141 - Product Service Claim Response

FUNCTIONAL GROUP=WA

This X12 Transaction Set contains the format and establishes the 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.

SCHEMA

ST

Segment	Name	Position
ST	Transaction Set Header	0100
BGN	Beginning Segment	0200
QTY	Quantity Information	0300
N9	Extended Reference Information	0350

N1

Segment	Name	Position
N1	Party Identification	0400
N2	Additional Name Information	0500
N3	Party Location	0600
N4	Geographic Location	0700
REF	Reference Information	0800
PER	Administrative Communications Contact	0900

LX

Segment	Name	Position
LX	Transaction Set Line Number	0100
REF	Reference Information	0150
PCS	Product Claim Status	0200
DTM	Date/Time Reference	0300
MSG	Message Text	0400
AMT	Monetary Amount Information	0500
PER	Administrative Communications Contact	0600
RC	Root Cause	0700

TDS

Segment	Name	Position
TDS	Total Monetary Value Summary	0100
AMT	Monetary Amount Information	0150
CUR	Currency	0200
SE	Transaction Set Trailer	0300

COMMENTS

Notes
1/0200	The BGN segment must contain a number for reference to this claim response transaction and the date on which the transaction was created.
1/0300	The QTY segment can be used to specify the total quantity of claims included in this transaction as well as the quantity approved and the quantity disapproved.
1/0400	The N1 loop defines the party making the product service claim response and the party to receive the response.
1/0900	This is the representative who reviewed the entire claim response and the appropriate communication numbers.
2/0100	The LX loop serves only to separate the individual product service claim response levels. Consequently, the LX segment would probably contain only a sequential number.
2/0150	See the Figures Appendix for an explanation of the use of the REF segment in the LX loop.
2/0200	The PCS segment identifies the status of the item specified by the repeated REF segments.
2/0300	The DTM segment clearly is an optional segment that tells any date or time information that is significant to that particular claim status level. It can be repeated, if necessary.
2/0400	The MSG segment seldom should be used. It is only necessary if the coded warranty claim status in the PCS segment is not sufficient to describe the detail as to a change in a submitted claims. It can be repeated to allow a full length message. However, the use of the MSG segment inhibits computer processing of the transaction by either party.
2/0500	The optional AMT segment would be used if the amount of the individual claim that will be credited or submitted needs to be specified.
2/0600	This is the representative who analyzed this individual claim and the appropriate communication numbers.
2/0700	This is the factory assigned root cause for the problem specified in the original product service claim and should be entered only when it differs from that used in the original claim or was not included with the original claim. It should not be used to repeat back information that was contained in the original claim.
3/0100	TDS01 in the trailer is able to contain the total amount to be credited or paid on the sum of all claims contained in this response transaction.
3/0150	The amounts contained in the AMT segment will represent a detailed breakdown for the entire claim. The total amount to be credited or paid on the sum of all claims is to be specified in the preceding TDS segment.
3/0200	The CUR segment will be used only if it is necessary to convert from one currency to another to pay for these claims.

rev 22/11/2024