO115R
REC6Property Inspection QualifierC22ID
REC7Action CodeC12ID
REC8Quantity QualifierC22ID
REC9QuantityC115R
REC10Unit Or Basis For Measurement CodeC22ID
REC11ExponentC115R
REC12MultiplierC110R
REC13Unit Or Basis For Measurement CodeC22ID
REC14ExponentC115R
REC15MultiplierC110R
REC16Unit Or Basis For Measurement CodeC22ID
REC17ExponentC115R
REC18MultiplierC110R
REC19Unit Or Basis For Measurement CodeC22ID
REC20ExponentC115R
REC21MultiplierC110R
REC22Unit Or Basis For Measurement CodeC22ID
REC23ExponentC115R
REC24MultiplierC110R
REC25Occupancy Verification CodeO22ID
REC26Note Reference CodeC33ID
REC27Free-Form MessageC160AN
IND1Country CodeO23ID
IND2State Or Province CodeO22ID
IND3County DesignatorO55ID
IND4City NameO230AN
IND5Language CodeO23ID
IND6Language Proficiency IndicatorO11ID
IND7Language CodeO23ID
IND8Language CodeO23ID
IND9Identification Code QualifierC12ID
IND10Identification CodeC280AN
IND11Identification Code QualifierC12ID
IND12Identification CodeC280AN
EMS1DescriptionO180AN
EMS2Employment Class CodeO23ID
EMS3Occupation CodeO46ID
EMS4Employment Status CodeO22ID
EMS5Reference Identification QualifierC23ID
EMS6Reference IdentificationC150AN
EMS7Reference IdentificationC150AN
EMS8Reference Identification QualifierC23ID
EMS9Identification Code QualifierC12ID
EMS10Identification CodeC280AN
EMS11Percent, Decimal FormatO16R6
EMS12Employment Status CodeO22ID
EMS13Identification Code QualifierC12ID
EMS14Identification CodeC280AN
EMS15Employment Class CodeO23ID
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
CN11Contract Type CodeM22ID
CN12Monetary AmountO118R
CN13Percent, Decimal FormatO16R6
CN14Reference IdentificationO150AN
CN15Terms Discount PercentO16R6
CN16Version IdentifierO130AN
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
CD21Code CategoryM22ID
CD22Product/Service Id QualifierM22ID
CD23Medical Code ValueM115AN
CD24Medical Code ValueO115AN
CD25Medical Code ValueO115AN
CD26Medical Code ValueO115AN
CD27Medical Code ValueO115AN
CD28Medical Code ValueO115AN
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
PWK1Report Type CodeM22ID
PWK2Report Transmission CodeO12ID
PWK3Report Copies NeededO12N0
PWK4Entity Identifier CodeO23ID
PWK5Identification Code QualifierC12ID
PWK6Identification CodeC280AN
PWK7DescriptionO180AN
PWK8Paperwork/Report Action CodeO12ID
PWK9Paperwork/Report Action CodeO12ID
PWK10Paperwork/Report Action CodeO12ID
PWK11Paperwork/Report Action CodeO12ID
PWK12Paperwork/Report Action CodeO12ID
PWK13Request Category CodeO12ID
MSG1Free-Form Message TextM1264AN
MSG2Printer Carriage Control CodeC22ID
MSG3NumberO19N0
AM11Code CategoryM22ID
AM12Product/Service Id QualifierM22ID
AM13Product/Service IdM148AN
AM14Monetary AmountO118R
AM15QuantityO115R
AM16Percentage As DecimalO110R
LE1Loop Identifier CodeM14AN


Official Definition:
Data contents of the Underwriting Information Services Transaction Set (255) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to request specific services from information providers in support of the underwriting process. In addition, the standard can be used between trading partners to request/receive status information on outstanding requests.



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