ICASRP Insurance claim assessment and reporting

TBG8 Insurance

The Insurance claim assessment and reporting message is exchanged between all parties involved in the claims handling process. Claims handling parties include insurers, intermediaries, assessors and repairers. The claims handling process includes the functions, claim notification, assessment request, assessment report, repair estimate, repair authorisation, claim progress reporting.

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Header

Position

Segment

Name

Max use

0010Message headerMandatory->Max 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.
0020Beginning of messageMandatory->Max 1
To indicate the type and function of a message and to transmit the identifying number.
0030AttributeConditional->Max 9
To identify a specific attribute.
0040CurrenciesConditional->Max 1
To specify currencies used in the transaction and relevant details for the rate of exchange.
0050Date/time/periodConditional->Max 9
To specify date, and/or time, or period.
0060Query and responseConditional->Max 9
To provide a declaration in the form of a coded question and response.
0070Free textConditional->Max 9
To provide free form or coded text information.
Segment group 1
Repeat 9
1. 0090Party identificationMandatory->Max 1
  To specify information necessary to establish the identity of a party.
2. Segment group 2
  Repeat 9
  1. 0110ReferenceMandatory->Max 1
    To specify a reference.
  2. 0120Date/time/periodConditional->Max 9
    To specify date, and/or time, or period.
Segment group 3
Repeat 99
1. 0140EventMandatory->Max 1
  To specify details about events.
2. 0150IdentityConditional->Max 9
  To identify an object.
3. 0160AttributeConditional->Max 9
  To identify a specific attribute.
4. 0170Date/time/periodConditional->Max 9
  To specify date, and/or time, or period.
5. 0180ReferenceConditional->Max 9
  To specify a reference.
6. 0190Percentage detailsConditional->Max 9
  To specify percentage information.
7. 0200Query and responseConditional->Max 9
  To provide a declaration in the form of a coded question and response.
8. 0210QuantityConditional->Max 9
  To specify a pertinent quantity.
9. 0220Free textConditional->Max 9
  To provide free form or coded text information.
10. Segment group 4
  Repeat 9
  1. 0240Charge/rate calculationsMandatory->Max 1
    To specify charges.
  2. 0250IdentityConditional->Max 9
    To identify an object.
  3. 0260AttributeConditional->Max 9
    To identify a specific attribute.
  4. 0270Monetary amountConditional->Max 9
    To specify a monetary amount.
  5. 0280Percentage detailsConditional->Max 9
    To specify percentage information.
  6. 0290Free textConditional->Max 9
    To provide free form or coded text information.
  7. Segment group 5
    Repeat 99
    0310Contribution detailsMandatory->Max 1
    To specify details about membership contributions.
    0320IdentityConditional->Max 9
    To identify an object.
    0330AttributeConditional->Max 9
    To identify a specific attribute.
    0340Monetary amountConditional->Max 9
    To specify a monetary amount.
    0350Percentage detailsConditional->Max 9
    To specify percentage information.
    0360ReferenceConditional->Max 9
    To specify a reference.
    0370Free textConditional->Max 9
    To provide free form or coded text information.
11. Segment group 6
  Repeat 99
  1. 0390Component detailsMandatory->Max 1
    To provide component details of an object (e.g. product, container) such as its type and the material of which it is composed.
  2. 0400IdentityConditional->Max 9
    To identify an object.
  3. 0410AddressConditional->Max 1
    To specify an address.
  4. 0420AttributeConditional->Max 9
    To identify a specific attribute.
  5. 0430Communication contactConditional->Max 9
    To identify a communication number of a department or a person to whom communication should be directed.
  6. 0440Date/time/periodConditional->Max 9
    To specify date, and/or time, or period.
  7. 0450Monetary amountConditional->Max 9
    To specify a monetary amount.
  8. 0460Percentage detailsConditional->Max 9
    To specify percentage information.
  9. 0470Query and responseConditional->Max 9
    To provide a declaration in the form of a coded question and response.
  10. 0480QuantityConditional->Max 9
    To specify a pertinent quantity.
  11. 0490ReferenceConditional->Max 9
    To specify a reference.
  12. 0500Free textConditional->Max 9
    To provide free form or coded text information.
  13. Segment group 7
    Repeat 999
    0520Premium calculation component detailsMandatory->Max 1
    To identify the component affecting a premium calculation and the value category of the component.
