273 - Insurance/Annuity Application Status

FUNCTIONAL GROUP=ID

This X12 Transaction Set contains the format and establishes the 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.

SCHEMA

ST

Segment	Name	Position
ST	Transaction Set Header	0100
BGN	Beginning Segment	0200
CUR	Currency	0300
UD	Underwriting Status	0350

NM1

Segment	Name	Position
NM1	Individual or Organizational Name	0400
N3	Party Location	0500
N4	Geographic Location	0600
REF	Reference Information	0700
PER	Administrative Communications Contact	0800

ACT

Segment	Name	Position
ACT	Account Identification	0100
PER	Administrative Communications Contact	0200
UD	Underwriting Status	0300
DTP	Date or Time or Period	0400
BLI	Basic Baseline Item Data	0500
AMT	Monetary Amount Information	0600
LIN	Item Identification	0700
REF	Reference Information	0800
K3	File Information	0900

LX

Segment	Name	Position
LX	Transaction Set Line Number	1000
BLI	Basic Baseline Item Data	1100
INV	Investment Vehicle Selection	1200
UD	Underwriting Status	1300
M1	Insurance	1350
DTP	Date or Time or Period	1400
RPA	Rate Amounts or Percents	1500
K3	File Information	1600

BEN

Segment	Name	Position
BEN	Beneficiary or Owner Information	1700
NM1	Individual or Organizational Name	1800
N2	Additional Name Information	1900
N3	Party Location	1920
N4	Geographic Location	1950
DTP	Date or Time or Period	1970

ENT

Segment	Name	Position
ENT	Entity	2000
NM1	Individual or Organizational Name	2100
N2	Additional Name Information	2200
REF	Reference Information	2300
N3	Party Location	2400
N4	Geographic Location	2500
PER	Administrative Communications Contact	2600
DMG	Demographic Information	2700
DMA	Additional Demographic Information	2750
REL	Relationship	2800
UD	Underwriting Status	2900
DTP	Date or Time or Period	3000
QTY	Quantity Information	3100
K3	File Information	3200

LQ

Segment	Name	Position
LQ	Industry Code Identification	3300
V9	Event Detail	3400
SPA	Status of Product or Activity	3450
DTP	Date or Time or Period	3500
K3	File Information	3600

NM1

Segment	Name	Position
NM1	Individual or Organizational Name	3700
N3	Party Location	3800
N4	Geographic Location	3900
G61	Contact	4000

BEN

Segment	Name	Position
BEN	Beneficiary or Owner Information	4100
NM1	Individual or Organizational Name	4200
N2	Additional Name Information	4300
N3	Party Location	4320
N4	Geographic Location	4350
DTP	Date or Time or Period	4370

BLI

Segment	Name	Position
BLI	Basic Baseline Item Data	4400
INV	Investment Vehicle Selection	4500
UD	Underwriting Status	4600
UDA	Underwriting Condition	4620
M1	Insurance	4650
DTP	Date or Time or Period	4700
QTY	Quantity Information	4750
RPA	Rate Amounts or Percents	4800
K3	File Information	4900

BEN

Segment	Name	Position
BEN	Beneficiary or Owner Information	5000
NM1	Individual or Organizational Name	5100
N2	Additional Name Information	5200
N3	Party Location	5220
N4	Geographic Location	5250
DTP	Date or Time or Period	5270

MSG

Segment	Name	Position
MSG	Message Text	5300
DTP	Date or Time or Period	5400
NM1	Individual or Organizational Name	5500
SE	Transaction Set Trailer	5600

COMMENTS

Notes
2/0100	The ACT loop repeats for each individual case.
2/1000	The LX loop is required to avoid collision with the BLI loop.
2/1100	The BLI segment is used to transmit coverage which relates to the entire application.
2/1700	The BEN loop is used to transmit beneficiary information that relates only to the coverage information in 2/1000- 2/1600.
2/3300	The LQ loop contains the underwriting requirements.
2/4100	The BEN loop is used to transmit beneficiary information that relates only to the entity information in 2/2000 - 2/3200.
2/4400	The BLI loop is used to transmit coverage information that relates only to the entity information in 2/2000 - 2/3200.
2/5000	The BEN loop is used to transmit beneficiary information that relates only to the coverage information in 2/4400- 2/4900.

rev 02/12/2024