Part II: X12 EDI Transaction Sets 200-290

The EDI 200 Mortgage Credit Report Transaction Set can be used to transmit the data that comprises a mortgage credit report. It is the electronic response to the Mortgage Credit Report Order Transaction Set (833).

The EDI 201 Residential Loan Application Transaction Set can be used to transfer the data contained in the Uniform Residential Loan Application between mortgage lenders, mortgage service vendors, insurance companies, credit reporting agencies and secondary market organizations. It can also be used, in conjunction with other transaction sets, to provide information needed to obtain an automated underwriting decision from a residential real estate automated underwriting system.

The EDI 202 Secondary Mortgage Market Loan Delivery Transaction Set can be used to report mortgage loan information (i.e., borrower, property, underwriting information, etc.) among mortgage lenders, mortgage service vendors, and secondary mortgage market organizations.

The EDI 203 Secondary Mortgage Market Investor Report Transaction Set can be used for the transfer and reporting of mortgage servicing information between mortgage servicers, mortgage service bureaus, and secondary mortgage market organizations.

The EDI 204 Motor Carrier Load Tender Transaction Set can be used to allow shippers or other interested parties to offer (tender) a shipment to a full load (truckload) motor carrier including detailed scheduling, equipment requirements, commodities, and shipping instructions pertinent to a load tender. It is not to be used to provide a motor carrier with data relative to a Less-than-Truckload bill of lading, pickup notification, or manifest.

The EDI 205 Mortgage Note Transaction Set can be used by mortgage originators, settlement agents, warehouse lenders, document custodians, secondary market entities and other industry participants to exchange the data comprising the mortgage note and mortgage characteristics.

The EDI 206 Real Estate Inspection Transaction Set can be used by mortgage lenders, insurance companies or others to initiate, modify or cancel a site inspection by a field service organization, home inspection company, insurance vendor or other industry participant. It can also be used by a field service organization, home inspection company, insurance inspection vendor, or other industry participant to report the results of a site inspection.

The EDI 210 Motor Carrier Freight Details and Invoice Transaction Set can be used to provide detail information for charges for services rendered by a motor carrier. It is used both as a motor carrier invoice to request payment or as details pertaining to motor freight shipment(s) charges.

The EDI 211 Motor Carrier Bill of Lading Transaction Set can be used to allow shippers or other parties, responsible for contracting with a motor carrier, to provide a legal bill of lading for a shipment. It is not to be used to provide a motor carrier with data relative to a load tender, pickup manifest, or appointment scheduling.

The EDI 212 X12 Motor Carrier Delivery Trailer Manifest Transaction Set can be used to allow motor carriers to provide consignees or other interested parties with the contents of a trailer, containing multiple shipments, that has been tendered for delivery. It is not to be used to provide the recipient with data relative to a full truckload shipment.

The EDI 213 Motor Carrier Shipment Status Inquiry Transaction Set can be used to request shipment status from a motor carrier. The requestor may be a shipper or consignee.

The EDI 214 Transportation Carrier Shipment Status Message Transaction Set can be used by a transportation carrier to provide shippers, consignees, and their agents with the status of shipments in terms of dates, times, locations, route, identifying numbers, and conveyance.

The EDI 215 Motor Carrier Pickup Manifest Transaction Set can be used to allow shippers, or other parties, to provide a motor carrier with a manifest of all of the shipments tendered to a carrier. It is not to be used to provide a motor carrier with data relative to a load tender, legal bill of lading, pickup notification, or appointment scheduling.

The EDI 216 X12 Motor Carrier Shipment Pickup Notification Transaction Set can be used to allow shippers or other interested parties to provide a motor carrier with notification that a shipment is available for pickup. It is not to be used to provide a motor carrier with data relative to a legal bill of lading, rating, pricing, or appointment scheduling.

The EDI 217 Motor Carrier Loading and Route Guide Transaction Set can be used to provide interested parties with a motor carrier's loading instructions and/or routing guide. A transmission may include a list of the motor carrier's terminals, a list of all points served, or a matrix of all points served showing the advertised service times. The motor carrier may also indicate its breakbulk terminal(s) to be used for each point for loading purposes.

The EDI 218 Motor Carrier Tariff Information Transaction Set can be used to provide for the interchange of processible data extracted from a motor carrier’s tariff or pricing information database. It can be used by any producer of motor carrier tariffs or rates to transmit tariff and rate information to shippers or other interested parties. This transaction set is not intended to transmit a complete, legal tariff; rather, it is intended to provide rate information upon the request of shippers or other interested parties. Users of this data should continue to rely on legally filed tariffs as the basis of the legal agreement between themselves and their carriers.

