© 2018 ProgM

Nachricht ICASRP: D

NameICASRP
VersionD
Release18A
BeschreibungInsurance claim assessment and reporting message

Elemente

SegmentEbeneBeschreibungOpt/Mand.
UNH0A service segment starting and uniquely identifying a message. The message type code for the Insurance claim assessment and reporting message is ICASRP. Note: Insurance claim assessment and reporting messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 ICASRP D A UNMandatory
BGM0To specify the function of the message, such as claim notification, assessment request, assessment report.Mandatory
ATT0To specify the type of transaction within the specified message function.Optional
CUX0To specify the currency of the transaction.Optional
DTM0To specify dates related to the transaction, such as the date processed.Optional
QRS0To provide the response to coded questions related to the transaction.Optional
FTX0To provide additional text information related to the transaction, such as transaction description.Optional
SG10SG1Optional
PNA1To specify one party related to the business transaction, such as message originator, ultimate recipient and software supplier.Mandatory
SG21SG2Mandatory
RFF2To provide a reference that identifies one software component provided by the software supplier together with the version of the software.Mandatory
DTM2To specify dates related to the software component, such as effective date and date applied to system.Optional
SG30SG3Optional
EVE1To identify and describe one event or incident related to the claim.Mandatory
IDE1To provide identification numbers for the incident which may be used to link the incident to specific items of damage.Optional
ATT1To specify coded attributes relating to the incident, such as incident scale.Optional
DTM1To specify dates relating to the incident, such as incident date or start and end date when the incident occurred over a period of time.Optional
RFF1To specify references relating to the incident such as intermediary's claim reference, insurer's claim number.Optional
PCD1To specify percentages relating to the incident such as percentage of responsibility.Optional
QRS1To specify the response to coded questions about the incident.Optional
QTY1To specify quantities relating to the incident, such as number of injured parties, number of witnesses.Optional
FTX1To provide text information about the incident, such as incident description.Optional
SG41SG4Optional
TCC2To specify one type of cost or charge relating to the incident.Mandatory
IDE2To specify one type of cost or charge relating to the incident.Optional
ATT2To specify coded attributes relating to the cost charge, such as method of calculation.Optional
MOA2To specify monetary amounts for the cost or charge, such as amount including tax, discount amount.Optional
PCD2To specify percentages relating to the cost or charge, such as tax percentage.Optional
FTX2To provide text information about the cost or charge, such as explanation of cost or charge.Optional
SG52SG5Optional
COT3To identify one contribution or recovery relating to the cost or charge.Mandatory
IDE3To specify the identity number of a party to whom this contribution or recovery applies.Optional
ATT3To provide coded attributes relating to the contribution or recovery, such as contribution or recovery status.Optional
MOA3To specify monetary amounts relating to the contribution or recovery, such as amount of contribution to the cost charge.Optional
PCD3To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge.Optional
RFF3To specify references for the contribution or recovery.Optional
FTX3To provide text information about the contribution or recovery.Optional
SG61SG6Optional
COD2Provides a coded identification of one type of claim or incident component, such as policy cover, addresses.Mandatory
IDE2To reference the object or party to which the cover applies.Optional
ADR2To specify a geographic limit on a policy cover, which may be expressed as a location, an address or a country or the address(es) of the incident.Optional
ATT2To specify coded attributes related to the cover component, such as cover type, usage.Optional
COM2To specify communication numbers for the address.Optional
DTM2To specify dates related to the cover, such as cover inception date, end date.Optional
MOA2To specify monetary amounts related to the cover, such as cover limit.Optional
PCD2To specify percentages related to the cover, such as cover index.Optional
QRS2To specify the response to coded questions concerning the cover.Optional
QTY2To specify quantities related to the cover, such as number of claims allowed.Optional
RFF2To specify references related to the cover.Optional
FTX2To specify text information about the cover, such as cover description, usage description.Optional
SG72SG7Optional
PCC3To specify one type of component used in the claim calculation, such as excess, cover condition.Mandatory
ATT3To specify coded attributes related to the claim calculation component, such as claim calculated by code.Optional
DTM3To specify dates relating to the claim calculation, such as condition valid date.Optional
