United Nations Directories for Electronic Data Interchange for
Administration, Commerce and Transport
UN/EDIFACT
United Nations Directories for Electronic Data Interchange for |
Message Type : LRECLM
Version : D
Release : 01C
Contr. Agency: UN
Revision : 1
Date : 2001-11-07
SOURCE: D9 Insurance (SWG)
CONTENTS
Life reinsurance claims message
0. INTRODUCTION
1. SCOPE
1.1 Functional definition
1.2 Field of application
1.3 Principles
2. REFERENCES
3. TERMS AND DEFINITIONS
3.1 Standard terms and definitions
4. MESSAGE DEFINITION
4.1 Segment clarification
4.1.1 Header section
4.1.2 Detail section
4.2 Segment index (alphabetical sequence by tag)
4.3 Message structure
4.3.1 Segment table
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For general information on UN standard message types see UN Trade Data
Interchange Directory, UNTDID, Part 4, Section 2.3, UN/ECE UNSM
General Introduction
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0. INTRODUCTION
This specification provides the definition of the Life
reinsurance claims message (LRECLM) to be used in Electronic
Data Interchange (EDI) between trading partners involved in
administration, commerce and transport.
1. SCOPE
1.1 Functional definition
The LRECLM message is used by companies to exchange information
regarding a claim or claims on a policy or policies which have
been reinsured. The message will be used for both ceded and
assumed reinsurance.
The trading partners utilizing the Life reinsurance claims
message will be direct companies, reinsurance companies,
reinsurance intermediaries and retrocessionaires. The message
will be used to transmit data required by ceding and assuming
companies to communicate information for the orderly settlement
of claims. It also facilitates the reconciliation of the
reinsurance records in order to maintain the integrity of the
data between the trading partners.
1.2 Field of application
The Life reinsurance claims message may be used for both
national and international applications. It is based on
universal practice related to administration, commerce and
transport, and is not dependent on the type of business or
industry.
1.3 Principles
- The Life reinsurance claims message contains information
about reinsured individual life insurance policies, reinsured
disability insurance policies and reinsured annuity contracts
administered under the terms and conditions of a reinsurance
treaty.
- This message contains specific reinsurance information about
the base policy, the person on claim and the reinsured
coverages associated with the claim.
- The message is used to confirm the details of a claim and the
person on claim under a specific reinsurance treaty and to
communicate information regarding the status of the claim and
the settlement of the claim.
The following guidelines apply to the whole message and are
intended to facilitate the understanding and implementation of
the message:
- All specified dates should include the century unless all
parties involved in the transaction agree that there is a
functional requirement for an alternative format.
- Where a choice of code or text is given, only the code
element should be used wherever possible.
2. REFERENCES
See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General
Introduction, Section 1.
3. TERMS AND DEFINITIONS
3.1 Standard terms and definitions
See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General
Introduction, Section 2.
4. MESSAGE DEFINITION
4.1 Segment clarification
This section should be read in conjunction with the segment
table which indicates mandatory, conditional and repeating
requirements.
4.1.1 Header section
Information to be provided in the Header section:
0010 UNH, Message header
A service segment starting and uniquely identifying a message.
The message type code for the Life reinsurance claims message
is LRECLM.
Note: Life reinsurance claims messages conforming to this
document must contain the following data in segment UNH,
composite S009:
Data element 0065 LRECLM
0052 D
0054 01C
0051 UN
0020 BGM, Beginning of message
A segment specifying the type of message contained in the
transmission.
0030 DTM, Date/time/period
A segment specifying the reporting period ending date.
0040 CUX, Currencies
A segment identifying the default currency and its scaling
factor for monetary amounts in this message.
0050 CTA, Contact information
A segment identifying a person(s) or department(s), and their
function(s), to whom communications should be directed.
0060 FTX, Free text
A segment with free text information, in coded or clear form,
used when additional information is needed but cannot be
accommodated within other segments.
4.1.2 Detail section
Information to be provided in the Detail section:
0070 Segment group 1: IMD-ATT-DTM-LOC-PCD-RFF-CUX-FTX-SG2-SG3-SG5
A group of segments in which is detailed claim information.
0080 IMD, Item description
A segment defining the type of claim.
0090 ATT, Attribute
A segment providing attributes of the claim.
0100 DTM, Date/time/period
A segment specifying general dates or durations related to
the claim.
0110 LOC, Place/location identification
A segment giving location information for the place of death
or location where the onset of the disability occurred.
0120 PCD, Percentage details
A segment specifying the extent of loss and the interest
rate to be used in calculating the claim payment.
0130 RFF, Reference
A segment specifying the claim numbers as assigned by the
ceding company and the reinsurer.
0140 CUX, Currencies
A segment identifying the default currency and its scaling
factor for monetary amounts for the claim.
0150 FTX, Free text
A segment with free text information, in coded or clear
form, used when additional information is needed regarding
the claim.
0160 Segment group 2: MOA-ARD
A group of segments in which is detailed monetary amounts
and their purpose for the claim.
0170 MOA, Monetary amount
A segment specifying a monetary amount.
0180 ARD, Monetary amount function
A segment specifying the purpose of the monetary amount.
0190 Segment group 3: PNA-DTM-LOC-EMP-SG4
A group of segments in which is detailed information
regarding the person for which this claim is being
submitted.
0200 PNA, Party identification
A segment identifying the name of the person on claim.
0210 DTM, Date/time/period
A segment specifying general date and durations
associated with the person on claim.
0220 LOC, Place/location identification
A segment giving location information for the place of
residence of the person on claim at the time of loss.