    0530AttributeConditional->Max 9
    To identify a specific attribute.
    0540Date/time/periodConditional->Max 9
    To specify date, and/or time, or period.
    0550Monetary amountConditional->Max 9
    To specify a monetary amount.
    0560Percentage detailsConditional->Max 9
    To specify percentage information.
    0570Query and responseConditional->Max 9
    To provide a declaration in the form of a coded question and response.
    0580QuantityConditional->Max 9
    To specify a pertinent quantity.
    0590Free textConditional->Max 9
    To provide free form or coded text information.
    Segment group 8
    Repeat 99
    0610Charge/rate calculationsMandatory->Max 1
    To specify charges.
    0620IdentityConditional->Max 9
    To identify an object.
    0630AttributeConditional->Max 9
    To identify a specific attribute.
    0640Monetary amountConditional->Max 9
    To specify a monetary amount.
    0650Percentage detailsConditional->Max 9
    To specify percentage information.
    0660Free textConditional->Max 9
    To provide free form or coded text information.
    Segment group 9
    Repeat 99
    0680Contribution detailsMandatory->Max 1
    To specify details about membership contributions.
    0690IdentityConditional->Max 9
    To identify an object.
    0700AttributeConditional->Max 9
    To identify a specific attribute.
    0710Monetary amountConditional->Max 9
    To specify a monetary amount.
    0720Percentage detailsConditional->Max 9
    To specify percentage information.
    0730ReferenceConditional->Max 9
    To specify a reference.
    0740Free textConditional->Max 9
    To provide free form or coded text information.
Segment group 10
Repeat 999
1. 0760Insurance cover descriptionMandatory->Max 1
  To describe the insurance cover.
2. 0770IdentityConditional->Max 9
  To identify an object.
3. 0780AttributeConditional->Max 9
  To identify a specific attribute.
4. 0790Date/time/periodConditional->Max 9
  To specify date, and/or time, or period.
5. 0800Monetary amountConditional->Max 9
  To specify a monetary amount.
6. 0810ReferenceConditional->Max 9
  To specify a reference.
7. 0820Query and responseConditional->Max 9
  To provide a declaration in the form of a coded question and response.
8. 0830Free textConditional->Max 9
  To provide free form or coded text information.
Segment group 11
Repeat 99
1. 0850Document/message detailsMandatory->Max 1
  To identify documents and details directly related to it.
2. 0860IdentityConditional->Max 9
  To identify an object.
3. 0870AttributeConditional->Max 9
  To identify a specific attribute.
4. 0880AddressConditional->Max 9
  To specify an address.
5. 0890External file link identificationConditional->Max 1
  To specify the link of one non-EDIFACT external file to an EDIFACT message.
6. 0900ReferenceConditional->Max 9
  To specify a reference.
7. 0910Date/time/periodConditional->Max 9
  To specify date, and/or time, or period.
8. 0920Monetary amountConditional->Max 9
  To specify a monetary amount.
9. 0930Query and responseConditional->Max 9
  To provide a declaration in the form of a coded question and response.
10. 0940QuantityConditional->Max 9
  To specify a pertinent quantity.
11. 0950Free textConditional->Max 9
  To provide free form or coded text information.
Segment group 12
Repeat 99
1. 0970Party identificationMandatory->Max 1
  To specify information necessary to establish the identity of a party.
2. 0980IdentityConditional->Max 9
  To identify an object.
3. 0990AttributeConditional->Max 99
  To identify a specific attribute.
4. 1000Date/time/periodConditional->Max 9
  To specify date, and/or time, or period.
5. 1010MeasurementsConditional->Max 9
  To specify physical measurements, including dimension tolerances, weights and counts.
6. 1020ReferenceConditional->Max 9
  To specify a reference.
7. 1030Query and responseConditional->Max 9
  To provide a declaration in the form of a coded question and response.
8. 1040Percentage detailsConditional->Max 9
  To specify percentage information.
9. 1050Free textConditional->Max 9
  To provide free form or coded text information.
10. Segment group 13
  Repeat 99
  1. 1070Component detailsMandatory->Max 1
    To provide component details of an object (e.g. product, container) such as its type and the material of which it is composed.
  2. 1080IdentityConditional->Max 9
    To identify an object.
  3. 1090AddressConditional->Max 1
    To specify an address.
  4. 1100Financial institution informationConditional->Max 1
    To identify an account and a related financial institution.
  5. 1110AttributeConditional->Max 9
    To identify a specific attribute.
  6. 1120Communication contactConditional->Max 9