MOA3To specify monetary amounts relating to the claim calculation, such as excess amount.Optional
PCD3To specify percentages related to the claim calculation component, such as excess percentage.Optional
QRS3To specify the response to coded questions about the claim calculation component.Optional
QTY3To specify quantities relating to the claim calculation component.Optional
FTX3To provide text information about the claim calculation component, such as condition wording.Optional
SG83SG8Optional
TCC4To specify one type of cost or charge relating to the cover.Mandatory
IDE4To reference the object or party that the cost or charge applies to.Optional
ATT4To specify coded attributes relating to the claim calculation, such as method of calculation.Optional
MOA4To specify monetary amounts for the claim calculation component, such as cost or charge amount, discount amount.Optional
PCD4To specify percentages relating to the claim calculation component, such as cost or charge discount percentage.Optional
FTX4To provide text information about the claim calculation component, such as explanation of cost or charge.Optional
SG94SG9Optional
COT5To identify one contribution or recovery relating to the claim calculation.Mandatory
IDE5To reference a party to whom this contribution or recovery relates.Optional
ATT5To provide coded attributes related to the contribution or recovery, such as contribution or recovery status.Optional
MOA5To specify monetary amounts related to the contribution or recovery, such as amount of contribution to the cost charge.Optional
PCD5To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge.Optional
RFF5To specify references relating to the contribution or recovery.Optional
FTX5To provide text information about the contribution or recovery.Optional
SG100SG10Optional
ICD1To identify the insurance product specified in the policy.Mandatory
IDE1To provide identification numbers for the policy as specified by the intermediary, insurer and client.Optional
ATT1To specify coded attributes related to the policy, such as policy product code, scheme code.Optional
DTM1To specify dates related to the policy, such as inception date, expiry date.Optional
MOA1To specify monetary amounts related to the policy, such as indemnity limit.Optional
RFF1To specify references related to the policy, such as policy number, policy wording version number.Optional
QRS1To provide the response to coded questions relating to the policy.Optional
FTX1To provide text information related to the policy.Optional
SG110SG11Optional
DOC1To specify one type of document which is external to the message.Mandatory
IDE1To reference a party or object to which the document relates.Optional
ATT1To specify coded attributes relating to the document, such as document status code.Optional
ADR1To specify addresses relating to the document, such as place of issue.Optional
EFI1To specify a link to an external file that is related to the document.Optional
RFF1To specify references relating to the document, such as document reference, previous document reference.Optional
DTM1To specify dates relating to the document, such as date requested, date received.Optional
MOA1To specify monetary amounts relating to the document.Optional
QRS1To specify the response to coded questions relating to the document.Optional
QTY1To specify quantities relating to the document, such as number of pages, number of copies.Optional
FTX1To provide text information about the document, such as document description.Optional
SG120SG12Optional
PNA1To identify one party related to a claim described within this message.Mandatory
IDE1To specify identification numbers for the party which are used to link the party to other entities within the message.Optional
ATT1To specify coded attributes related to the party, such as value added tax status code, marital status code.Optional
DTM1To specify dates related to the party, such as date of birth, date of death.Optional
MEA1To provide measurements relating to the party, such as level of blood alcohol.Optional
RFF1To specify references related to the party, such as value added tax registration number.Optional
QRS1To provide the response to coded questions about the party.Optional
PCD1To specify percentages related to the party, such as party proportion of risk.Optional
FTX1To provide text information relating to the party.Optional
SG131SG13Optional
COD2Provides a coded identification of one type of input or output component related to the party.Mandatory
IDE2To provide identification numbers for the party component that may be used to link the component to other entities.Optional
ADR2To specify address details for a party.Optional
FII2To provide a set of financial account details for a party.Optional
ATT2To specify coded attributes relating to the party component, such as offence code, type of blood alcohol test code.Optional
COM2To provide communication details relating to a party component, such as telephone and fax numbers at address.Optional
DTM2To specify dates relating to the party component, such as start date at address, length of sentence.Optional