0230 EMP, Employment details
A segment providing the occupation class of the person on
claim at time of loss for purposes of this claim as
defined by the issuing company.
0240 Segment group 4: MOA-ARD
A group of segments in which is detailed monetary amounts
and their purpose for this person on claim.
0250 MOA, Monetary amount
A segment specifying a monetary amount.
0260 ARD, Monetary amount function
A segment specifying the purpose of the monetary
amount.
0270 Segment group 5: GIS-RFF-PNA-DTM-SG6-SG7
A group of segments in which is detailed information
regarding the policy on claim and other policies related to
the claim.
0280 X GIS, General indicator
An indicator specifying whether this policy is the policy
on claim or an associated policy.
0290 RFF, Reference
A segment specifying the policy number as assigned by the
ceding company.
0300 PNA, Party identification
A segment identifying the original issuer of the policy,
in coded or clear form.
0310 DTM, Date/time/period
A segment specifying general dates and durations
associated with the policy on claim or related policy.
0320 Segment group 6: MOA-ARD
A group of segments in which is detailed monetary amounts
and their purpose for this policy.
0330 MOA, Monetary amount
A segment specifying a monetary amount.
0340 ARD, Monetary amount function
A segment specifying the purpose of the monetary
amount.
0350 Segment group 7: IDE-PNA-DTM-SG8
A group of segments in which is detailed information
regarding the insureds on this policy.
0360 IDE, Identity
A segment identifying the party as the insured of
record.
0370 PNA, Party identification
A segment identifying the insured's name and universal
identifier.
0380 DTM, Date/time/period
A segment specifying the date of birth of the insured.
0390 Segment group 8: ICD-DTM-RFF-ATT-PCD-AGR-SG9
A group of segments in which is detailed coverage
information regarding the insured.
0400 ICD, Insurance cover description
A segment giving the insurance cover type
associated with this coverage.
0410 DTM, Date/time/period
A segment specifying general dates or durations
related to this coverage.
0420 RFF, Reference
A segment specifying general references for this
coverage.
0430 ATT, Attribute
A segment providing attributes of the coverage.
0440 PCD, Percentage details
A segment specifying the percentages associated
with the claim.
0450 AGR, Agreement identification
A segment identifying the treaty as assigned by the
ceding company.
0460 Segment group 9: MOA-ARD
A group of segments in which is detailed monetary
amounts and their purpose for the coverage.
0470 MOA, Monetary amount
A segment specifying a monetary amount.
0480 ARD, Monetary amount function
A segment specifying the purpose of the monetary
amount.
0490 UNT, Message trailer
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.
4.2 Segment index (alphabetical sequence by tag)
AGR Agreement identification
ARD Monetary amount function
ATT Attribute
BGM Beginning of message
CTA Contact information
CUX Currencies
DTM Date/time/period
EMP Employment details
FTX Free text
X GIS General indicator
ICD Insurance cover description
IDE Identity
IMD Item description
LOC Place/location identification
MOA Monetary amount
PCD Percentage details
PNA Party identification
RFF Reference
UNH Message header
UNT Message trailer
4.3 Message structure
4.3.1 Segment table
Pos Tag Name S R
HEADER SECTION
0010 UNH Message header M 1
0020 BGM Beginning of message M 1
0030 DTM Date/time/period M 1
0040 CUX Currencies C 1
0050 CTA Contact information C 9
0060 FTX Free text C 1
DETAIL SECTION
0070 ----- Segment group 1 ------------------ M 999999------+
0080 IMD Item description M 1 |
0090 ATT Attribute M 99 |
0100 DTM Date/time/period C 9 |
0110 LOC Place/location identification C 1 |
0120 PCD Percentage details C 9 |
0130 RFF Reference C 9 |
0140 CUX Currencies C 1 |
0150 FTX Free text C 1 |
|
0160 ----- Segment group 2 ------------------ C 9----------+|
0170 MOA Monetary amount M 1 ||
0180 ARD Monetary amount function M 1----------+|
|
0190 ----- Segment group 3 ------------------ M 1----------+|
0200 PNA Party identification M 1 ||
0210 DTM Date/time/period M 9 ||
0220 LOC Place/location identification C 1 ||
0230 EMP Employment details C 1 ||
||
0240 ----- Segment group 4 ------------------ C 9---------+||
0250 MOA Monetary amount M 1 |||
0260 ARD Monetary amount function M 1---------++|
|
0270 ----- Segment group 5 ------------------ M 99---------+|
0280 X GIS General indicator M 1 ||
0290 RFF Reference M 9 ||
0300 PNA Party identification C 1 ||
0310 DTM Date/time/period C 99 ||
||
0320 ----- Segment group 6 ------------------ C 9---------+||
0330 MOA Monetary amount M 1 |||
0340 ARD Monetary amount function M 1---------+||
||
0350 ----- Segment group 7 ------------------ C 99--------+||
0360 IDE Identity M 1 |||
0370 PNA Party identification M 1 |||
0380 DTM Date/time/period M 1 |||
|||
0390 ----- Segment group 8 ------------------ C 99-------+|||
0400 ICD Insurance cover description M 1 ||||
0410 DTM Date/time/period C 99 ||||
0420 RFF Reference C 9 ||||
0430 ATT Attribute C 9 ||||
0440 PCD Percentage details C 1 ||||
0450 AGR Agreement identification C 1 ||||
||||
0460 ----- Segment group 9 ------------------ C 9-------+||||
0470 MOA Monetary amount M 1 |||||
0480 ARD Monetary amount function M 1-------+++++
0490 UNT Message trailer M 1
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