111 Individual Insurance Policy and Client Information (005040)
This is the standard X12 005040 spec, with 8 loops and 50 segment positions, as OpenEDI JSON, an ediFabric C# template and an ediFabric Native model. To change it for a trading partner, customize it in the EDI Spec Builder.
Use the 111 spec in your code
ediFabric .NET
Add the C# template and its common files to your project, or reference the template NuGet package, and read 111 files into TS111 objects. See ediFabric .NET.
ediFabric Native
Map version 005040 to the Native model with set_map, then parse 111 files to JSON from Python, Java, C or C#. See Convert between EDI and JSON.
OpenEDI
Select Customize in Spec Builder to copy the spec under your own name, change it for your partner, and parse files against it in EdiNation, ediFabric Native or ediFabric Cloud. Read about OpenEDI.
Generate 111 classes in Python, Java, Node.js, Go, Rust or C
ediFabric Native returns each 111 as JSON, with the property names of the OpenEDI schema. To work with that JSON as typed objects, generate classes from the OpenEDI file in your language and deserialize the JSON into TS111. Serialize the objects back to JSON to build EDI with ediFabric Native. The classes keep the loops, segments, lengths and code lists, but not the EDI data formats, so validate files with ediFabric Native. Read more in Generate a class from OpenEDI.
Python: datamodel-code-generator. Node.js: openapi-typescript. Java, Go, Rust and C: OpenAPI Generator.
111 structure
Loops and segments of the standard 111, with their usage and maximum repeats.
| ID | Name | Usage | Max use |
|---|---|---|---|
| ST | Transaction Set Header | Optional | 1 |
| BHT | Beginning of Hierarchical Transaction | Mandatory | 1 |
| Loop NM1 | Individual or Organizational Name | Mandatory | >1 |
| NM1 | Individual or Organizational Name | Mandatory | 1 |
| N3 | Party Location | Optional | 3 |
| N4 | Geographic Location | Optional | 1 |
| REF | Reference Information | Optional | 9 |
| PER | Administrative Communications Contact | Optional | 3 |
| Loop HL | Hierarchical Level | Mandatory | >1 |
| HL | Hierarchical Level | Mandatory | 1 |
| REF | Reference Information | Optional | >1 |
| ASI | Action or Status Indicator | Optional | >1 |
| LQ | Industry Code Identification | Optional | >1 |
| C3 | Currency Identifier | Optional | 1 |
| DMG | Demographic Information | Optional | 1 |
| LUI | Language Use | Optional | 1 |
| N4 | Geographic Location | Optional | >1 |
| BLI | Basic Baseline Item Data | Optional | 1 |
| LIN | Item Identification | Optional | >1 |
| UDA | Underwriting Condition | Optional | >1 |
| SPA | Status of Product or Activity | Optional | >1 |
| DTP | Date or Time or Period | Optional | >1 |
| BLN | Balance Information | Optional | >1 |
| QTY | Quantity Information | Optional | >1 |
| AMT | Monetary Amount Information | Optional | >1 |
| RPA | Rate Amounts or Percents | Optional | >1 |
| Loop PDL | Payment Details | Optional | >1 |
| PDL | Payment Details | Mandatory | 1 |
| REF | Reference Information | Optional | >1 |
| Loop III | Information | Optional | >1 |
| III | Information | Mandatory | 1 |
| DTP | Date or Time or Period | Optional | >1 |
| Loop AM1 | Informational Values | Optional | >1 |
| AM1 | Informational Values | Mandatory | 1 |
| III | Information | Optional | >1 |
| SPA | Status of Product or Activity | Optional | >1 |
| DTP | Date or Time or Period | Optional | >1 |
| AMT | Monetary Amount Information | Optional | >1 |
| QTY | Quantity Information | Optional | >1 |
| RPA | Rate Amounts or Percents | Optional | >1 |
| BLN | Balance Information | Optional | >1 |
| REF | Reference Information | Optional | >1 |
| Loop NM1 | Individual or Organizational Name | Optional | >1 |
| NM1 | Individual or Organizational Name | Mandatory | 1 |
| N2 | Additional Name Information | Optional | 3 |
| COM | Communication Contact Information | Optional | >1 |
| Loop N3 | Party Location | Optional | >1 |
| N3 | Party Location | Mandatory | 1 |
| N4 | Geographic Location | Optional | 1 |
| DTP | Date or Time or Period | Optional | >1 |
| Loop NX1 | Property or Entity Identification | Optional | >1 |
| NX1 | Property or Entity Identification | Mandatory | 1 |
| REF | Reference Information | Optional | >1 |
| BEN | Beneficiary or Owner Information | Optional | 1 |
| III | Information | Optional | >1 |
| AM1 | Informational Values | Optional | >1 |
| IN1 | Individual Identification | Optional | >1 |
| SE | Transaction Set Trailer | Optional | 1 |