United Nations Directories
for Electronic Data Interchange for
Administration, Commerce and Transport
UN/EDIFACT
| United Nations Directories for Electronic Data Interchange for Administration, Commerce and Transport UN/EDIFACT |
Message Type : ICSOLI Version : D Release : 11A Contr. Agency: UN Revision : 2 Date : 2011-06-29 SOURCE: TBG8 Insurance CONTENTS Insurance claim solicitor's instruction 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 3.2 Message 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 --------------------------------------------------------------------------- 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 solicitor's instruction message (ICSOLI) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport. 1. SCOPE 1.1 Functional definition The Insurance claim solicitor's instruction message is exchanged between insurers and solicitors acting on behalf of the insurer during claim dispute resolution. It allows the insurer to provide claim details and instructions and the solicitor to report progress and resolution details. 1.2 Field of application The Insurance claim solicitor's instruction 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 instance of the message contains information relating to one claim only. The message may be used to exchange information of a claim dispute irrespective of the type of resolution being applied e.g. court settlement, independent arbitration, negotiation etc. The message is used by insurers to provide policy and claim information to the solicitor and also to request a progress update. It is used by the solicitor to request information from an insurer as well as to provide progress and resolution details. 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. 3.2 Message terms and definitions Quantum - a legal term used by solicitors to mean "An estimate of the total amount that may be paid by one party to another in compensation for a loss" 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 Insurance claim solicitor's instruction message is ICSOLI. Note: Insurance claim solicitor's instruction messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 ICSOLI 0052 D 0054 11A 0051 UN 0020 BGM, Beginning of message To identify the purpose and status of the Insurance claim solicitor's instruction message, such as instruction, progress report, resolution details. 0030 RFF, Reference To identify the version of the message implementation guide being used in the application. 0040 SEQ, Sequence details To identify the sequence number of the message in a series of messages relating to the same claim, incident or action. 0050 DTM, Date/time/period Contains the creation date of the message. 0060 EFI, External file link identification To enable cross reference to electronic files containing photographic or video files associated with this message. 0070 Segment group 1: ICD-MOA-ATT-RFF-DTM-QRS-FTX Contains details of one policy under which the claim was reported. Required when the message type is instruction. 0080 ICD, Insurance cover description To identify the class of policy. 0090 MOA, Monetary amount Contains monetary amounts relating to the policy excesses and indemnity limits. 0100 ATT, Attribute Identifies the type of indemnity provided, and the area of jurisdiction specified by the policy. 0110 RFF, Reference To specify reference numbers which are specific to the policy, e.g. policy number. 0120 DTM, Date/time/period To specify the start and end dates for the cover under the policy. 0130 QRS, Query and response Used to convey whether indemnity is unlimited and whether there was a previous policy in force. 0140 FTX, Free text Contains a text description of the reason why policy cover is at issue and the legal venue specified in the policy. 0150 Segment group 2: PNA-RFF-EMP-DTM-PCD-QRS-FTX-COM-ATT-SG3-SG4-SG5 A group of segments used to identify all the parties involved in the transaction. The group will be used in all identified transaction types. 0160 PNA, Party identification Contains the name of the party in text or a coded identification of the name and address of the party together with the role of the party in the message. 0170 RFF, Reference To specify those references which are specific to the party, e.g. national insurance number. 0180 EMP, Employment details Contains a coded description of the occupation or business of the party. 0190 DTM, Date/time/period Indicates dates which are relevant to the party, e.g. date of birth, date exposure commenced. 0200 PCD, Percentage details To specify percentages applicable to the party, e.g. co-insurers proportion. 0210 QRS, Query and response Used to convey whether the party is registered for value added tax or under a legal disability. 