EMP2To provide one set of employment details for a party.Optional
MOA2To specify monetary amounts relating to the party component, such as fine amount.Optional
QRS2To provide the response to coded questions relating to the party component.Optional
QTY2To specify quantities relating to the party component, such as total licence penalty points.Optional
RFF2To specify references relating to the party component, such as conviction reference, financial account number.Optional
FTX2To provide text information relating to the party component, such as offence description, employment description.Optional
SG140SG14Optional
ROD1To identify one risk object that is the subject of the claim.Mandatory
IDE1To provide identification numbers for the risk object that may be used to link the object to other entities within the message, such as cover.Optional
RFF1To specify reference numbers for the risk object, such as vehicle identification number, chassis number.Optional
MOA1To specify monetary amounts relating to the risk object, such as sum insured, replacement value.Optional
PCD1To specify percentages relating to the risk object.Optional
TAX1To specify tax/fee details relating to the risk object.Optional
DTM1To specify dates relating to the risk object, such as date first registered, date inspected.Optional
LOC1To specify a place/location related to the risk object.Optional
ATT1To specify coded attributes relating to the risk object, such as body type code, nature of occupancy.Optional
MEA1To specify measurements relating to the risk object, such as length, width, floor area.Optional
QTY1To specify quantities relating to the risk object, such as number of occupants, number of seats.Optional
QRS1To provide the response to coded questions about the risk object.Optional
RTE1To specify rate details relating to the risk object.Optional
FTX1To provide text descriptions relating to the risk object, such as object description, business usage of building description.Optional
SG151SG15Optional
TCC2To identify one charge or cost related to the risk object. To identify one charge or cost related to the risk object.Mandatory
IDE2To reference a party to whom the charge relates.Optional
ATT2To specify coded attributes relating to the cost or charge, such as method of calculation.Optional
MOA2To specify monetary amounts relating to the cost or charge, such as tax amount, discount amount.Optional
PCD2To specify percentages relating to the cost or charge.Optional
FTX2To provide text descriptions relating to the cost or charge.Optional
SG162SG16Optional
COT3To identify one contribution or recovery related to the cost or charge.Mandatory
IDE3To reference a party to whom this contribution or recovery relates.Optional
ATT3To specify coded attributes relating to the contribution or recovery, such as contribution or recovery status code.Optional
MOA3To specify monetary amounts relating to the contribution or recovery, such as contribution or recovery amount.Optional
PCD3To specify percentages relating to the contribution or recovery, such as percentage of insurer's responsibility.Optional
RFF3To specify references relating to the contribution or recovery.Optional
FTX3To provide text descriptions relating to the contribution or recovery.Optional
SG171SG17Optional
COD2Provides a coded identification of one type of component related to the risk object.Mandatory
IDE2To provide identification numbers for the risk object component which may be used to link the component to other entities.Optional
ADR2To specify addresses relating to the risk object.Optional
ATT2To specify coded attributes relating to the risk object component, such as severity of damage code, security device code.Optional
COM2To specify communication numbers for the address, such as telephone, fax numbers.Optional
DAM2To specify the damage to the risk object.Optional
DTM2To specify dates relating to the risk object component, such as start date at address.Optional
MEA2To specify measurements relating to the risk object component.Optional
MOA2To specify monetary amounts relating to the risk object component, such as pre-incident value, resultant value.Optional
PCD2To specify percentages relating to the risk object component, such as percentage of under insurance, percentage of cost allocation.Optional
QRS2To specify the response to coded questions relating to the risk object component.Optional
QTY2To specify quantities relating to the risk object component.Optional
RFF2To specify references relating to the risk object component.Optional
FTX2To provide text information for the risk object component, such as specialist valuation description, explanation of a video image.Optional
SG182SG18Optional
TCC3To identify one charge relating to the loss or damage.Mandatory
IDE3To reference a party to whom this cost or charge relates.Optional
ATT3To specify coded attributes relating to the cost or charge, such as method of calculation.Optional
MOA3To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount.Optional
