EDI 273 Segments and Elements for the Insurance/Annuity Application Status Standard


AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI273IDInsurance/Annuity Application Status InsuranceDownload


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Research and Development:
See the list of EDI 273 segments and elements in below data grid. The Jobisez.com site has an online translation tool that converts the EDI 273 (Insurance/Annuity Application Status) document into a CSV file. If you are researching the 273s, 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 273 Segments and Elements

SegmentDescriptionSectReqMax LoopMax UsagePos
BGNBeginning SegmentHM011
CURCurrencyHO012
UDUnderwriting StatusHO013
NM1Individual Or Organizational NameHO214
N3Party LocationHO035
N4Geographic LocationHO016
REFReference InformationHO097
PERAdministrative Communications ContactHO038
ACTAccount IdentificationDM99999919
PERAdministrative Communications ContactDO0310
UDUnderwriting StatusDO0111
DTPDate Or Time Or PeriodDO01912
BLIBasic Baseline Item DataDO0113
AMTMonetary Amount InformationDO0914
LINItem IdentificationDO0115
REFReference InformationDO0916
K3File InformationDO0317
LXTransaction Set Line NumberDM999999118
BLIBasic Baseline Item DataDO0119
INVInvestment Vehicle SelectionDO0920
UDUnderwriting StatusDO0121
M1InsuranceDO0122
DTPDate Or Time Or PeriodDO0923
RPARate Amounts Or PercentsDO0124
K3File InformationDO0325
BENBeneficiary Or Owner InformationDO999999126
NM1Individual Or Organizational NameDO0127
N2Additional Name InformationDO0128
N3Party LocationDO0129
N4Geographic LocationDO0130
DTPDate Or Time Or PeriodDO0131
ENTEntityDO999999132
NM1Individual Or Organizational NameDO0133
N2Additional Name InformationDO0234
REFReference InformationDO0935
N3Party LocationDO0336
N4Geographic LocationDO0137
PERAdministrative Communications ContactDO0338
DMGDemographic InformationDO0139
DMAAdditional Demographic InformationDO0140
RELRelationshipDO0141
UDUnderwriting StatusDO0142
DTPDate Or Time Or PeriodDO0943
QTYQuantity InformationDO0944
K3File InformationDO0345
LQIndustry Code IdentificationDO999999146
V9Event DetailDO0147
SPAStatus Of Product Or ActivityDO099999948
DTPDate Or Time Or PeriodDO0949
K3File InformationDO0350
NM1Individual Or Organizational NameDO999999151
N3Party LocationDO0352
N4Geographic LocationDO0153
G61ContactDO0954
BENBeneficiary Or Owner InformationDO999999155
NM1Individual Or Organizational NameDO0156
N2Additional Name InformationDO0157
N3Party LocationDO0158
N4Geographic LocationDO0159
DTPDate Or Time Or PeriodDO0160
BLIBasic Baseline Item DataDO999999161
INVInvestment Vehicle SelectionDO0962
UDUnderwriting StatusDO0163
UDAUnderwriting ConditionDO099999964
M1InsuranceDO0165
DTPDate Or Time Or PeriodDO0966
QTYQuantity InformationDO099999967
RPARate Amounts Or PercentsDO099999968
K3File InformationDO0369
BENBeneficiary Or Owner InformationDO999999170
NM1Individual Or Organizational NameDO0171
N2Additional Name InformationDO0172
N3Party LocationDO0173
N4Geographic LocationDO0174
DTPDate Or Time Or PeriodDO0175
MSGMessage TextDO999999176
DTPDate Or Time Or PeriodDO0177
NM1Individual Or Organizational NameDO0178


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
UD1Status CodeM22ID
UD2Status CodeO22ID