0220 FTX, Free text Provides a textual description of the function of a party in a message. 0230 COM, Communication contact Provides the communication number and channel for a contact party. Note: where the communication details are linked to an address they should be included in the address group. 0240 ATT, Attribute Contains a coded identification or text description of an attribute of the party, e.g. title, gender, trading status. 0250 Segment group 3: ADR-COM Contains address details for the party and communication information related to that address. Note: if the address is included in the coded identification of the party it does not need to be repeated here. 0260 ADR, Address Contains the address type and details for the party. 0270 COM, Communication contact Contains a communication number and type of communication for the party at the address, e.g. telephone number. 0280 Segment group 4: ROD-MOA-FTX Contains details and amounts relating to quantum applicable to the party in respect of damage, loss or injury caused to the party by the insured risk. 0290 ROD, Risk object type Contains the type of quantum in respect of the damage, injury or loss caused to the party by the insured risk. 0300 MOA, Monetary amount Contains the monetary amount and status of the quantum. 0310 FTX, Free text Contains the text description of the type of quantum, required if non-standard and no code available. 0320 Segment group 5: COD-ATT-IDE-RFF-DTM-MOA-EQN-QRS Contains details of convictions sustained by the party. 0330 COD, Component details Identifies the group as containing conviction information. 0340 ATT, Attribute Identifies the type of sentence. 0350 IDE, Identity Makes reference to other parties related to the offence. 0360 RFF, Reference Contains a reference which uniquely identifies the conviction. 0370 DTM, Date/time/period Contains the date of the conviction and periods relating to the conviction, e.g. length of disqualification. 0380 MOA, Monetary amount Contains the monetary amount of a fine resulting from the conviction. 0390 EQN, Number of units Contains the number of penalty points relating to the conviction. 0400 QRS, Query and response Advises whether the conviction is related to the claim which is the subject of the message. 4.1.2 Detail section Information to be provided in the Detail section: 0410 UNS, Section control A service segment placed at the start of the detail section to avoid segment collision. 0420 Segment group 6: EVE-ADR-RFF-DTM-QRS-FTX-SG7 A group of segments containing details of the claim event. 0430 EVE, Event Contains a qualifier identifying the segment as claim/loss. 0440 ADR, Address Contains the location or addresses relevant to the claim event. 0450 RFF, Reference Identifies the claim number. 0460 DTM, Date/time/period Contains dates relating to the claim event, e.g. incident start and end date. 0470 QRS, Query and response Used to convey information relevant to the claim such as whether the solicitor has delegated authority, whether aggregate indemnity/excess or indemnity is at issue, whether the claim is a recovery etc. 0480 FTX, Free text Contains a text description of the claim. e.g. claim circumstances. 0490 Segment group 7: ATT-MOA Contains the type, status and amount of a recovery or the type and amount of reserve applicable to the claim. 0500 ATT, Attribute Contains the type and status of a recovery or the type of reserve. 0510 MOA, Monetary amount Contains the monetary amount of the reserve or recovery. 0520 Segment group 8: PYT-MOA-PNA-FII-ATT-RFF A group of segments containing information relating to payments in connection with the claim or dispute resolution. 0530 PYT, Payment terms Contains a coded identification or textual description of the nature of the monetary value, also whether it is a payment or receipt. 0540 MOA, Monetary amount Contains the payment/receipt amount. 0550 PNA, Party identification Contains the full name of the payee. 0560 FII, Financial institution information Contains the financial institution account number and sort code of the payee. 0570 ATT, Attribute Contains a coded identification of the payment status, e.g. payment made, make payment etc. 0580 RFF, Reference Contains the roll number, accounting reference of the payee and a coded identification of the party to whom the payment should be sent. 0590 Segment group 9: COD-ATT-RFF-ADR-DTM-QRS-FTX-SG10 A group of segments containing information relating to a dispute resolution in connection with the claim. 0600 COD, Component details Contains a coded identification of the method of dispute resolution, e.g. Crown Court, Civil County Court, mediation etc. 0610 ATT, Attribute To specify coded attributes relating to the dispute resolution. 