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.
Header
- 00010Message headerMandatoryMax 1
A service segment starting and uniquely identifying a message. The message type code for the Reinsurance claims message is RECLAM. Note: Reinsurance claims messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 RECLAM 0052 D 0054 18A 0051 UN
1. Data element S009/0057 is retained for upward compatibility. The use ofS016 and/or S017 is encouraged in preference.2. The combination of the values carried in data elements 0062 and S009 shallbe used to identify uniquely the message within its group (if used) or ifnot used, within its interchange, for the purpose of acknowledgement. - Segment group 1Repeat 99
- 00030Processing informationMandatoryMax 1
A segment to give a processing indicator relating to the whole message.
- 00040Free textConditionalMax 1
A segment to give free format text regarding type of participation, type of risk, cause of loss, consequence of loss.
- 00030Processing informationMandatoryMax 1
- Segment group 2Repeat 999
- 00060Name and addressMandatoryMax 1
A segment to specify the name and address and the related function of the party involved.
- 00070Percentage detailsConditionalMax 1
A segment to specify the producing or the placing intermediary's or broker's order percentage in the reinsurance, and to give the reinsurer's share in this intermediary's or broker's order.
- 00080Contact informationConditionalMax 1
A segment to identify a person or department to whom the communication should be directed.
- 00090Communication contactConditionalMax 5
A segment to identify a communication number of a department or a person to whom communication should be directed.
- 00100ReferenceConditionalMax 5
A segment to specify the references of the party identified in the leading NAD segment.
- 00110Processing informationConditionalMax 2
A segment to give a processing indicator relating to the consequence of loss.
- 00120Free textConditionalMax 2
A segment to provide the ceding company details, leading reinsurer's comments, claimant information.
- 00130Date/time/periodConditionalMax 9
A segment to give information dates regarding claimants in medical malpractice.
- 00060Name and addressMandatoryMax 1
- 00140Section controlMandatoryMax 1
A segment placed at the start of the detail section to avoid segment collision.
- 00150Date/time/periodMandatoryMax 8
A segment to specify pertinent dates and periods relating to the RECLAM.
- 00160Free textConditionalMax 999
A segment to provide free format information regarding the loss, the risk or the reinsurance contract.
Detail
- Segment group 3Repeat 9
- 00180ReferenceMandatoryMax 1
A segment to provide references concerning the loss or event, reinsurance contract detail references, and for attached documents.
- 00190Date/time/periodConditionalMax 1
A segment to specify the transaction date of the attached document or message.
- 00200Communication contactConditionalMax 1
A segment to identify the means by which the attached document or message was transmitted.
- 00210Free textConditionalMax 1
A segment to provide free text regarding the document or message that is being referenced.
- 00180ReferenceMandatoryMax 1
- 00220Place/location identificationConditionalMax 1
A segment to identify the geographical scope to which the loss pertains.
- 00230Monetary amountConditionalMax 1
A segment to specify the possible maximum loss amount.
- 00240Percentage detailsConditionalMax 1
A segment to specify the possible maximum loss as a percentage.
- Segment group 4Repeat 99
- 00260Processing informationMandatoryMax 1
A segment to give a processing indicator relating to the policy breakdown.
- 00270ReferenceConditionalMax 8
A segment to specify references of the original insurance policy contract.
- 00280Place/location identificationConditionalMax 9
A segment to identify the geographical scope to which the risk pertains.
- 00290Date/time/periodConditionalMax 1
A segment to give the original insurance policy effective period.
- 00300Free textConditionalMax 3
A segment used to provide additional free text information about the policy effective period, the whole policy contract and the class or line of business.
- 00310Percentage detailsConditionalMax 2
A segment used to give the percentage of the original insurance policy contract ceded to one or more reinsurance contract(s).
- Segment group 5Repeat 3
- 00330CurrenciesMandatoryMax 1
A segment to specify the appropriate non-equivalent currency being used to report the amounts in the original insurance policy contract section.
- 00340Processing informationConditionalMax 1
A segment to indicate whether the following amounts are annuities.
- 00350Free textConditionalMax 1
A segment to provide additional free text information regarding the annuities.
- Segment group 6Repeat 99
- 00370Monetary amountMandatoryMax 1
A segment to specify the amounts of the original insurance policy contract.
- 00380Processing informationMandatoryMax 3
A segment to provide the entries expression flag.
- 00390CurrenciesConditionalMax 1
A segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
- 00400Free textConditionalMax 2
A segment to provide free text information regarding policy contract amounts.
- 00370Monetary amountMandatoryMax 1
- 00410Percentage detailsMandatoryMax 1
A segment to specify the cedent's share percentage.
- 00330CurrenciesMandatoryMax 1
- Segment group 7Repeat 99
- 00430Name and addressMandatoryMax 1
A segment to specify the name and address and the related function of the party involved.
- 00440Percentage detailsConditionalMax 1
A segment to give the percentage in the original insurance policy of the party identified in the leading NAD segment.
- 00430Name and addressMandatoryMax 1
- 00260Processing informationMandatoryMax 1
- 00450Section controlMandatoryMax 1
A segment used to prevent collision between the detail and the summary sections of the message.
Summary
- Segment group 8Repeat 3
- 00470CurrenciesMandatoryMax 1
A segment to specify the appropriate non-equivalent currency used to report the amounts in the reinsurance contract section.
- Segment group 9Repeat 999
- 00490Monetary amountMandatoryMax 1
A segment to specify the amounts of the reinsurance contract.
- 00500Percentage detailsConditionalMax 2
A segment to specify the reinsurer's share percentage or the applicable reinsurance contract retention.
- 00510CurrenciesConditionalMax 1
A segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
- 00520Free textConditionalMax 10
A segment to provide free text information regarding the reinsurance contract amounts.
- Segment group 10Repeat 99
- 00540ReferenceMandatoryMax 1
A segment to specify the reference number of the previous loss notification.
- 00550Date/time/periodConditionalMax 1
A segment to specify the date of transaction of the supporting document or message.
- 00560Communication contactConditionalMax 1
A segment to identify the means by which the referenced document or message was transmitted.
- 00570Free textConditionalMax 1
A segment to provide free text regarding the referenced document or message.
- 00540ReferenceMandatoryMax 1
- 00580Processing informationMandatoryMax 99
A segment to provide the entries expression flag at reinsurance contract level.
- 00490Monetary amountMandatoryMax 1
- 00470CurrenciesMandatoryMax 1
- 00590Message trailerMandatoryMax 1
A 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.
1. 0062, the value shall be identical to the value in 0062 in thecorresponding UNH segment.