United Nations Directories
for Electronic Data Interchange for
Administration, Commerce and Transport



 UN/EDIFACT

Message Type : ICASRP Version : D Release : 05B Contr. Agency: UN Revision : 2 Date : 2006-01-17 SOURCE: TBG8 Insurance CONTENTS Insurance claim assessment and reporting 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 4.2 Segment index (alphabetical sequence by tag) 4.3 Message structure 4.3.1 Segment table ---------------------------------------------------------------------- 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 ---------------------------------------------------------------------- 0. INTRODUCTION This specification provides the definition of the Insurance claim assessment and reporting message (ICASRP) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport. 1. SCOPE The Insurance claim assessment and reporting 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. 1.1 Functional definition The Insurance claim assessment and reporting message is exchanged between all parties involved in the claims handling process. Claims handling parties include insurers, intermediaries, assessors and repairers. The claims handling process includes the functions, claim notification, assessment request, assessment report, repair estimate, repair authorisation, claim progress reporting. 1.2 Field of application The Insurance claim assessment and reporting 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 Each message contains information relating to one insurance claim against one policy only, although any related claims may be referenced. A claim results from one incident, although that incident may have many sub-incidents. For example the claim may result from storm damage, but that may include lightning strike, flood damage and fire damage caused by electrical short circuit. The message supports all types of claims, including motor, household, commercial. The specific type of object which is the subject of the claim is specified within the risk object details group. A generic 'component' group is positioned below the risk object and is used to describe information relating to the risk object. The actual content of the component group will vary depending on the type of risk object, for example if the object is a motor vehicle the components may include modifications and security devices, but if the object is a house the components may include construction and occupancy. The type of component is specified by a code within the component details segment which identifies a type of entity from the insurance data model. The re-usable component group is also used elsewhere in the message to provide the flexibility needed to describe the other main information blocks, such as incident, party and insurance history. Inside each of the segment groups an identity segment is positioned to allow the provision of unique identifiers for each instance of the group. The identifiers may then appear inside other segment groups as 'keys' that provide a relational link e.g. linking each object to its appropriate insurance cover, linking parties to documents or linking child objects to their parent object. Some of the information in the message appears twice, in a 'before' and 'after' state. The insurer will provide information on cover as defined in the policy, together with any conditions and limitations for example there may be a minimum and maximum excess amount written into the policy. The information is then used by the person assessing the claim to derive the covers and amounts that apply to the circumstances of the claim e.g. the amount of excess to be paid on this claim 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. 0010 UNH, Message header A service segment starting and uniquely identifying a message. The message type code for the Insurance claim assessment and reporting message is ICASRP. Note: Insurance claim assessment and reporting messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 ICASRP 0052 D 0054 05B 0051 UN 0020 BGM, Beginning of message To specify the function of the message, such as claim notification, assessment request, assessment report. 0030 ATT, Attribute To specify the type of transaction within the specified message function. 0040 CUX, Currencies To specify the currency of the transaction. 0050 DTM, Date/time/period To specify dates related to the transaction, such as the date processed. 0060 QRS, Query and response To provide the response to coded questions related to the transaction. 0070 FTX, Free text To provide additional text information related to the transaction, such as transaction description. 0080 Segment group 1: PNA-SG2 A group of segments to specify parties related to the transaction communication together with any related references. 0090 PNA, Party identification To specify one party related to the business transaction, such as message originator, ultimate recipient and software supplier. 