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Premium Audit Request and Return

Premium Audit Request and Return (AE187) contains 3 tables (Heading, Detail, Summary), 17 loops, and 93 segments. Sign up free or login to view every table, loop, and element in full, as well as download it in Markdown or console (text) formats.

Heading

ST 0100

Transaction Set Header

R Required

Max 1

BGN 0200

Beginning Segment

R Required

Max 1

MSG 0300

Message Text

O Optional

Unbounded

REF 0400

Reference Information

O Optional

Unbounded

PER 0500

Administrative Communications Contact

O Optional

Max 3

DTP 0600

Date or Time or Period

O Optional

Max 10

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See every segment, loop, and element across all 3 tables. Download it as a diagram or Markdown, or use the tedi CLI to access the full X12 reference from your terminal.