0620 RFF, Reference Contains the reference of the dispute resolution. 0630 ADR, Address Contains the address details or location where the dispute resolution is to be held. Note: this is used where the address or location is not related to a party, e.g. an inquest may be held at any suitable location such as a cinema or local hall. 0640 DTM, Date/time/period Contains dates relevant to the dispute resolution e.g. proceedings issue date, dispute resolution date etc. 0650 QRS, Query and response Used to request whether there are other proceedings in force. 0660 FTX, Free text Contains a textual description of the dispute resolution or other proceedings. 0670 Segment group 10: IMD-ATT-RFF-DTM-MOA-FTX A group of segments containing information relating to progress in connection with a dispute resolution. 0680 IMD, Item description Identifies the type of progress, e.g. trial, close of pleadings etc. 0690 ATT, Attribute Contains a coded identification of the status of progress and/or coroner verdict. 0700 RFF, Reference Contains the unique identifying reference of a party associated with the progress. 0710 DTM, Date/time/period Contains dates relevant to the progress, e.g. response date progress as at date etc. 0720 MOA, Monetary amount Contains details of a monetary amount related to the progress. 0730 FTX, Free text Contains a textual description of progress. 0740 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 DTM Date/time/period EFI External file link identification EMP Employment details EQN Number of units EVE Event FII Financial institution information FTX Free text ICD Insurance cover description IDE Identity IMD Item description MOA Monetary amount PCD Percentage details PNA Party identification PYT Payment terms QRS Query and response RFF Reference ROD Risk object type SEQ Sequence details UNH Message header UNS Section control 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 RFF Reference C 9 0040 SEQ Sequence details C 1 0050 DTM Date/time/period C 9 0060 EFI External file link identification C 9 0070 ----- Segment group 1 ------------------ M 1----------------+ 0080 ICD Insurance cover description M 1 | 0090 MOA Monetary amount C 9 | 0100 ATT Attribute C 9 | 0110 RFF Reference C 9 | 0120 DTM Date/time/period C 9 | 0130 QRS Query and response C 9 | 0140 FTX Free text C 9----------------+ 0150 ----- Segment group 2 ------------------ M 9----------------+ 0160 PNA Party identification M 1 | 0170 RFF Reference C 99 | 0180 EMP Employment details C 9 | 0190 DTM Date/time/period C 9 | 0200 PCD Percentage details C 9 | 0210 QRS Query and response C 9 | 0220 FTX Free text C 1 | 0230 COM Communication contact C 9 | 0240 ATT Attribute C 9 | | 0250 ----- Segment group 3 ------------------ C 9---------------+| 0260 ADR Address M 1 || 0270 COM Communication contact C 9---------------+| | 0280 ----- Segment group 4 ------------------ C 9---------------+| 0290 ROD Risk object type M 1 || 0300 MOA Monetary amount M 1 || 0310 FTX Free text C 1---------------+| | 0320 ----- Segment group 5 ------------------ C 99--------------+| 0330 COD Component details M 1 || 0340 ATT Attribute C 9 || 0350 IDE Identity C 1 || 0360 RFF Reference C 9 || 0370 DTM Date/time/period C 9 || 0380 MOA Monetary amount C 9 || 0390 EQN Number of units C 9 || 0400 QRS Query and response C 9---------------++ DETAIL SECTION 0410 UNS Section control M 1 0420 ----- Segment group 6 ------------------ C 9----------------+ 0430 EVE Event M 1 | 0440 ADR Address C 9 | 0450 RFF Reference C 9 | 0460 DTM Date/time/period C 9 | 0470 QRS Query and response C 9 | 0480 FTX Free text C 9 | | 0490 ----- Segment group 7 ------------------ C 9---------------+| 0500 ATT Attribute M 1 || 0510 MOA Monetary amount C 1---------------++ 0520 ----- Segment group 8 ------------------ C 99---------------+ 0530 PYT Payment terms M 1 | 0540 MOA Monetary amount M 9 | 0550 PNA Party identification C 1 | 0560 FII Financial institution information C 1 | 0570 ATT Attribute C 9 | 0580 RFF Reference C 9----------------+ 0590 ----- Segment group 9 ------------------ C 99---------------+ 0600 COD Component details M 1 | 0610 ATT Attribute C 9 | 0620 RFF Reference C 9 | 0630 ADR Address C 9 | 0640 DTM Date/time/period C 9 | 0650 QRS Query and response C 9 | 0660 FTX Free text C 9 | | 0670 ----- Segment group 10 ------------------ C 99--------------+| 0680 IMD Item description M 1 || 0690 ATT Attribute C 9 || 0700 RFF Reference C 9 || 0710 DTM Date/time/period C 9 || 0720 MOA Monetary amount C 9 || 0730 FTX Free text C 9---------------++ 0740 UNT Message trailer M 1