0100 Segment group 2: RFF-DTM A group of segments to identify components of software used in the application system that created the business transaction contained within this message, together with any relevant dates. 0110 RFF, Reference To provide a reference that identifies one software component provided by the software supplier together with the version of the software. 0120 DTM, Date/time/period To specify dates related to the software component, such as effective date and date applied to system. 0130 Segment group 3: EVE-IDE-ATT-DTM-RFF-PCD-QRS-QTY-FTX-SG4-SG6 A group of segments to describe an event or incident that gave rise to the claim as well as the claim itself. One claim results from one major incident, but there may be many sub- incidents that need to be defined, e.g. during a storm there may be lightning damage, flood damage and fire damage caused by electrical short circuit etc. 0140 EVE, Event To identify and describe one event or incident related to the claim. 0150 IDE, Identity To provide identification numbers for the incident which may be used to link the incident to specific items of damage. 0160 ATT, Attribute To specify coded attributes relating to the incident, such as incident scale. 0170 DTM, Date/time/period To specify dates relating to the incident, such as incident date or start and end date when the incident occurred over a period of time. 0180 RFF, Reference To specify references relating to the incident such as intermediary's claim reference, insurer's claim number. 0190 PCD, Percentage details To specify percentages relating to the incident such as percentage of responsibility. 0200 QRS, Query and response To specify the response to coded questions about the incident. 0210 QTY, Quantity To specify quantities relating to the incident, such as number of injured parties, number of witnesses. 0220 FTX, Free text To provide text information about the incident, such as incident description. 0230 Segment group 4: TCC-IDE-ATT-MOA-PCD-FTX-SG5 A group of segments to specify and describe the costs and charges relating to the incident. 0240 TCC, Charge/rate calculations To specify one type of cost or charge relating to the incident. 0250 IDE, Identity To specify one type of cost or charge relating to the incident. 0260 ATT, Attribute To specify coded attributes relating to the cost charge, such as method of calculation. 0270 MOA, Monetary amount To specify monetary amounts for the cost or charge, such as amount including tax, discount amount. 0280 PCD, Percentage details To specify percentages relating to the cost or charge, such as tax percentage. 0290 FTX, Free text To provide text information about the cost or charge, such as explanation of cost or charge. 0300 Segment group 5: COT-IDE-ATT-MOA-PCD-RFF-FTX A group of segments to identify and describe contributions and/or recoveries relating to a cost or charge, and to identify who the recovery is to be made against. 0310 COT, Contribution details To identify one contribution or recovery relating to the cost or charge. 0320 IDE, Identity To specify the identity number of a party to whom this contribution or recovery applies. 0330 ATT, Attribute To provide coded attributes relating to the contribution or recovery, such as contribution or recovery status. 0340 MOA, Monetary amount To specify monetary amounts relating to the contribution or recovery, such as amount of contribution to the cost charge. 0350 PCD, Percentage details To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge. 0360 RFF, Reference To specify references for the contribution or recovery. 0370 FTX, Free text To provide text information about the contribution or recovery. 0380 Segment group 6: COD-IDE-ADR-ATT-COM-DTM-MOA-PCD-QRS-QTY- RFF-FTX-SG7 To provide text information about the contribution or recovery. 0390 COD, Component details Provides a coded identification of one type of claim or incident component, such as policy cover, addresses. 0400 IDE, Identity To reference the object or party to which the cover applies. 0410 ADR, Address To specify a geographic limit on a policy cover, which may be expressed as a location, an address or a country or the address(es) of the incident. 0420 ATT, Attribute To specify coded attributes related to the cover component, such as cover type, usage. 0430 COM, Communication contact To specify communication numbers for the address. 0440 DTM, Date/time/period To specify dates related to the cover, such as cover inception date, end date. 0450 MOA, Monetary amount To specify monetary amounts related to the cover, such as cover limit. 0460 PCD, Percentage details To specify percentages related to the cover, such as cover index. 0470 QRS, Query and response To specify the response to coded questions concerning the cover. 0480 QTY, Quantity To specify quantities related to the cover, such as number of claims allowed. 0490 RFF, Reference To specify references related to the cover. 