The EDI 219 Logistics Service Request Transaction Set can be used by a shipper to transmit data to a logistics related organization to provide order detail relevant to upcoming transportation requirements.

The EDI 220 Logistics Service Response Transaction Set can be used by a logistics related organization to transmit data to a shipper in response to a logistics service request.

The EDI 222 X12 Cartage Work Assignment Transaction Set can be used to provide the cartage carrier with placement, rating, and scheduling information pertinent to the movement of equipment by a cartage carrier.

The EDI 223 Consolidators Freight Bill and Invoice Transaction Set can be used by a freight consolidator to transmit invoice and freight bill data to the appropriate party. The freight bill services may be provided by the consolidator or a motor carrier unrelated to the consolidator. This transaction shall not be used to transmit freight bill data without consolidator's invoice data.

The EDI 224 Motor Carrier Summary Freight Bill Manifest Transaction Set can be used to transmit multiple freight bills at the summary level to a single payor.

The EDI 225 Response to a Cartage Work Assignment Transaction Set can be used by a cartage carrier to provide for customary and established business practice relative to a response to a cartage work assignment. The transaction set includes either acceptance or decline of the work assignment and any related reference numbers.

The EDI 227 Trailer Usage Report Transaction Set can be used to transmit information related to the shipper's, consignee's, or third party's planned usage of a trailer supplied by a motor carrier for trailer inventory reporting purposes only. This transaction set is used to provide the motor carrier with information related to the loading of a trailer, rejection of the trailer, and reported location. It is not to be used to provide a motor carrier with data relative to a load tender or pickup notification and requires no response.

The EDI 228 Equipment Inspection Report Transaction Set can be used by a transportation carrier to provide equipment owners with the results of an equipment inspection activity. This transaction set can be used to communicate whether or not the equipment is in a damaged state. If damage has been identified, it can also be used to convey details regarding the damage. It is not used to convey information relevant to damage claims or repair activities.

The EDI 240 Motor Carrier Package Status Transaction Set can be used to provide the status of a package, packages, or group of packages considered a shipment by a motor carrier.

The EDI 242 Data Status Tracking Transaction Set is the vehicle by which the transmission status information is conveyed by a service request handler to the interchange sender, interchange receiver, or both; it can be used to provide status information regarding interchange as it flows from an interchange sender through one or more service request handlers to an interchange receiver during its transmission cycle. It can be used by the interchange sender or interchange receiver to request from a service request handler ad hoc or periodic reports containing status information regarding interchanges.

The EDI 244 Product Source Information Transaction Set can be used to transmit classification and categorization data of company's products, processes, and facilities to existing and prospective trading partners or listing agencies.

The EDI 245 Real Estate Tax Response Transaction Set can be used to respond to requests for information, modifications to loan status, complete property tax data necessary for paying tax bills, or cancellations of real estate property data. This transaction set facilitates the transfer of property tax information among real estate industry participants.

The EDI 248 Account Assignment/Inquiry and Service/Status Transaction Set can be used for two-way, multi-transactional purposes of assigning accounts for collection, reporting status inquiries and inquiry responses and to update accounts between entities.

The EDI 249 Animal Toxicological Data Transaction Set can be used to exchange animal toxicology data collected from studies conducted on pesticides, drugs, or other substances. This transaction set accommodates the lowest reportable level of individual animal toxicology data for transfer between industry and the government, within industry itself, and between government agencies. The transaction set will enable the exchange of both definitive end points or in-life study data, as well as observational or opinion type data.

The EDI 250 Purchase Order Shipment Management Document Transaction Set can be used to allow a retailer or manufacturer to communicate purchase order data, to a transportation provider, for the purpose of managing the purchase order cycle from the time of pickup request through delivery.

The EDI 251 Pricing Support Transaction Set can be used to request or transmit budget or actual data for labor and overhead rates, factors, and other supporting data for a specified period of time.

This bi-directional transaction set can stand alone, or can be used to support the Contract Pricing Proposal (805) Transaction Set.

The EDI 252 Insurance Producer Administration Transaction Set is used to transmit insurance producer information (licensing and appointment data, background information, etc.) among insurance companies and insurance distributors such as agents, brokers, and their organizations.

The EDI 255 Underwriting Information Services Transaction Set 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.