    To identify a communication number of a department or a person to whom communication should be directed.
  7. 1130Date/time/periodConditional->Max 9
    To specify date, and/or time, or period.
  8. 1140Employment detailsConditional->Max 9
    To specify employment details.
  9. 1150Monetary amountConditional->Max 9
    To specify a monetary amount.
  10. 1160Query and responseConditional->Max 9
    To provide a declaration in the form of a coded question and response.
  11. 1170QuantityConditional->Max 9
    To specify a pertinent quantity.
  12. 1180ReferenceConditional->Max 9
    To specify a reference.
  13. 1190Free textConditional->Max 9
    To provide free form or coded text information.
Segment group 14
Repeat 99
1. 1210Risk object typeMandatory->Max 1
  To identify a type of object at risk.
2. 1220IdentityConditional->Max 9
  To identify an object.
3. 1230ReferenceConditional->Max 9
  To specify a reference.
4. 1240Monetary amountConditional->Max 99
  To specify a monetary amount.
5. 1250Percentage detailsConditional->Max 9
  To specify percentage information.
6. 1260Duty/tax/fee detailsConditional->Max 1
  To specify relevant duty/tax/fee information.
7. 1270Date/time/periodConditional->Max 99
  To specify date, and/or time, or period.
8. 1280Place/location identificationConditional->Max 9
  To identify a place or a location and/or related locations.
9. 1290AttributeConditional->Max 99
  To identify a specific attribute.
10. 1300MeasurementsConditional->Max 9
  To specify physical measurements, including dimension tolerances, weights and counts.
11. 1310QuantityConditional->Max 9
  To specify a pertinent quantity.
12. 1320Query and responseConditional->Max 99
  To provide a declaration in the form of a coded question and response.
13. 1330Rate detailsConditional->Max 9
  To specify rate information.
14. 1340Free textConditional->Max 9
  To provide free form or coded text information.
15. Segment group 15
  Repeat 99
  1. 1360Charge/rate calculationsMandatory->Max 1
    To specify charges.
  2. 1370IdentityConditional->Max 9
    To identify an object.
  3. 1380AttributeConditional->Max 9
    To identify a specific attribute.
  4. 1390Monetary amountConditional->Max 9
    To specify a monetary amount.
  5. 1400Percentage detailsConditional->Max 9
    To specify percentage information.
  6. 1410Free textConditional->Max 9
    To provide free form or coded text information.
  7. Segment group 16
    Repeat 99
    1430Contribution detailsMandatory->Max 1
    To specify details about membership contributions.
    1440IdentityConditional->Max 9
    To identify an object.
    1450AttributeConditional->Max 9
    To identify a specific attribute.
    1460Monetary amountConditional->Max 9
    To specify a monetary amount.
    1470Percentage detailsConditional->Max 9
    To specify percentage information.
    1480ReferenceConditional->Max 9
    To specify a reference.
    1490Free textConditional->Max 9
    To provide free form or coded text information.
16. Segment group 17
  Repeat 999
  1. 1510Component detailsMandatory->Max 1
    To provide component details of an object (e.g. product, container) such as its type and the material of which it is composed.
  2. 1520IdentityConditional->Max 9
    To identify an object.
  3. 1530AddressConditional->Max 1
    To specify an address.
  4. 1540AttributeConditional->Max 9
    To identify a specific attribute.
  5. 1550Communication contactConditional->Max 9
    To identify a communication number of a department or a person to whom communication should be directed.
  6. 1560DamageConditional->Max 9
    To specify damage including action taken.
  7. 1570Date/time/periodConditional->Max 9
    To specify date, and/or time, or period.
  8. 1580MeasurementsConditional->Max 9
    To specify physical measurements, including dimension tolerances, weights and counts.
  9. 1590Monetary amountConditional->Max 9
    To specify a monetary amount.
  10. 1600Percentage detailsConditional->Max 9
    To specify percentage information.
  11. 1610Query and responseConditional->Max 9
    To provide a declaration in the form of a coded question and response.
  12. 1620QuantityConditional->Max 9
    To specify a pertinent quantity.
  13. 1630ReferenceConditional->Max 9
    To specify a reference.
  14. 1640Free textConditional->Max 9
    To provide free form or coded text information.
  15. Segment group 18
    Repeat 99
    1660Charge/rate calculationsMandatory->Max 1
    To specify charges.
    1670IdentityConditional->Max 9
    To identify an object.
    1680AttributeConditional->Max 9
    To identify a specific attribute.
    1690Monetary amountConditional->Max 9