0500 FTX, Free text To specify text information about the cover, such as cover description, usage description. 0510 Segment group 7: PCC-ATT-DTM-MOA-PCD-QRS-QTY-FTX-SG8 A group of segments to describe the components relating to the cover which are used to calculate the claim. 0520 PCC, Premium calculation component details To specify one type of component used in the claim calculation, such as excess, cover condition. 0530 ATT, Attribute To specify coded attributes related to the claim calculation component, such as claim calculated by code. 0540 DTM, Date/time/period To specify dates relating to the claim calculation, such as condition valid date. 0550 MOA, Monetary amount To specify monetary amounts relating to the claim calculation, such as excess amount. 0560 PCD, Percentage details To specify percentages related to the claim calculation component, such as excess percentage. 0570 QRS, Query and response To specify the response to coded questions about the claim calculation component. 0580 QTY, Quantity To specify quantities relating to the claim calculation component. 0590 FTX, Free text To provide text information about the claim calculation component, such as condition wording. 0600 Segment group 8: TCC-IDE-ATT-MOA-PCD-FTX-SG9 A group of segments to specify and describe the costs and charges resulting from the claim calculation. 0610 TCC, Charge/rate calculations To specify one type of cost or charge relating to the cover. 0620 IDE, Identity To reference the object or party that the cost or charge applies to. 0630 ATT, Attribute To specify coded attributes relating to the claim calculation, such as method of calculation. 0640 MOA, Monetary amount To specify monetary amounts for the claim calculation component, such as cost or charge amount, discount amount. 0650 PCD, Percentage details To specify percentages relating to the claim calculation component, such as cost or charge discount percentage. 0660 FTX, Free text To provide text information about the claim calculation component, such as explanation of cost or charge. 0670 Segment group 9: COT-IDE-ATT-MOA-PCD-RFF-FTX A group of segments to identify and describe contributions or recoveries relating to a claim calculation component. 0680 COT, Contribution details To identify one contribution or recovery relating to the claim calculation. 0690 IDE, Identity To reference a party to whom this contribution or recovery relates. 0700 ATT, Attribute To provide coded attributes related to the contribution or recovery, such as contribution or recovery status. 0710 MOA, Monetary amount To specify monetary amounts related to the contribution or recovery, such as amount of contribution to the cost charge. 0720 PCD, Percentage details To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge. 0730 RFF, Reference To specify references relating to the contribution or recovery. 0740 FTX, Free text To provide text information about the contribution or recovery. 0750 Segment group 10: ICD-IDE-ATT-DTM-MOA-RFF-QRS-FTX A group of segments to identify and describe the policy which is the subject of the claim. 0760 ICD, Insurance cover description To identify the insurance product specified in the policy. 0770 IDE, Identity To provide identification numbers for the policy as specified by the intermediary, insurer and client. 0780 ATT, Attribute To specify coded attributes related to the policy, such as policy product code, scheme code. 0790 DTM, Date/time/period To specify dates related to the policy, such as inception date, expiry date. 0800 MOA, Monetary amount To specify monetary amounts related to the policy, such as indemnity limit. 0810 RFF, Reference To specify references related to the policy, such as policy number, policy wording version number. 0820 QRS, Query and response To provide the response to coded questions relating to the policy. 0830 FTX, Free text To provide text information related to the policy. 0840 Segment group 11: DOC-IDE-ATT-ADR-EFI-RFF-DTM-MOA-QRS-QTY-FTX A group of segments to identify and describe external documents relating to the claim. The information within this group describe the characteristics of the document not the content of the document. 0850 DOC, Document/message details To specify one type of document which is external to the message. 0860 IDE, Identity To reference a party or object to which the document relates. 0870 ATT, Attribute To specify coded attributes relating to the document, such as document status code. 0880 ADR, Address To specify addresses relating to the document, such as place of issue. 0890 EFI, External file link identification To specify a link to an external file that is related to the document. 0900 RFF, Reference To specify references relating to the document, such as document reference, previous document reference. 0910 DTM, Date/time/period To specify dates relating to the document, such as date requested, date received. 