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

Position
Segment
Name
Max use
  1. To head, identify and specify a message.

  2. Segment group 1
    Repeat 99
    1. To identify processing information.

    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 identify processing information.

    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 identify processing information.

    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 identify processing information.

      3. To provide free form or coded text information.

      4. Segment group 6
        Repeat 99
        1. To specify a monetary amount.

        2. To identify processing 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. 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 identify processing information.

  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.

Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference is provided for marketing purposes and is free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.