UD3Underwriting Decision CodeO11ID
UD4DateO88DT
UD5DescriptionO180AN
UD6Offer Basis CodeO23ID
UD7Assigned NumberO16N0
UD8Offer Basis CodeO23ID
UD9Assigned NumberO16N0
UD10DescriptionO180AN
UD11Percentage As DecimalC110R
UD12AmountC115N2
UD13NumberO19N0
UD14State Or Province CodeO22ID
UD15Country CodeO23ID
UD16State Or Province CodeO22ID
UD17Country CodeO23ID
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
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
UD1Status CodeM22ID
UD2Status CodeO22ID
UD3Underwriting Decision CodeO11ID
UD4DateO88DT
UD5DescriptionO180AN
UD6Offer Basis CodeO23ID
UD7Assigned NumberO16N0
UD8Offer Basis CodeO23ID
UD9Assigned NumberO16N0
UD10DescriptionO180AN
UD11Percentage As DecimalC110R
UD12AmountC115N2
UD13NumberO19N0
UD14State Or Province CodeO22ID
UD15Country CodeO23ID
UD16State Or Province CodeO22ID
UD17Country CodeO23ID
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
BLI1Product/Service Id QualifierM22ID
BLI2Product/Service IdM148AN
BLI3QuantityC115R
BLI4Unit Or Basis For Measurement CodeO22ID
BLI5Price Identifier CodeC33ID
BLI6Unit PriceC117R
BLI7Unit Or Basis For Measurement CodeO22ID
BLI8Product/Service Id QualifierC22ID
BLI9Product/Service IdC148AN
BLI10Product/Service Id QualifierC22ID
BLI11Product/Service IdC148AN
BLI12Product/Service Id QualifierC22ID
BLI13Product/Service IdC148AN
BLI14Product Option CodeO12ID
BLI15Product Option CodeO12ID
BLI16Product Option CodeO12ID
BLI17Product Option CodeO12ID
BLI18Frequency CodeO11ID
AMT1Amount Qualifier CodeM13ID
AMT2Monetary AmountM118R
AMT3Credit/Debit Flag CodeO11ID
LIN1Assigned IdentificationO120AN
LIN2Product/Service Id QualifierM22ID
LIN3Product/Service IdM148AN
LIN4Product/Service Id QualifierC22ID
LIN5Product/Service IdC148AN
LIN6Product/Service Id QualifierC22ID
LIN7Product/Service IdC148AN
LIN8Product/Service Id QualifierC22ID
LIN9Product/Service IdC148AN
LIN10Product/Service Id QualifierC22ID
LIN11Product/Service IdC148AN
LIN12Product/Service Id QualifierC22ID
LIN13Product/Service IdC148AN
LIN14Product/Service Id QualifierC22ID
LIN15Product/Service IdC148AN
LIN16Product/Service Id QualifierC22ID
LIN17Product/Service IdC148AN
LIN18Product/Service Id QualifierC22ID
LIN19Product/Service IdC148AN
LIN20Product/Service Id QualifierC22ID
LIN21Product/Service IdC148AN
LIN22Product/Service Id QualifierC22ID
LIN23Product/Service IdC148AN
LIN24Product/Service Id QualifierC22ID
LIN25Product/Service IdC148AN
LIN26Product/Service Id QualifierC22ID
LIN27Product/Service IdC148AN
LIN28Product/Service Id QualifierC22ID
LIN29Product/Service IdC148AN
LIN30Product/Service Id QualifierC22ID
LIN31Product/Service IdC148AN
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
K31Fixed Format InformationM180AN
K32Record Format CodeO12ID
K33Unit Or Basis For Measurement CodeO22ID
K34ExponentO115R
K35MultiplierO110R
K36Unit Or Basis For Measurement CodeO22ID
K37ExponentO115R
K38MultiplierO110R
K39Unit Or Basis For Measurement CodeO22ID
K310ExponentO115R
K311MultiplierO110R
K312Unit Or Basis For Measurement CodeO22ID
K313ExponentO115R
K314MultiplierO110R
K315Unit Or Basis For Measurement CodeO22ID
K316ExponentO115R
K317MultiplierO110R
LX1Assigned NumberM16N0
BLI1Product/Service Id QualifierM22ID
BLI2Product/Service IdM148AN
BLI3QuantityC115R