The EDI 256 Periodic Compensation Transaction Set is used to report compensation data, including compensation amounts, compensation earned, compensation paid, adjustments and balances.

The EDI 259 Residential Mortgage Insurance Explanation of Benefits Transaction Set can be used to transmit the results of a claim for mortgage insurance benefits, referred to as an explanation of benefits (EOB), between a mortgage insurer and the customer receiving the financial benefit. This standard can be used for transmitting the results of both pool and primary mortgage insurance claims.

The EDI 260 X12 Application for Mortgage Insurance Benefits Transaction Set can be used by mortgage lenders to file claims with both government agencies and private mortgage insurers in the event that defaults or foreclosure activity allow for the collection of a third-party guarantee/insurance benefit. The information in a standard format will allow all mortgage insurance claim payments to be requested similarly, whether they be to an investor, insurer, or guarantor.

The EDI 261 Real Estate Information Request Transaction Set can be used to initiate, modify or cancel a request for real estate information. This transaction set will be used to transfer information among real estate industry participants.

The EDI 262 Real Estate Information Report Transaction Set can be used for the transfer and reporting of real estate information among real estate industry participants.

The EDI 263 Residential Mortgage Insurance Application Response Transaction Set is used by a mortgage insurance company to communicate the receipt and disposition of a Residential Mortgage Insurance Application Transaction Set (872). It will be used to provide the mortgage originator with the results of the insurance application and, if accepted, will provide basic information about the insurance coverage. It can also be used to confirm certification of coverage. It is not intended to replace the legal commitment (Certificate of Coverage of Insurance) which will continue to be delivered in its current form.

The EDI 264 Mortgage Loan Default Status Transaction Set will allow all notifications of mortgage loan default/foreclosure status to be filed similarly, whether they be to an insurer, guarantor, investor, or servicer. This transaction set can be used to submit notification of delinquent mortgage loans that could potentially result in foreclosure activity leading to the collection of a third-party guarantee/insurance benefit. This transaction set can also be used to file default status reports, as well as foreclosure and bankruptcy information with servicers, attorneys, trustees, government agencies, private mortgage insurers and investors.

The EDI 265 Real Estate Title Insurance Services Order (265) Transaction Set can be used by a real estate agent, mortgage lender, or other real estate company to order, update, or cancel title services from a title insurance services company. This standard can also be used by the title services company to return title information to the party originating the order. This transaction set replaces the paper forms used to request services such as title searches and insurance, and replaces mortgage closing documents.

The EDI 266 Mortgage or Property Record Change Notification Transaction Set can be used by financial institutions such as Mortgagees, Lienholders, and Lessors to inform interested parties such as Insurers, Investors, and Taxing Authorities of mortgage or property record changes. This transaction set is intended to be used by financial institutions to communicate change notifications, such as the sale of mortgages, assumptions, transfers, and terminations of interest.

The EDI 267 Individual Life, Annuity and Disability Application Transaction Set is used to transmit new business application information among distributors (agents, broker/dealers, etc.), insurance companies and reinsurance companies for the purpose of underwriting an individual life, annuity or disability contract.

The EDI 268 Annuity Activity Transaction Set is used to convey annuity account activity from annuity providers to distributors (e.g., broker/dealers, financial planners, banks, savings and loans) for the purpose of communicating account positions and transaction activity.

The EDI 269 Health Care Benefit Coordination Verification Transaction Set can be used to transmit and respond to Health Care Benefit coordination information such as claim identification, previous adjudication details, and adjudication verification from one Health Care Payer to another. The transaction can be used as a notification of benefit coordination information. When used as a request for verification of benefit coordination information, the 269 is the response to that request for benefit coordination information verification.

The EDI 270 Eligibility, Coverage or Benefit Inquiry Transaction Set can be used to inquire about the eligibility, coverages or benefits associated with a benefit plan, employer, plan sponsor, subscriber or a dependent under the subscriber's policy. The transaction set is intended to be used by all lines of insurance such as Health, Life, and Property and Casualty.

The EDI 271 Eligibility, Coverage or Benefit Information Transaction Set can be used to communicate information about or changes to eligibility, coverage or benefits from information sources (such as - insurers, sponsors, payors) to information receivers (such as - physicians, hospitals, repair facilities, third party administrators, governmental agencies). This information includes but is not limited to: benefit status, explanation of benefits, coverages, dependent coverage level, effective dates, amounts for co-insurance, co-pays, deductibles, exclusions and limitations.

The 270, 271 transactions are among the most utilized transactions in the healthcare industry.