0920 MOA, Monetary amount To specify monetary amounts relating to the document. 0930 QRS, Query and response To specify the response to coded questions relating to the document. 0940 QTY, Quantity To specify quantities relating to the document, such as number of pages, number of copies. 0950 FTX, Free text To provide text information about the document, such as document description. 0960 Segment group 12: PNA-IDE-ATT-DTM-MEA-RFF-QRS-PCD-FTX-SG13 A group of segments to describe parties related to the claim, such as the insured, intermediary, insurer. 0970 PNA, Party identification To identify one party related to a claim described within this message. 0980 IDE, Identity To specify identification numbers for the party which are used to link the party to other entities within the message. 0990 ATT, Attribute To specify coded attributes related to the party, such as value added tax status code, marital status code. 1000 DTM, Date/time/period To specify dates related to the party, such as date of birth, date of death. 1010 MEA, Measurements To provide measurements relating to the party, such as level of blood alcohol. 1020 RFF, Reference To specify references related to the party, such as value added tax registration number. 1030 QRS, Query and response To provide the response to coded questions about the party. 1040 PCD, Percentage details To specify percentages related to the party, such as party proportion of risk. 1050 FTX, Free text To provide text information relating to the party. 1060 Segment group 13: COD-IDE-ADR-FII-ATT-COM-DTM-EMP-MOA-QRS- QTY-RFF-FTX A group of segments to describe components relating to the party that may be used in validating the claim, such as addresses, employment, convictions, financial account. 1070 COD, Component details Provides a coded identification of one type of input or output component related to the party. 1080 IDE, Identity To provide identification numbers for the party component that may be used to link the component to other entities. 1090 ADR, Address To specify address details for a party. 1100 FII, Financial institution information To provide a set of financial account details for a party. 1110 ATT, Attribute To specify coded attributes relating to the party component, such as offence code, type of blood alcohol test code. 1120 COM, Communication contact To provide communication details relating to a party component, such as telephone and fax numbers at address. 1130 DTM, Date/time/period To specify dates relating to the party component, such as start date at address, length of sentence. 1140 EMP, Employment details To provide one set of employment details for a party. 1150 MOA, Monetary amount To specify monetary amounts relating to the party component, such as fine amount. 1160 QRS, Query and response To provide the response to coded questions relating to the party component. 1170 QTY, Quantity To specify quantities relating to the party component, such as total licence penalty points. 1180 RFF, Reference To specify references relating to the party component, such as conviction reference, financial account number. 1190 FTX, Free text To provide text information relating to the party component, such as offence description, employment description. 1200 Segment group 14: ROD-IDE-RFF-MOA-PCD-TAX-DTM-LOC-ATT-MEA-QTY- QRS-RTE-FTX-SG15-SG17 A group of segments to describe the risk objects that are the subject of the claim. 1210 ROD, Risk object type To identify one risk object that is the subject of the claim. 1220 IDE, Identity To provide identification numbers for the risk object that may be used to link the object to other entities within the message, such as cover. 1230 RFF, Reference To specify reference numbers for the risk object, such as vehicle identification number, chassis number. 1240 MOA, Monetary amount To specify monetary amounts relating to the risk object, such as sum insured, replacement value. 1250 PCD, Percentage details To specify percentages relating to the risk object. 1260 TAX, Duty/tax/fee details To specify tax/fee details relating to the risk object. 1270 DTM, Date/time/period To specify dates relating to the risk object, such as date first registered, date inspected. 1280 LOC, Place/location identification To specify a place/location related to the risk object. 1290 ATT, Attribute To specify coded attributes relating to the risk object, such as body type code, nature of occupancy. 1300 MEA, Measurements To specify measurements relating to the risk object, such as length, width, floor area. 1310 QTY, Quantity To specify quantities relating to the risk object, such as number of occupants, number of seats. 1320 QRS, Query and response To provide the response to coded questions about the risk object. 1330 RTE, Rate details To specify rate details relating to the risk object. 1340 FTX, Free text To provide text descriptions relating to the risk object, such as object description, business usage of building description. 