BLI4Unit Or Basis For Measurement CodeO22ID
BLI5Price Identifier CodeC33ID
BLI6Unit PriceC117R
BLI7Unit Or Basis For Measurement CodeO22ID
BLI8Product/Service Id QualifierC22ID
BLI9Product/Service IdC148AN
BLI10Product/Service Id QualifierC22ID
BLI11Product/Service IdC148AN
BLI12Product/Service Id QualifierC22ID
BLI13Product/Service IdC148AN
BLI14Product Option CodeO12ID
BLI15Product Option CodeO12ID
BLI16Product Option CodeO12ID
BLI17Product Option CodeO12ID
BLI18Frequency CodeO11ID
INV1DescriptionM180AN
INV2Percentage As DecimalC110R
INV3Monetary AmountC118R
INV4QuantityC115R
INV5State Or Province CodeO22ID
INV6DescriptionO180AN
INV7Monetary AmountO118R
UD1Status CodeM22ID
UD2Status CodeO22ID
UD3Underwriting Decision CodeO11ID
UD4DateO88DT
UD5DescriptionO180AN
UD6Offer Basis CodeO23ID
UD7Assigned NumberO16N0
UD8Offer Basis CodeO23ID
UD9Assigned NumberO16N0
UD10DescriptionO180AN
UD11Percentage As DecimalC110R
UD12AmountC115N2
UD13NumberO19N0
UD14State Or Province CodeO22ID
UD15Country CodeO23ID
UD16State Or Province CodeO22ID
UD17Country CodeO23ID
M11Country CodeM23ID
M12Carriage ValueO28N0
M13Declared ValueO212N2
M14Rate/Value QualifierO22ID
M15Entity Identifier CodeO23ID
M16Free-Form InformationO130AN
M17Rate/Value QualifierC22ID
M18Monetary AmountC118R
M19Percent QualifierC12ID
M110Percentage As DecimalC110R
M111Percent QualifierC12ID
M112Percentage As DecimalC110R
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
RPA1Rate Or Value Type CodeM12ID
RPA2Monetary AmountC118R
RPA3RateC19R9
RPA4Unit Or Basis For Measurement CodeO22ID
RPA5ExponentO115R
RPA6MultiplierO110R
RPA7Unit Or Basis For Measurement CodeO22ID
RPA8ExponentO115R
RPA9MultiplierO110R
RPA10Unit Or Basis For Measurement CodeO22ID
RPA11ExponentO115R
RPA12MultiplierO110R
RPA13Unit Or Basis For Measurement CodeO22ID
RPA14ExponentO115R
RPA15MultiplierO110R
RPA16Unit Or Basis For Measurement CodeO22ID
RPA17ExponentO115R
RPA18MultiplierO110R
RPA19Percentage As DecimalC110R
K31Fixed Format InformationM180AN
K32Record Format CodeO12ID
K33Unit Or Basis For Measurement CodeO22ID
K34ExponentO115R
K35MultiplierO110R
K36Unit Or Basis For Measurement CodeO22ID
K37ExponentO115R
K38MultiplierO110R
K39Unit Or Basis For Measurement CodeO22ID
K310ExponentO115R
K311MultiplierO110R
K312Unit Or Basis For Measurement CodeO22ID
K313ExponentO115R
K314MultiplierO110R
K315Unit Or Basis For Measurement CodeO22ID
K316ExponentO115R
K317MultiplierO110R
BEN1Primary Or Contingent CodeO11ID
BEN2Percentage As DecimalO110R
BEN3Individual Relationship CodeO22ID
BEN4Yes/No Condition Or Response CodeO11ID
BEN5Yes/No Condition Or Response CodeO11ID
BEN6Type Of Account CodeO22ID
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
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
ENT1Assigned NumberO16N0
ENT2Entity Identifier CodeC23ID
ENT3Identification Code QualifierC12ID
ENT4Identification CodeC280AN
ENT5Entity Identifier CodeC23ID
ENT6Identification Code QualifierC12ID
ENT7Identification CodeC280AN
ENT8Reference Identification QualifierC23ID
ENT9Reference IdentificationC150AN
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
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
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
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
