RECLAM Reinsurance claims

Western European EDIFACT Board - MD7

A reinsurance claims message is exchanged between insurers, professional intermediaries, reinsurers to send information concerning a loss and/or to request settlement (payment or refund) concerning the loss.

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Header

Position
Segment
Name
Max use

  1. 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. Segment group 1
    Repeat 99

    1. To transmit a processing indicator.

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

    2. To provide free form or coded text information.

  3. Segment group 2
    Repeat 999

    1. To specify the name/address and their related function, either by C082 only and/or unstructured by C058 or structured by C080 thru 3207.

    2. To specify percentage information.

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

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

    5. To specify a reference.

    6. To transmit a processing indicator.

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

    7. To provide free form or coded text information.

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

  4. To separate header, detail and summary sections of a message.

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

  6. To provide free form or coded text information.

Detail

Position
Segment
Name
Max use
  1. Segment group 3
    Repeat 9

    1. To specify a reference.

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

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

    4. To provide free form or coded text information.

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

  3. To specify a monetary amount.

  4. To specify percentage information.

  5. Segment group 4
    Repeat 99

    1. To transmit a processing indicator.

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

    2. To specify a reference.

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

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

    5. To provide free form or coded text information.

    6. To specify percentage information.

    7. Segment group 5
      Repeat 3

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

      2. To transmit a processing indicator.

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

      3. To provide free form or coded text information.

      4. Segment group 6
        Repeat 99

        1. To specify a monetary amount.

        2. To transmit a processing indicator.

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

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

        4. To provide free form or coded text information.

      5. To specify percentage information.

    8. Segment group 7
      Repeat 99

      1. To specify the name/address and their related function, either by C082 only and/or unstructured by C058 or structured by C080 thru 3207.

      2. To specify percentage information.

  6. To separate header, detail and summary sections of a message.

Summary

Position
Segment
Name
Max use
  1. Segment group 8
    Repeat 3

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

    2. Segment group 9
      Repeat 999

      1. To specify a monetary amount.

      2. To specify percentage information.

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

      4. To provide free form or coded text information.

      5. Segment group 10
        Repeat 99

        1. To specify a reference.

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

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

        4. To provide free form or coded text information.

      6. To transmit a processing indicator.

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

  2. 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.
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