1350 Segment group 15: TCC-IDE-ATT-MOA-PCD-FTX-SG16 A group of segments to specify and describe the cost and charges relating to the risk object. 1360 TCC, Charge/rate calculations To identify one charge or cost related to the risk object. To identify one charge or cost related to the risk object. 1370 IDE, Identity To reference a party to whom the charge relates. 1380 ATT, Attribute To specify coded attributes relating to the cost or charge, such as method of calculation. 1390 MOA, Monetary amount To specify monetary amounts relating to the cost or charge, such as tax amount, discount amount. 1400 PCD, Percentage details To specify percentages relating to the cost or charge. 1410 FTX, Free text To provide text descriptions relating to the cost or charge. 1420 Segment group 16: COT-IDE-ATT-MOA-PCD-RFF-FTX A group of segments to identify and describe contributions or recoveries relating to the risk object cost or charge. 1430 COT, Contribution details To identify one contribution or recovery related to the cost or charge. 1440 IDE, Identity To reference a party to whom this contribution or recovery relates. 1450 ATT, Attribute To specify coded attributes relating to the contribution or recovery, such as contribution or recovery status code. 1460 MOA, Monetary amount To specify monetary amounts relating to the contribution or recovery, such as contribution or recovery amount. 1470 PCD, Percentage details To specify percentages relating to the contribution or recovery, such as percentage of insurer's responsibility. 1480 RFF, Reference To specify references relating to the contribution or recovery. 1490 FTX, Free text To provide text descriptions relating to the contribution or recovery. 1500 Segment group 17: COD-IDE-ADR-ATT-COM-DAM-DTM-MEA-MOA-PCD- QRS-QTY-RFF-FTX-SG18-SG20 A group of segments to describe components relating to the risk object and its assessment, such as address, part/task detail, loss/damage, valuation, security, interest. 1510 COD, Component details Provides a coded identification of one type of component related to the risk object. 1520 IDE, Identity To provide identification numbers for the risk object component which may be used to link the component to other entities. 1530 ADR, Address To specify addresses relating to the risk object. 1540 ATT, Attribute To specify coded attributes relating to the risk object component, such as severity of damage code, security device code. 1550 COM, Communication contact To specify communication numbers for the address, such as telephone, fax numbers. 1560 DAM, Damage To specify the damage to the risk object. 1570 DTM, Date/time/period To specify dates relating to the risk object component, such as start date at address. 1580 MEA, Measurements To specify measurements relating to the risk object component. 1590 MOA, Monetary amount To specify monetary amounts relating to the risk object component, such as pre-incident value, resultant value. 1600 PCD, Percentage details To specify percentages relating to the risk object component, such as percentage of under insurance, percentage of cost allocation. 1610 QRS, Query and response To specify the response to coded questions relating to the risk object component. 1620 QTY, Quantity To specify quantities relating to the risk object component. 1630 RFF, Reference To specify references relating to the risk object component. 1640 FTX, Free text To provide text information for the risk object component, such as specialist valuation description, explanation of a video image. 1650 Segment group 18: TCC-IDE-ATT-MOA-PCD-FTX-SG19 A group of segments to identify and describe costs and charges relating to the loss or damage. 1660 TCC, Charge/rate calculations To identify one charge relating to the loss or damage. 1670 IDE, Identity To reference a party to whom this cost or charge relates. 1680 ATT, Attribute To specify coded attributes relating to the cost or charge, such as method of calculation. 1690 MOA, Monetary amount To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount. 1700 PCD, Percentage details To specify percentages relating to the cost or charge component, such as cost or charge discount percentage. 1710 FTX, Free text To provide text information about the cost or charge component. 1720 Segment group 19: COT-IDE-ATT-MOA-PCD-RFF-FTX A group of segments to identify and describe contribution and recovery details relating to the risk object component cost or charge. 1730 COT, Contribution details To identify one contribution or recovery component relating to the risk object component cost or charge. 1740 IDE, Identity To reference a party to whom this contribution or recovery relates. 1750 ATT, Attribute To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code. 1760 MOA, Monetary amount To specify monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount. 1770 PCD, Percentage details To specify percentages relating to the contribution or recovery component, such as percentage of insurer's liability. 