PRPAID Insurance premium payment

TBG8 Insurance

The Insurance Premium Payment message is used by communicating parties to notify the recipient about premium or claim amounts to be collected, evaluated, paid, not paid or partly paid, either individually or in series via bordereau or statements.

The message may be exchanged between insurers or between insurers and insurance intermediaries.

Header

Position
Segment
Name
Max use
  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.
  2. To indicate the type and function of a message and to transmit the identifying number.

  3. To identify processing information.

  4. To specify a reference.

  5. To specify date, and/or time, or period.

  6. To describe the insurance cover.

  7. Segment group 1
    Repeat 9
    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 identify a person or a department to whom communication should be directed.

    3. To identify a communication number of a department or a person to whom communication should be directed.

    4. To specify a reference.

  8. Segment group 2
    Repeat 9999
    1. To identify documents and details directly related to it.

    2. Segment group 3
      Repeat 1
      1. To identify processing information.

      2. To provide free form or coded text information.

    3. To specify date, and/or time, or period.

    4. To specify the name/address and their related function, either by C082 only and/or unstructured by C058 or structured by C080 thru 3207.

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

      2. To specify date, and/or time, or period.

      3. To specify percentage information.

    6. To specify a reference.

    7. Segment group 5
      Repeat 99
      1. To describe the insurance cover.

      2. To specify a monetary amount.

      3. To specify a reference.

      4. To specify percentage information.

    8. Segment group 6
      Repeat 9
      1. To identify a specific attribute.

      2. To specify percentage information.

    9. To specify currencies used in the transaction and relevant details for the rate of exchange.

  9. To separate header, detail and summary sections of a message.

  10. Segment group 7
    Repeat 99
    1. To specify a monetary amount.

    2. To identify processing information.

    3. To specify date, and/or time, or period.

    4. To specify a reference.

    5. To identify a specific attribute.

    6. To describe the insurance cover.

    7. To specify currencies used in the transaction and relevant details for the rate of exchange.

  11. 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.

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