REL1Individual Relationship CodeM22ID
REL2NumberO19N0
UD1Status CodeM22ID
UD2Status CodeO22ID
UD3Underwriting Decision CodeO11ID
UD4DateO88DT
UD5DescriptionO180AN
UD6Offer Basis CodeO23ID
UD7Assigned NumberO16N0
UD8Offer Basis CodeO23ID
UD9Assigned NumberO16N0
UD10DescriptionO180AN
UD11Percentage As DecimalC110R
UD12AmountC115N2
UD13NumberO19N0
UD14State Or Province CodeO22ID
UD15Country CodeO23ID
UD16State Or Province CodeO22ID
UD17Country CodeO23ID
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
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
K31Fixed Format InformationM180AN
K32Record Format CodeO12ID
K33Unit Or Basis For Measurement CodeO22ID
K34ExponentO115R
K35MultiplierO110R
K36Unit Or Basis For Measurement CodeO22ID
K37ExponentO115R
K38MultiplierO110R
K39Unit Or Basis For Measurement CodeO22ID
K310ExponentO115R
K311MultiplierO110R
K312Unit Or Basis For Measurement CodeO22ID
K313ExponentO115R
K314MultiplierO110R
K315Unit Or Basis For Measurement CodeO22ID
K316ExponentO115R
K317MultiplierO110R
LQ1Code List Qualifier CodeO13ID
LQ2Industry CodeC130AN
V91Event CodeM33ID
V92EventO125AN
V93DateO88DT
V94TimeC48TM
V95City NameC230AN
V96State Or Province CodeO22ID
V97Country CodeO23ID
V98Status Reason CodeO33ID
V99Standard Point Location CodeC69ID
V910QuantityC115R
V911Train Delay Reason CodeC23AN
V912Free-Form InformationO130AN
V913Time CodeO22ID
V914QuantityO115R
V915Standard Point Location CodeO69ID
V916Total EquipmentO13N0
V917Total EquipmentO13N0
V918Total EquipmentO13N0
V919WeightO110R
V920LengthO18R8
SPA1Status CodeM22ID
SPA2Date Time Period Format QualifierC23ID
SPA3Date Time PeriodC135AN
SPA4Amount Qualifier CodeC13ID
SPA5Monetary AmountC118R
SPA6Status Reason CodeO33ID
SPA7Status Reason CodeO33ID
SPA8Status Reason CodeO33ID
SPA9Agency Qualifier CodeC22ID
SPA10Product Description CodeC112AN
SPA11Source SubqualifierO115AN
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
K31Fixed Format InformationM180AN
K32Record Format CodeO12ID
K33Unit Or Basis For Measurement CodeO22ID
K34ExponentO115R
K35MultiplierO110R
K36Unit Or Basis For Measurement CodeO22ID
K37ExponentO115R
K38MultiplierO110R
K39Unit Or Basis For Measurement CodeO22ID
K310ExponentO115R
K311MultiplierO110R
K312Unit Or Basis For Measurement CodeO22ID
K313ExponentO115R
K314MultiplierO110R
K315Unit Or Basis For Measurement CodeO22ID
K316ExponentO115R
K317MultiplierO110R
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
G611Contact Function CodeM22ID
G612NameM160AN
G613Communication Number QualifierC22ID
G614Communication NumberC1256AN
G615Contact Inquiry ReferenceO120AN
BEN1Primary Or Contingent CodeO11ID
BEN2Percentage As DecimalO110R
BEN3Individual Relationship CodeO22ID
BEN4Yes/No Condition Or Response CodeO11ID
BEN5Yes/No Condition Or Response CodeO11ID
BEN6Type Of Account CodeO22ID
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
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
BLI1Product/Service Id QualifierM22ID
BLI2Product/Service IdM148AN
BLI3QuantityC115R
BLI4Unit Or Basis For Measurement CodeO22ID
BLI5Price Identifier CodeC33ID
BLI6Unit PriceC117R
BLI7Unit Or Basis For Measurement CodeO22ID
BLI8Product/Service Id QualifierC22ID
BLI9Product/Service IdC148AN
BLI10Product/Service Id QualifierC22ID
BLI11Product/Service IdC148AN