PCD3To specify percentages relating to the cost or charge component, such as cost or charge discount percentage.Optional
FTX3To provide text information about the cost or charge component.Optional
SG193SG19Optional
COT4To identify one contribution or recovery component relating to the risk object component cost or charge.Mandatory
IDE4To reference a party to whom this contribution or recovery relates.Optional
ATT4To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code.Optional
MOA4To specify monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount.Optional
PCD4To specify percentages relating to the contribution or recovery component, such as percentage of insurer's liability.Optional
RFF4To provide references relating to the contribution or recovery component.Optional
FTX4To provide text information about the contribution or recovery component.Optional
SG202SG20Optional
IMD3To identify one part or task that relates to the risk object loss/damage component.Mandatory
IDE3To reference a party that relates to this part or task such as service provider.Optional
ATT3To specify coded attributes relating to the part or task item, such as paint system code, category of labour code.Optional
DTM3To specify dates relating to the part or task item, such as task/service start date.Optional
MEA3To specify measurements relating to the part or task item, such as tyre pressure, tyre tread depth.Optional
PCD3To specify percentages relating to the part or task.Optional
QRS3To specify the response to coded questions about the part or task item.Optional
QTY3To specify quantities relating to the part or task.Optional
RFF3To specify references relating to the part or task.Optional
FTX3To provide text information relating to the part or task, such as evidence of personal injury.Optional
SG213SG21Optional
TCC4To identify one charge related to the part or task item.Mandatory
IDE4To reference a party to whom this cost or charge relates.Optional
ATT4To specify coded attributes relating to the cost or charge, such as method of calculation.Optional
MOA4To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount.Optional
PCD4To specify percentages relating to the cost or charge component, such as cost or charge discount percentage.Optional
FTX4To provide text information about the cost or charge component.Optional
SG224SG22Optional
COT5To identify one contribution or recovery component relating to the risk object cost or charge.Mandatory
IDE5To reference a party to whom this contribution or recovery relates.Optional
ATT5To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code.Optional
MOA5To provide monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount.Optional
PCD5To specify percentages relating to the contribution or recovery component, such as percentage of insurer's responsibility.Optional
RFF5To specify references relating to the contribution or recovery component.Optional
FTX5To provide text information relating to the contribution or recovery component.Optional
SG230SG23Optional
PRC1To identify one action related to the claim.Mandatory
IDE1To reference parties related to the claim.Optional
ATT1To specify coded attributes relating to the action, such as assessment report type, manner of settlement.Optional
DTM1To specify dates related to the action, such as date of report, date inspection to be performed.Optional
MOA1To specify monetary amounts related to the action, such as settlement amount.Optional
QRS1To provide the response to coded questions about the action.Optional
RFF1To specify references related to the action, such as instructor's assessment reference, assessor's assessment reference.Optional
FTX1To provide text information about the action, such as progress description, verdict description.Optional
SG240SG24Optional
SEQ1Identifies the sequence of this period of previous insurance.Mandatory
IDE1To reference parties related to this period of insurance history.Optional
ATT1To specify coded attributes relating to the previous insurance history, such as policy class.Optional
DTM1To specify dates relating to the period of insurance history, such as inception date, expiry date.Optional
RFF1To specify references relating to the period of previous insurance history, such as policy number.Optional
SG251SG25Optional
COD2To identify one prior loss that relates to the period of previous insurance.Mandatory
IDE2To reference party numbers for the prior loss as specified by the intermediary, insurer and client.Optional
ATT2To specify coded attributes relating to the prior loss, such as loss type, incident type.Optional
DTM2To specify dates relating to the prior loss, such as loss date, settlement date.Optional
MOA2To specify monetary amounts relating to the prior loss, such as loss amount.Optional
QRS2To specify the response to coded questions relating to the prior loss.Optional
RFF2To specify references for the prior loss, such as insurerís historical claim reference.Optional
FTX2To provide free text about the prior loss, such as prior loss description.Optional
UNT0A service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message.Mandatory