111 Individual Insurance Policy and Client Information (005050)

This is the standard X12 005050 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.

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The spec as an OpenAPI 3 schema with x-openedi-* extensions, for ediFabric Native, ediFabric Cloud and the EDI Spec Builder. Download OpenEDI (115 KB) Generate classes
The ediFabric .NET template, class TS111. It needs the common segments, composites and codes of X12 005050, one download for every transaction in the version. Download C# (1 KB) Common files (271 KB)
The intermediary model ediFabric Native loads with set_map. Download Native (86 KB)

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 005050 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.

IDNameUsageMax use
STTransaction Set HeaderOptional1
BHTBeginning of Hierarchical TransactionMandatory1
Loop NM1Individual or Organizational NameMandatory>1
NM1Individual or Organizational NameMandatory1
N3Party LocationOptional3
N4Geographic LocationOptional1
REFReference InformationOptional9
PERAdministrative Communications ContactOptional3
Loop HLHierarchical LevelMandatory>1
HLHierarchical LevelMandatory1
REFReference InformationOptional>1
ASIAction or Status IndicatorOptional>1
LQIndustry Code IdentificationOptional>1
C3Currency IdentifierOptional1
DMGDemographic InformationOptional1
LUILanguage UseOptional1
N4Geographic LocationOptional>1
BLIBasic Baseline Item DataOptional1
LINItem IdentificationOptional>1
UDAUnderwriting ConditionOptional>1
SPAStatus of Product or ActivityOptional>1
DTPDate or Time or PeriodOptional>1
BLNBalance InformationOptional>1
QTYQuantity InformationOptional>1
AMTMonetary Amount InformationOptional>1
RPARate Amounts or PercentsOptional>1
Loop PDLPayment DetailsOptional>1
PDLPayment DetailsMandatory1
REFReference InformationOptional>1
Loop IIIInformationOptional>1
IIIInformationMandatory1
DTPDate or Time or PeriodOptional>1
Loop AM1Informational ValuesOptional>1
AM1Informational ValuesMandatory1
IIIInformationOptional>1
SPAStatus of Product or ActivityOptional>1
DTPDate or Time or PeriodOptional>1
AMTMonetary Amount InformationOptional>1
QTYQuantity InformationOptional>1
RPARate Amounts or PercentsOptional>1
BLNBalance InformationOptional>1
REFReference InformationOptional>1
Loop NM1Individual or Organizational NameOptional>1
NM1Individual or Organizational NameMandatory1
N2Additional Name InformationOptional3
COMCommunication Contact InformationOptional>1
Loop N3Party LocationOptional>1
N3Party LocationMandatory1
N4Geographic LocationOptional1
DTPDate or Time or PeriodOptional>1
Loop NX1Property or Entity IdentificationOptional>1
NX1Property or Entity IdentificationMandatory1
REFReference InformationOptional>1
BENBeneficiary or Owner InformationOptional1
IIIInformationOptional>1
AM1Informational ValuesOptional>1
IN1Individual IdentificationOptional>1
SETransaction Set TrailerOptional1