1780 RFF, Reference To provide references relating to the contribution or recovery component. 1790 FTX, Free text To provide text information about the contribution or recovery component. 1800 Segment group 20: IMD-IDE-ATT-DTM-MEA-PCD-QRS-QTY-RFF- FTX-SG21 A group of segments to identify and describe part or task details relating to the risk object loss/damage component. 1810 IMD, Item description To identify one part or task that relates to the risk object loss/damage component. 1820 IDE, Identity To reference a party that relates to this part or task such as service provider. 1830 ATT, Attribute To specify coded attributes relating to the part or task item, such as paint system code, category of labour code. 1840 DTM, Date/time/period To specify dates relating to the part or task item, such as task/service start date. 1850 MEA, Measurements To specify measurements relating to the part or task item, such as tyre pressure, tyre tread depth. 1860 PCD, Percentage details To specify percentages relating to the part or task. 1870 QRS, Query and response To specify the response to coded questions about the part or task item. 1880 QTY, Quantity To specify quantities relating to the part or task. 1890 RFF, Reference To specify references relating to the part or task. 1900 FTX, Free text To provide text information relating to the part or task, such as evidence of personal injury. 1910 Segment group 21: TCC-IDE-ATT-MOA-PCD-FTX-SG22 A group of segments to identify and describe costs and charges relating to a part or task item. 1920 TCC, Charge/rate calculations To identify one charge related to the part or task item. 1930 IDE, Identity To reference a party to whom this cost or charge relates. 1940 ATT, Attribute To specify coded attributes relating to the cost or charge, such as method of calculation. 1950 MOA, Monetary amount To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount. 1960 PCD, Percentage details To specify percentages relating to the cost or charge component, such as cost or charge discount percentage. 1970 FTX, Free text To provide text information about the cost or charge component. 1980 Segment group 22: COT-IDE-ATT-MOA-PCD-RFF-FTX A group of segments to identify and describe contribution and recovery details related to the risk object component cost or charge. 1990 COT, Contribution details To identify one contribution or recovery component relating to the risk object cost or charge. 2000 IDE, Identity To reference a party to whom this contribution or recovery relates. 2010 ATT, Attribute To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code. 2020 MOA, Monetary amount To provide monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount. 2030 PCD, Percentage details To specify percentages relating to the contribution or recovery component, such as percentage of insurer's responsibility. 2040 RFF, Reference To specify references relating to the contribution or recovery component. 2050 FTX, Free text To provide text information relating to the contribution or recovery component. 2060 Segment group 23: PRC-IDE-ATT-DTM-MOA-QRS-RFF-FTX A group of segments to identify and describe an action relating to the claim, such as assessment, financial settlement, progress report. 2070 PRC, Process identification To identify one action related to the claim. 2080 IDE, Identity To reference parties related to the claim. 2090 ATT, Attribute To specify coded attributes relating to the action, such as assessment report type, manner of settlement. 2100 DTM, Date/time/period To specify dates related to the action, such as date of report, date inspection to be performed. 2110 MOA, Monetary amount To specify monetary amounts related to the action, such as settlement amount. 2120 QRS, Query and response To provide the response to coded questions about the action. 2130 RFF, Reference To specify references related to the action, such as instructor's assessment reference, assessor's assessment reference. 2140 FTX, Free text To provide text information about the action, such as progress description, verdict description. 2150 Segment group 24: SEQ-IDE-ATT-DTM-RFF-SG25 A group of segments to describe the previous insurance history for the risk associated with this claim. The previous insurance is expressed as a sequence of periods of insurance. 2160 SEQ, Sequence details Identifies the sequence of this period of previous insurance. 2170 IDE, Identity To reference parties related to this period of insurance history. 2180 ATT, Attribute To specify coded attributes relating to the previous insurance history, such as policy class. 2190 DTM, Date/time/period To specify dates relating to the period of insurance history, such as inception date, expiry date. 2200 RFF, Reference To specify references relating to the period of previous insurance history, such as policy number. 