RECLAM Reinsurance claims

TBG8 Insurance

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

0010Message headerMandatory->Max 1
To head, identify and specify a message.
Segment group 1
Repeat 99
1. 0030Processing informationMandatory->Max 1
  To identify processing information.
2. 0040Free textConditional->Max 1
  To provide free form or coded text information.
Segment group 2
Repeat 999
1. 0060Name and addressMandatory->Max 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. 0070Percentage detailsConditional->Max 1
  To specify percentage information.
3. 0080Contact informationConditional->Max 1
  To identify a person or a department to whom communication should be directed.
4. 0090Communication contactConditional->Max 5
  To identify a communication number of a department or a person to whom communication should be directed.
5. 0100ReferenceConditional->Max 5
  To specify a reference.
6. 0110Processing informationConditional->Max 2
  To identify processing information.
7. 0120Free textConditional->Max 2
  To provide free form or coded text information.
8. 0130Date/time/periodConditional->Max 9
  To specify date, and/or time, or period.
0140Section controlMandatory->Max 1
To separate header, detail and summary sections of a message.
0150Date/time/periodMandatory->Max 8
To specify date, and/or time, or period.
0160Free textConditional->Max 999
To provide free form or coded text information.

Detail

Position

Segment

Name

Max use

Segment group 3
Repeat 9
1. 0180ReferenceMandatory->Max 1
  To specify a reference.
2. 0190Date/time/periodConditional->Max 1
  To specify date, and/or time, or period.
3. 0200Communication contactConditional->Max 1
  To identify a communication number of a department or a person to whom communication should be directed.
4. 0210Free textConditional->Max 1
  To provide free form or coded text information.
0220Place/location identificationConditional->Max 1
To identify a place or a location and/or related locations.
0230Monetary amountConditional->Max 1
To specify a monetary amount.
0240Percentage detailsConditional->Max 1
To specify percentage information.
Segment group 4
Repeat 99
1. 0260Processing informationMandatory->Max 1
  To identify processing information.
2. 0270ReferenceConditional->Max 8
  To specify a reference.
3. 0280Place/location identificationConditional->Max 9
  To identify a place or a location and/or related locations.
4. 0290Date/time/periodConditional->Max 1
  To specify date, and/or time, or period.
5. 0300Free textConditional->Max 3
  To provide free form or coded text information.
6. 0310Percentage detailsConditional->Max 2
  To specify percentage information.
7. Segment group 5
  Repeat 3
  1. 0330CurrenciesMandatory->Max 1
    To specify currencies used in the transaction and relevant details for the rate of exchange.
  2. 0340Processing informationConditional->Max 1
    To identify processing information.
  3. 0350Free textConditional->Max 1
    To provide free form or coded text information.
  4. Segment group 6
    Repeat 99
    0370Monetary amountMandatory->Max 1
    To specify a monetary amount.
    0380Processing informationMandatory->Max 3
    To identify processing information.
    0390CurrenciesConditional->Max 1
    To specify currencies used in the transaction and relevant details for the rate of exchange.
    0400Free textConditional->Max 2
    To provide free form or coded text information.
  5. 0410Percentage detailsMandatory->Max 1
    To specify percentage information.
8. Segment group 7
  Repeat 99
  1. 0430Name and addressMandatory->Max 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. 0440Percentage detailsConditional->Max 1
    To specify percentage information.
0450Section controlMandatory->Max 1
To separate header, detail and summary sections of a message.

Summary

Position

Segment

Name

Max use

Segment group 8
Repeat 3
1. 0470CurrenciesMandatory->Max 1
  To specify currencies used in the transaction and relevant details for the rate of exchange.
2. Segment group 9
  Repeat 999
  1. 0490Monetary amountMandatory->Max 1
    To specify a monetary amount.
  2. 0500Percentage detailsConditional->Max 2
    To specify percentage information.
  3. 0510CurrenciesConditional->Max 1
    To specify currencies used in the transaction and relevant details for the rate of exchange.
  4. 0520Free textConditional->Max 10
    To provide free form or coded text information.
  5. Segment group 10
    Repeat 99
    0540ReferenceMandatory->Max 1
    To specify a reference.
    0550Date/time/periodConditional->Max 1
    To specify date, and/or time, or period.
    0560Communication contactConditional->Max 1
    To identify a communication number of a department or a person to whom communication should be directed.
    0570Free textConditional->Max 1
    To provide free form or coded text information.
  6. 0580Processing informationMandatory->Max 99
    To identify processing information.
0590Message 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.