    To specify a monetary amount.
    1700Percentage detailsConditional->Max 9
    To specify percentage information.
    1710Free textConditional->Max 9
    To provide free form or coded text information.
    Segment group 19
    Repeat 99
    1730Contribution detailsMandatory->Max 1
    To specify details about membership contributions.
    1740IdentityConditional->Max 9
    To identify an object.
    1750AttributeConditional->Max 9
    To identify a specific attribute.
    1760Monetary amountConditional->Max 9
    To specify a monetary amount.
    1770Percentage detailsConditional->Max 5
    To specify percentage information.
    1780ReferenceConditional->Max 9
    To specify a reference.
    1790Free textConditional->Max 9
    To provide free form or coded text information.
  16. Segment group 20
    Repeat 99
    1810Item descriptionMandatory->Max 1
    To describe an item in either an industry or free format.
    1820IdentityConditional->Max 9
    To identify an object.
    1830AttributeConditional->Max 9
    To identify a specific attribute.
    1840Date/time/periodConditional->Max 9
    To specify date, and/or time, or period.
    1850MeasurementsConditional->Max 9
    To specify physical measurements, including dimension tolerances, weights and counts.
    1860Percentage detailsConditional->Max 9
    To specify percentage information.
    1870Query and responseConditional->Max 9
    To provide a declaration in the form of a coded question and response.
    1880QuantityConditional->Max 9
    To specify a pertinent quantity.
    1890ReferenceConditional->Max 9
    To specify a reference.
    1900Free textConditional->Max 9
    To provide free form or coded text information.
    Segment group 21
    Repeat 9
    1920Charge/rate calculationsMandatory->Max 1
    To specify charges.
    1930IdentityConditional->Max 9
    To identify an object.
    1940AttributeConditional->Max 9
    To identify a specific attribute.
    1950Monetary amountConditional->Max 9
    To specify a monetary amount.
    1960Percentage detailsConditional->Max 9
    To specify percentage information.
    1970Free textConditional->Max 9
    To provide free form or coded text information.
    Segment group 22
    Repeat 99
    1990Contribution detailsMandatory->Max 1
    To specify details about membership contributions.
    2000IdentityConditional->Max 9
    To identify an object.
    2010AttributeConditional->Max 9
    To identify a specific attribute.
    2020Monetary amountConditional->Max 9
    To specify a monetary amount.
    2030Percentage detailsConditional->Max 9
    To specify percentage information.
    2040ReferenceConditional->Max 9
    To specify a reference.
    2050Free textConditional->Max 9
    To provide free form or coded text information.
Segment group 23
Repeat 99
1. 2070Process identificationMandatory->Max 1
  To identify a process.
2. 2080IdentityConditional->Max 9
  To identify an object.
3. 2090AttributeConditional->Max 9
  To identify a specific attribute.
4. 2100Date/time/periodConditional->Max 99
  To specify date, and/or time, or period.
5. 2110Monetary amountConditional->Max 9
  To specify a monetary amount.
6. 2120Query and responseConditional->Max 99
  To provide a declaration in the form of a coded question and response.
7. 2130ReferenceConditional->Max 9
  To specify a reference.
8. 2140Free textConditional->Max 9
  To provide free form or coded text information.
Segment group 24
Repeat 99
1. 2160Sequence detailsMandatory->Max 1
  To provide details relating to the sequence.
2. 2170IdentityConditional->Max 9
  To identify an object.
3. 2180AttributeConditional->Max 9
  To identify a specific attribute.
4. 2190Date/time/periodConditional->Max 9
  To specify date, and/or time, or period.
5. 2200ReferenceConditional->Max 9
  To specify a reference.
6. Segment group 25
  Repeat 99
  1. 2220Component detailsMandatory->Max 1
    To provide component details of an object (e.g. product, container) such as its type and the material of which it is composed.
  2. 2230IdentityConditional->Max 9
    To identify an object.
  3. 2240AttributeConditional->Max 9
    To identify a specific attribute.
  4. 2250Date/time/periodConditional->Max 9
    To specify date, and/or time, or period.
  5. 2260Monetary amountConditional->Max 9
    To specify a monetary amount.
  6. 2270Query and responseConditional->Max 9
    To provide a declaration in the form of a coded question and response.
  7. 2280ReferenceConditional->Max 9
    To specify a reference.
  8. 2290Free textConditional->Max 9
    To provide free form or coded text information.
2300Message trailerMandatory->Max 1
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.