2210 Segment group 25: COD-IDE-ATT-DTM-MOA-QRS-RFF-FTX A group of segments to identify and describe components relating to the period of previous insurance history, such as prior loss. 2220 COD, Component details To identify one prior loss that relates to the period of previous insurance. 2230 IDE, Identity To reference party numbers for the prior loss as specified by the intermediary, insurer and client. 2240 ATT, Attribute To specify coded attributes relating to the prior loss, such as loss type, incident type. 2250 DTM, Date/time/period To specify dates relating to the prior loss, such as loss date, settlement date. 2260 MOA, Monetary amount To specify monetary amounts relating to the prior loss, such as loss amount. 2270 QRS, Query and response To specify the response to coded questions relating to the prior loss. 2280 RFF, Reference To specify references for the prior loss, such as insurerís historical claim reference. 2290 FTX, Free text To provide free text about the prior loss, such as prior loss description. 2300 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) ADR Address ATT Attribute BGM Beginning of message COD Component details COM Communication contact COT Contribution details CUX Currencies DAM Damage DOC Document/message details DTM Date/time/period EFI External file link identification EMP Employment details EVE Event FII Financial institution information FTX Free text ICD Insurance cover description IDE Identity IMD Item description LOC Place/location identification MEA Measurements MOA Monetary amount PCC Premium calculation component details PCD Percentage details PNA Party identification PRC Process identification QRS Query and response QTY Quantity RFF Reference ROD Risk object type RTE Rate details SEQ Sequence details TAX Duty/tax/fee details TCC Charge/rate calculations UNH Message header UNT Message trailer

4.3 Message structure 4.3.1 Segment table Pos Tag Name S R 0010 UNH Message header M 1 0020 BGM Beginning of message M 1 0030 ATT Attribute C 9 0040 CUX Currencies C 1 0050 DTM Date/time/period C 9 0060 QRS Query and response C 9 0070 FTX Free text C 9 0080 ----- Segment group 1 ------------------ M 9-----------+ 0090 PNA Party identification M 1 | | 0100 ----- Segment group 2 ------------------ C 9----------+| 0110 RFF Reference M 1 || 0120 DTM Date/time/period C 9----------++ 0130 ----- Segment group 3 ------------------ M 99----------+ 0140 EVE Event M 1 | 0150 IDE Identity C 9 | 0160 ATT Attribute C 9 | 0170 DTM Date/time/period C 9 | 0180 RFF Reference C 9 | 0190 PCD Percentage details C 9 | 0200 QRS Query and response C 9 | 0210 QTY Quantity C 9 | 0220 FTX Free text C 9 | | 0230 ----- Segment group 4 ------------------ C 9----------+| 0240 TCC Charge/rate calculations M 1 || 0250 IDE Identity C 9 || 0260 ATT Attribute C 9 || 0270 MOA Monetary amount C 9 || 0280 PCD Percentage details C 9 || 0290 FTX Free text C 9 || || 0300 ----- Segment group 5 ------------------ C 99--------+|| 0310 COT Contribution details M 1 ||| 0320 IDE Identity C 9 ||| 0330 ATT Attribute C 9 ||| 0340 MOA Monetary amount C 9 ||| 0350 PCD Percentage details C 9 ||| 0360 RFF Reference C 9 ||| 0370 FTX Free text C 9---------++| | 0380 ----- Segment group 6 ------------------ C 99---------+| 0390 COD Component details M 1 || 0400 IDE Identity C 9 || 0410 ADR Address C 1 || 0420 ATT Attribute C 9 || 0430 COM Communication contact C 9 || 0440 DTM Date/time/period C 9 || 0450 MOA Monetary amount C 9 || 0460 PCD Percentage details C 9 || 0470 QRS Query and response C 9 || 0480 QTY Quantity C 9 || 0490 RFF Reference C 9 || 0500 FTX Free text C 9 || || 0510 ----- Segment group 7 ------------------ C 999-------+|| 0520 PCC Premium calculation component details M 1 ||| 0530 ATT Attribute C 9 ||| 0540 DTM Date/time/period C 9 ||| 0550 MOA Monetary amount C 9 ||| 0560 PCD Percentage details C 9 ||| 0570 QRS Query and response C 9 ||| 0580 QTY Quantity C 9 ||| 0590 FTX Free text C 9 ||| ||| 0600 ----- Segment group 8 ------------------ C 99-------+||| 0610 TCC Charge/rate calculations M 1 |||| 0620 IDE Identity C 9 |||| 0630 ATT Attribute C 9 |||| 0640 MOA Monetary amount C 9 |||| 0650 PCD Percentage details C 9 |||| 0660 FTX Free text C 9 |||| |||| 0670 ----- Segment group 9 ------------------ C 99------+|||| 0680 COT Contribution details M 1 ||||| 0690 IDE Identity C 9 ||||| 0700 ATT Attribute C 9 ||||| 0710 MOA Monetary amount C 9 ||||| 0720 PCD Percentage details C 9 ||||| 0730 RFF Reference C 9 ||||| 0740 FTX Free text C 9-------+++++ 0750 ----- Segment group 10 ------------------ C 999---------+ 0760 ICD Insurance cover description M 1 | 0770 IDE Identity C 9 | 0780 ATT Attribute C 9 | 0790 DTM Date/time/period C 9 | 0800 MOA Monetary amount C 9 | 0810 RFF Reference C 9 | 0820 QRS Query and response C 9 | 0830 FTX Free text C 9-----------+ 0840 ----- Segment group 11 ------------------ C 99----------+ 0850 DOC Document/message details M 1 | 0860 IDE Identity C 9 | 0870 ATT Attribute C 9 | 0880 ADR