The EDI 272 Property and Casualty Loss Notification Transaction Set can be used to provide loss information flow between property and casualty (P & C) insurance companies, agents, service providers, and industry bureaus.

Expected users are property and casualty insurance companies, agents, service providers (e.g., adjusters or glaziers), and industry bureaus (e.g., National Insurance Crime Bureau (NICB) or the Index System). Business functions consist of loss notification, work assignments and reporting.

The EDI 273 Insurance/Annuity Application Status 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.

The EDI 274 Healthcare Provider Information Transaction Set can be used to exchange demographic and educational/professional qualifications about healthcare providers between providers, provider networks or any other entity that maintains or verifies healthcare provider information. Such exchanges include the transmitting, inquirying, or responding to an inquiry. Healthcare provider information is routinely exchanged for the purpose of 1) maintaining provider data bases for claim adjudication, provider directories, patient referrals, and reporting provider information, 2) submitting an application to join a provider organization or provider network such as, but not limited to, a hospital, preferred provider organization (PPO) or health maintenance organization (HMO), and 3) verifying credentials such as educational/professional qualifications, licenses, and malpractice coverage/history.

The EDI 275 Patient Information Transaction Set can be used to communicate individual patient information requests and patient information (either solicited or unsolicited) between separate health care entities in a variety of settings to be consistent with confidentiality and use requirements. Patient information consists of demographic, clinical, and other supporting data.

The EDI 276 Health Care Claim Status Request Transaction Set can be used by a provider, recipient of health care products or services, or their authorized agent to request the status of a health care claim or encounter from a health care payer. This transaction set is not intended to replace the Health Care Claim Transaction Set (837), but rather to occur after the receipt of a claim or encounter information. The request may occur at the summary or service line detail level.

The EDI 277 Health Care Information Status Notification Transaction Set can be used by a health care payer or authorized agent to notify a provider, recipient, or authorized agent regarding the status of a health care claim or encounter or to request additional information from the provider regarding a health care claim or encounter, health care services review, or transactions related to the provisions of health care. This transaction set is not intended to replace the Health Care Claim Payment/Advice Transaction Set (835) and therefore, will not be used for account payment posting. The notification may be at a summary or service line detail level. The notification may be solicited or unsolicited.

The EDI 278 Health Care Services Review Information Transaction Set can be used to transmit health care service information, such as subscriber, patient, demographic, diagnosis or treatment data for the purpose of request for review, certification, notification or reporting the outcome of a health care services review.

Expected users of this transaction set are payors, plan sponsors, providers, utilization management and other entities involved in health care services review.

The EDI 280 Voter Registration Information Transaction Set can be used to submit voter registration application information and to transmit information regarding a previously registered voter and changes to such information.

The EDI 283 Tax or Fee Exemption Certification Transaction Set can be transmitted by buyer to seller to certify as to the tax exempt status of one or more business transactions, and from a seller to a Taxing Authority to verify that proper exemption certification has been obtained for the transaction(s). Exemption certification protects the claim of exemption from various taxes and fees for buyers and sellers.

The EDI 284 Commercial Vehicle Safety Reports Transaction Set is a bi-directional transaction set that can be used by authorized parties to electronically request and send reports on information related to the safe operation of commercial road vehicles, such as inspection reports, safety and compliance review reports, and hazardous material incident reports.

The EDI 285 Commercial Vehicle Safety and Credentials Information Exchange Transaction Set can be used by enforcement officials, government administrators and other authorized parties to electronically ask for information on the safety performance, regulatory compliance and credentials status of commercial motor vehicles, carriers and drivers. It can also be used by sources that maintain such data to respond to such requests.

The EDI 286 Commercial Vehicle Credentials Transaction Set is a bi-directional transaction set that can be used by owners, lessees, and drivers of commercial motor vehicles to electronically apply for credentials necessary to legally operate those vehicles, and by authorizing jurisdictions to electronically transmit credential data to applicants and other authorized entities.

The EDI 288 Wage Determination Transaction Set is a bi-directional transaction set that can be used to request and respond to requests for wage information such as prevailing wage rates. This information can be determined by occupational categories, geographical area, nature of the workforce, and contract status.

The EDI 290 Cooperative Advertising Agreements Transaction Set is used to initiate, review, and conclude a cooperative advertising agreement. It is designed to be used iteratively. The transaction set can be used to request advertising support, provide guidelines for local advertising, provide cost or budget estimates, issue a cooperative advertising commitment, and provide the actual expenses.