LRECLM Life reinsurance claims

Pan-American EDIFACT Board and ASC X12N Insurance Subcommittee

The LRECLM message is used by companies to exchange information regarding a claim or claims on a policy or policies which have been reinsured. The message will be used for both ceded and assumed reinsurance.

The trading partners utilizing the Life reinsurance claims message will be direct companies, reinsurance companies, reinsurance intermediaries and retrocessionaires. The message will be used to transmit data required by ceding and assuming companies to communicate information for the orderly settlement of claims. It also facilitates the reconciliation of the reinsurance records in order to maintain the integrity of the data between the trading partners.

Header

1. 0010 · UNH · Message header · Max 1 · Mandatory

   To head, identify and specify a message.

   1. Data element S009/0057 is retained for upward compatibility. The use of
   S016 and/or S017 is encouraged in preference.
   2. The combination of the values carried in data elements 0062 and S009 shall
   be used to identify uniquely the message within its group (if used) or if
   not used, within its interchange, for the purpose of acknowledgement.

2. 0020 · BGM · Beginning of message · Max 1 · Mandatory

   To indicate the type and function of a message and to transmit the identifying number.

3. 0030 · DTM · Date/time/period · Max 1 · Mandatory

   To specify date, and/or time, or period.

4. 0040 · CUX · Currencies · Max 1 · Conditional

   To specify currencies used in the transaction and relevant details for the rate of exchange.

5. 0050 · CTA · Contact information · Max 9 · Conditional

   To identify a person or a department to whom communication should be directed.

6. 0060 · FTX · Free text · Max 1 · Conditional

   To provide free form or coded text information.

Detail

1. Segment group 1 Repeat 999999

   1. 0080 · IMD · Item description · Max 1 · Mandatory

      To describe an item in either an industry or free format.

   2. 0090 · ATT · Attribute · Max 99 · Mandatory

      To identify a specific attribute.

   3. 0100 · DTM · Date/time/period · Max 9 · Conditional

      To specify date, and/or time, or period.

   4. 0110 · LOC · Place/location identification · Max 1 · Conditional

      To identify a place or a location and/or related locations.

   5. 0120 · PCD · Percentage details · Max 9 · Conditional

      To specify percentage information.

   6. 0130 · RFF · Reference · Max 9 · Conditional

      To specify a reference.

   7. 0140 · CUX · Currencies · Max 1 · Conditional

      To specify currencies used in the transaction and relevant details for the rate of exchange.

   8. 0150 · FTX · Free text · Max 1 · Conditional

      To provide free form or coded text information.

   9. Segment group 2 Repeat 9

      1. 0170 · MOA · Monetary amount · Max 1 · Mandatory

         To specify a monetary amount.

      2. 0180 · ARD · Monetary amount function · Max 1 · Mandatory

         To provide details of the function of a monetary amount.

   10. Segment group 3 Repeat 1

       1. 0200 · PNA · Party identification · Max 1 · Mandatory

          To specify information necessary to establish the identity of a party.

       2. 0210 · DTM · Date/time/period · Max 9 · Mandatory

          To specify date, and/or time, or period.

       3. 0220 · LOC · Place/location identification · Max 1 · Conditional

          To identify a place or a location and/or related locations.

       4. 0230 · EMP · Employment details · Max 1 · Conditional

          To specify employment details.

       5. Segment group 4 Repeat 9

          1. 0250 · MOA · Monetary amount · Max 1 · Mandatory

             To specify a monetary amount.

          2. 0260 · ARD · Monetary amount function · Max 1 · Mandatory

             To provide details of the function of a monetary amount.

   11. Segment group 5 Repeat 99

       1. 0280 · GIS · General indicator · Max 1 · Mandatory

          To transmit a processing indicator.

          Segment marked for deletion in the D.02B directory.

       2. 0290 · RFF · Reference · Max 9 · Mandatory

          To specify a reference.

       3. 0300 · PNA · Party identification · Max 1 · Conditional

          To specify information necessary to establish the identity of a party.

       4. 0310 · DTM · Date/time/period · Max 99 · Conditional

          To specify date, and/or time, or period.

       5. Segment group 6 Repeat 9

          1. 0330 · MOA · Monetary amount · Max 1 · Mandatory

             To specify a monetary amount.

          2. 0340 · ARD · Monetary amount function · Max 1 · Mandatory

             To provide details of the function of a monetary amount.

       6. Segment group 7 Repeat 99

          1. 0360 · IDE · Identity · Max 1 · Mandatory

             To identify an object.

          2. 0370 · PNA · Party identification · Max 1 · Mandatory

             To specify information necessary to establish the identity of a party.

          3. 0380 · DTM · Date/time/period · Max 1 · Mandatory

             To specify date, and/or time, or period.

          4. Segment group 8 Repeat 99

             1. 0400 · ICD · Insurance cover description · Max 1 · Mandatory

                To describe the insurance cover.

             2. 0410 · DTM · Date/time/period · Max 99 · Conditional

                To specify date, and/or time, or period.

             3. 0420 · RFF · Reference · Max 9 · Conditional

                To specify a reference.

             4. 0430 · ATT · Attribute · Max 9 · Conditional

                To identify a specific attribute.

             5. 0440 · PCD · Percentage details · Max 1 · Conditional

                To specify percentage information.

             6. 0450 · AGR · Agreement identification · Max 1 · Conditional

                To specify the agreement details.

             7. Segment group 9 Repeat 9

                1. 0470 · MOA · Monetary amount · Max 1 · Mandatory

                   To specify a monetary amount.

                2. 0480 · ARD · Monetary amount function · Max 1 · Mandatory

                   To provide details of the function of a monetary amount.

2. 0490 · UNT · Message trailer · Max 1 · Mandatory

   To end and check the completeness of a message.

   1. 0062, the value shall be identical to the value in 0062 in the
   corresponding UNH segment.