EDI 267 Segments for the Individual Life, Annuity And Disability Application Transaction Set


AgencySet IDFGTransaction DescriptionSubcommittee
ANSI267ADIndividual Life, Annuity And Disability Application Insurance


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Research and Development:
See the list of EDI 267 segments in below data grid. Click on the links in the 'Segments' column in the below data grid to view all of the Elements for for that Segment. The Jobisez.com site has an online translation tool that converts the EDI 267 (Individual Life, Annuity And Disability Application) document into a CSV file. If you are researching the 267s, 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.


The EDI 267 Segments

Segment DetailsDescriptionSectReqMax LoopMax UsagePos
BGNBeginning SegmentHM011
DTPDate Or Time Or PeriodHO09999992
NM1Individual Or Organizational NameHO99999913
N3Party LocationHO034
N4Geographic LocationHO015
REFReference InformationHO096
PERAdministrative Communications ContactHO037
N1Party IdentificationDM99999918
N2Additional Name InformationDO039
N3Party LocationDO0310
N4Geographic LocationDO0111
N9Extended Reference InformationDO099999912
DTMDate/Time ReferenceDO099999913
ACTAccount IdentificationDM999999114
ASIAction Or Status IndicatorDO0115
PERAdministrative Communications ContactDO099999916
C3Currency IdentifierDO0117
LUILanguage UseDO099999918
DTPDate Or Time Or PeriodDO099999919
BLIBasic Baseline Item DataDO0120
LINItem IdentificationDO099999921
PDLPayment DetailsDO099999922
AM1Informational ValuesDO099999923
AMTMonetary Amount InformationDO099999924
QTYQuantity InformationDO099999925
YNQYes/No QuestionDO099999926
REFReference InformationDO099999927
LQIndustry Code IdentificationDO999999128
N4Geographic LocationDO099999929
LUILanguage UseDO099999930
SIService Characteristic IdentificationDO999999131
AMTMonetary Amount InformationDO099999932
DTPDate Or Time Or PeriodDO099999933
REFReference InformationDO099999934
NM1Individual Or Organizational NameDO0135
N4Geographic LocationDO0136
MSGMessage TextDO099999937
PIDProduct/Item DescriptionDO999999138
BLIBasic Baseline Item DataDO0139
SPAStatus Of Product Or ActivityDO0140
UDUnderwriting StatusDO0141
AMTMonetary Amount InformationDO099999942
AM1Informational ValuesDO099999943
PDLPayment DetailsDO099999944
QTYQuantity InformationDO099999945
DTPDate Or Time Or PeriodDO099999946
MSGMessage TextDO099999947
INVInvestment Vehicle SelectionDO999999148
AM1Informational ValuesDO099999949
DTPDate Or Time Or PeriodDO099999950
QTYQuantity InformationDO099999951
LINItem IdentificationDO0252
RPARate Amounts Or PercentsDO099999953
BENBeneficiary Or Owner InformationDO999999154
NM1Individual Or Organizational NameDO0155
N2Additional Name InformationDO0356
N3Party LocationDO0357
N4Geographic LocationDO0158
REFReference InformationDO099999959
DTPDate Or Time Or PeriodDO099999960
IIIInformationDO099999961
QTYQuantity InformationDO099999962
AMTMonetary Amount InformationDO099999963
LUILanguage UseDO0164
MSGMessage TextDO099999965
ENTEntityDO999999166
NX1Property Or Entity IdentificationDO0267
REFReference InformationDO099999968
LINItem IdentificationDO0969
DMGDemographic InformationDO0170
DMAAdditional Demographic InformationDO0171
INDAdditional Individual Demographic InformationDO0172
LUILanguage UseDO0173
ERIEntity RelationshipDO0174
DTPDate Or Time Or PeriodDO099999975
AMTMonetary Amount InformationDO099999976
AM1Informational ValuesDO099999977
RPARate Amounts Or PercentsDO099999978
YNQYes/No QuestionDO099999979
QTYQuantity InformationDO099999980
MSGMessage TextDO099999981
NM1Individual Or Organizational NameDO999999182
N2Additional Name InformationDO0383
REFReference InformationDO099999984
AM1Informational ValuesDO099999985
N3Party LocationDO999999186
N4Geographic LocationDO0187
COMCommunication Contact InformationDO0988
DTPDate Or Time Or PeriodDO099999989
QTYQuantity InformationDO0190