BLI12Product/Service Id QualifierC22ID
BLI13Product/Service IdC148AN
BLI14Product Option CodeO12ID
BLI15Product Option CodeO12ID
BLI16Product Option CodeO12ID
BLI17Product Option CodeO12ID
BLI18Frequency CodeO11ID
INV1DescriptionM180AN
INV2Percentage As DecimalC110R
INV3Monetary AmountC118R
INV4QuantityC115R
INV5State Or Province CodeO22ID
INV6DescriptionO180AN
INV7Monetary AmountO118R
UD1Status CodeM22ID
UD2Status CodeO22ID
UD3Underwriting Decision CodeO11ID
UD4DateO88DT
UD5DescriptionO180AN
UD6Offer Basis CodeO23ID
UD7Assigned NumberO16N0
UD8Offer Basis CodeO23ID
UD9Assigned NumberO16N0
UD10DescriptionO180AN
UD11Percentage As DecimalC110R
UD12AmountC115N2
UD13NumberO19N0
UD14State Or Province CodeO22ID
UD15Country CodeO23ID
UD16State Or Province CodeO22ID
UD17Country CodeO23ID
UDA1Offer Basis CodeM23ID
UDA2DescriptionO180AN
UDA3Quantity QualifierC22ID
UDA4QuantityC115R
UDA5Unit Or Basis For Measurement CodeO22ID
UDA6AmountO115N2
UDA7Percentage As DecimalO110R
M11Country CodeM23ID
M12Carriage ValueO28N0
M13Declared ValueO212N2
M14Rate/Value QualifierO22ID
M15Entity Identifier CodeO23ID
M16Free-Form InformationO130AN
M17Rate/Value QualifierC22ID
M18Monetary AmountC118R
M19Percent QualifierC12ID
M110Percentage As DecimalC110R
M111Percent QualifierC12ID
M112Percentage As DecimalC110R
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
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
RPA1Rate Or Value Type CodeM12ID
RPA2Monetary AmountC118R
RPA3RateC19R9
RPA4Unit Or Basis For Measurement CodeO22ID
RPA5ExponentO115R
RPA6MultiplierO110R
RPA7Unit Or Basis For Measurement CodeO22ID
RPA8ExponentO115R
RPA9MultiplierO110R
RPA10Unit Or Basis For Measurement CodeO22ID
RPA11ExponentO115R
RPA12MultiplierO110R
RPA13Unit Or Basis For Measurement CodeO22ID
RPA14ExponentO115R
RPA15MultiplierO110R
RPA16Unit Or Basis For Measurement CodeO22ID
RPA17ExponentO115R
RPA18MultiplierO110R
RPA19Percentage As DecimalC110R
K31Fixed Format InformationM180AN
K32Record Format CodeO12ID
K33Unit Or Basis For Measurement CodeO22ID
K34ExponentO115R
K35MultiplierO110R
K36Unit Or Basis For Measurement CodeO22ID
K37ExponentO115R
K38MultiplierO110R
K39Unit Or Basis For Measurement CodeO22ID
K310ExponentO115R
K311MultiplierO110R
K312Unit Or Basis For Measurement CodeO22ID
K313ExponentO115R
K314MultiplierO110R
K315Unit Or Basis For Measurement CodeO22ID
K316ExponentO115R
K317MultiplierO110R
BEN1Primary Or Contingent CodeO11ID
BEN2Percentage As DecimalO110R
BEN3Individual Relationship CodeO22ID
BEN4Yes/No Condition Or Response CodeO11ID
BEN5Yes/No Condition Or Response CodeO11ID
BEN6Type Of Account CodeO22ID
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
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
MSG1Free-Form Message TextM1264AN
MSG2Printer Carriage Control CodeC22ID
MSG3NumberO19N0
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
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


Official Definition:
Data contents of the Insurance/Annuity Application Status Transaction Set (273) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used by insurance providers to inform their trading partners of the current status of a life insurance or annuity application during the underwriting process.



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