Address C 9 | 0890 EFI External file link identification C 1 | 0900 RFF Reference C 9 | 0910 DTM Date/time/period C 9 | 0920 MOA Monetary amount C 9 | 0930 QRS Query and response C 9 | 0940 QTY Quantity C 9 | 0950 FTX Free text C 9-----------+ 0960 ----- Segment group 12 ------------------ M 99----------+ 0970 PNA Party identification M 1 | 0980 IDE Identity C 9 | 0990 ATT Attribute C 99 | 1000 DTM Date/time/period C 9 | 1010 MEA Measurements C 9 | 1020 RFF Reference C 9 | 1030 QRS Query and response C 9 | 1040 PCD Percentage details C 9 | 1050 FTX Free text C 9 | | 1060 ----- Segment group 13 ------------------ C 99---------+| 1070 COD Component details M 1 || 1080 IDE Identity C 9 || 1090 ADR Address C 1 || 1100 FII Financial institution information C 1 || 1110 ATT Attribute C 9 || 1120 COM Communication contact C 9 || 1130 DTM Date/time/period C 9 || 1140 EMP Employment details C 9 || 1150 MOA Monetary amount C 9 || 1160 QRS Query and response C 9 || 1170 QTY Quantity C 9 || 1180 RFF Reference C 9 || 1190 FTX Free text C 9----------++ 1200 ----- Segment group 14 ------------------ M 99----------+ 1210 ROD Risk object type M 1 | 1220 IDE Identity C 9 | 1230 RFF Reference C 9 | 1240 MOA Monetary amount C 99 | 1250 PCD Percentage details C 9 | 1260 TAX Duty/tax/fee details C 1 | 1270 DTM Date/time/period C 99 | 1280 LOC Place/location identification C 9 | 1290 ATT Attribute C 99 | 1300 MEA Measurements C 9 | 1310 QTY Quantity C 9 | 1320 QRS Query and response C 99 | 1330 RTE Rate details C 9 | 1340 FTX Free text C 9 | | 1350 ----- Segment group 15 ------------------ C 99---------+| 1360 TCC Charge/rate calculations M 1 || 1370 IDE Identity C 9 || 1380 ATT Attribute C 9 || 1390 MOA Monetary amount C 9 || 1400 PCD Percentage details C 9 || 1410 FTX Free text C 9 || || 1420 ----- Segment group 16 ------------------ C 99--------+|| 1430 COT Contribution details M 1 ||| 1440 IDE Identity C 9 ||| 1450 ATT Attribute C 9 ||| 1460 MOA Monetary amount C 9 ||| 1470 PCD Percentage details C 9 ||| 1480 RFF Reference C 9 ||| 1490 FTX Free text C 9---------++| | 1500 ----- Segment group 17 ------------------ C 999--------+| 1510 COD Component details M 1 || 1520 IDE Identity C 9 || 1530 ADR Address C 1 || 1540 ATT Attribute C 9 || 1550 COM Communication contact C 9 || 1560 DAM Damage C 9 || 1570 DTM Date/time/period C 9 || 1580 MEA Measurements C 9 || 1590 MOA Monetary amount C 9 || 1600 PCD Percentage details C 9 || 1610 QRS Query and response C 9 || 1620 QTY Quantity C 9 || 1630 RFF Reference C 9 || 1640 FTX Free text C 9 || || 1650 ----- Segment group 18 ------------------ C 99--------+|| 1660 TCC Charge/rate calculations M 1 ||| 1670 IDE Identity C 9 ||| 1680 ATT Attribute C 9 ||| 1690 MOA Monetary amount C 9 ||| 1700 PCD Percentage details C 9 ||| 1710 FTX Free text C 9 ||| ||| 1720 ----- Segment group 19 ------------------ C 99-------+||| 1730 COT Contribution details M 1 |||| 1740 IDE Identity C 9 |||| 1750 ATT Attribute C 9 |||| 1760 MOA Monetary amount C 9 |||| 1770 PCD Percentage details C 5 |||| 1780 RFF Reference C 9 |||| 1790 FTX Free text C 9--------++|| || 1800 ----- Segment group 20 ------------------ C 99--------+|| 1810 IMD Item description M 1 ||| 1820 IDE Identity C 9 ||| 1830 ATT Attribute C 9 ||| 1840 DTM Date/time/period C 9 ||| 1850 MEA Measurements C 9 ||| 1860 PCD Percentage details C 9 ||| 1870 QRS Query and response C 9 ||| 1880 QTY Quantity C 9 ||| 1890 RFF Reference C 9 ||| 1900 FTX Free text C 9 ||| ||| 1910 ----- Segment group 21 ------------------ C 9--------+||| 1920 TCC Charge/rate calculations M 1 |||| 1930 IDE Identity C 9 |||| 1940 ATT Attribute C 9 |||| 1950 MOA Monetary amount C 9 |||| 1960 PCD Percentage details C 9 |||| 1970 FTX Free text C 9 |||| |||| 1980 ----- Segment group 22 ------------------ C 99------+|||| 1990 COT Contribution details M 1 ||||| 2000 IDE Identity C 9 ||||| 2010 ATT Attribute C 9 ||||| 2020 MOA Monetary amount C 9 ||||| 2030 PCD Percentage details C 9 ||||| 2040 RFF Reference C 9 ||||| 2050 FTX Free text C 9-------+++++ 2060 ----- Segment group 23 ------------------ C 99----------+ 2070 PRC Process identification M 1 | 2080 IDE Identity C 9 | 2090 ATT Attribute C 9 | 2100 DTM Date/time/period C 99 | 2110 MOA Monetary amount C 9 | 2120 QRS Query and response C 99 | 2130 RFF Reference C 9 | 2140 FTX Free text C 9-----------+ 2150 ----- Segment group 24 ------------------ C 99----------+ 2160 SEQ Sequence details M 1 | 2170 IDE Identity C 9 | 2180 ATT Attribute C 9 | 2190 DTM Date/time/period C 9 | 2200 RFF Reference C 9 | | 2210 ----- Segment group 25 ------------------ C 99---------+| 2220 COD Component details M 1 || 2230 IDE Identity C 9 || 2240 ATT Attribute C 9 || 2250 DTM Date/time/period C 9 || 2260 MOA Monetary amount C 9 || 2270 QRS Query and response C 9 || 2280 RFF Reference C 9 || 2290 FTX Free text C 9----------++ 2300 UNT Message trailer M 1

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