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.
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.
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.