LQIndustry Code IdentificationDO999999191
SPAStatus Of Product Or ActivityDO0192
DTPDate Or Time Or PeriodDO099999993
MSGMessage TextDO099999994
NM1Individual Or Organizational NameDO999999195
N3Party LocationDO0396
N4Geographic LocationDO0197
REFReference InformationDO099999998
COMCommunication Contact InformationDO0399
LUILanguage UseDO01100
DTPDate Or Time Or PeriodDO0999999101
MSGMessage TextDO0999999102
BENBeneficiary Or Owner InformationDO9999991103
NM1Individual Or Organizational NameDO01104
N2Additional Name InformationDO03105
N3Party LocationDO03106
N4Geographic LocationDO01107
REFReference InformationDO0999999108
DTPDate Or Time Or PeriodDO0999999109
IIIInformationDO0999999110
QTYQuantity InformationDO0999999111
AMTMonetary Amount InformationDO0999999112
LUILanguage UseDO01113
MSGMessage TextDO0999999114
PIDProduct/Item DescriptionDO9999991115
BLIBasic Baseline Item DataDO09116
SPAStatus Of Product Or ActivityDO01117
AMTMonetary Amount InformationDO0999999118
QTYQuantity InformationDO0999999119
DTPDate Or Time Or PeriodDO0999999120
YNQYes/No QuestionDO0999999121
MSGMessage TextDO0999999122
PDLPayment DetailsDO9999991123
REFReference InformationDO0999999124
INVInvestment Vehicle SelectionDO9999991125
AM1Informational ValuesDO0999999126
DTPDate Or Time Or PeriodDO0999999127
RPARate Amounts Or PercentsDO0999999128
BENBeneficiary Or Owner InformationDO9999991129
NM1Individual Or Organizational NameDO01130
N2Additional Name InformationDO03131
N3Party LocationDO03132
N4Geographic LocationDO01133
REFReference InformationDO0999999134
DTPDate Or Time Or PeriodDO0999999135
IIIInformationDO0999999136
QTYQuantity InformationDO0999999137
AMTMonetary Amount InformationDO0999999138
LUILanguage UseDO01139
MSGMessage TextDO0999999140
UCUnderwriting CategoryDO9999991141
HLHierarchical LevelDO9999991142
UQSUnderwriting QuestionDO01143
YNQYes/No QuestionDO0999999144
NM1Individual Or Organizational NameDO01145
N3Party LocationDO03146
N4Geographic LocationDO01147
COMCommunication Contact InformationDO09148
DTPDate Or Time Or PeriodDO0999999149
QTYQuantity InformationDO0999999150
MSGMessage TextDO0999999151
AM1Informational ValuesDO0999999152
AMTMonetary Amount InformationDO0999999153
IIIInformationDO0999999154
ECEmployment ClassDO01155
EMSEmployment PositionDO01156
EMPEmployerDO01157
PCTPercent AmountsDO0999999158
SOISource Of IncomeDO0999999159
LINItem IdentificationDO02160
REFReference InformationDO0999999161
ASLAsset LiabilityDO0999999162
TOAType Of ActivityDO0999999163
TOVVehicle Use InformationDO0999999164
VEHVehicle InformationDO0999999165
CDSCase DescriptionDO0999999166
CEDAdministration Of Justice Event DescriptionDO0999999167
SINSubstance UseDO0999999168
UCSUnderwriting ConsiderationsDO0999999169
FHFamily HistoryDO0999999170
SPAStatus Of Product Or ActivityDO01171
MPIMilitary Personnel InformationDO01172
PWKPaperworkDO9999991173
NM1Individual Or Organizational NameDO01174
N4Geographic LocationDO01175
REFReference InformationDO0999999176
DTPDate Or Time Or PeriodDO0999999177
SPAStatus Of Product Or ActivityDO01178
EFIElectronic Format IdentificationDO9999991179
BINBinary Data SegmentDM01180
LXTransaction Set Line NumberDO9999991181
PDLPayment DetailsDO9999991182
REFReference InformationDO0999999183
LSLoop HeaderDO01184
AMTMonetary Amount InformationDO9999991185
N1Party IdentificationDO01186
N3Party LocationDO02187
N4Geographic LocationDO01188
LINItem IdentificationDO02189
DTPDate Or Time Or PeriodDO0999999190
QTYQuantity InformationDO0999999191
MSGMessage TextDO0999999192
AM1Informational ValuesDO9999991193
INVInvestment Vehicle SelectionDO9999991194
QTYQuantity InformationDO0999999195
DTPDate Or Time Or PeriodDO0999999196
RPARate Amounts Or PercentsDO0999999197
LELoop TrailerDO01198
K2Administrative MessageDO9999991199
DTPDate Or Time Or PeriodDO01200
NM1Individual Or Organizational NameDO01201

Solutions:
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