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



 UN/EDIFACT

Message Type : ICASRP Version : D Release : 11B Contr. Agency: UN Revision : 2 Date : 2012-08-14 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. 00010 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 11B 0051 UN 00020 BGM, Beginning of message To specify the function of the message, such as claim notification, assessment request, assessment report. 00030 ATT, Attribute To specify the type of transaction within the specified message function. 00040 CUX, Currencies To specify the currency of the transaction. 00050 DTM, Date/time/period To specify dates related to the transaction, such as the date processed. 00060 QRS, Query and response To provide the response to coded questions related to the transaction. 00070 FTX, Free text To provide additional text information related to the transaction, such as transaction description. 00080 Segment group 1: PNA-SG2 A group of segments to specify parties related to the transaction communication together with any related references. 00090 PNA, Party identification To specify one party related to the business transaction, such as message originator, ultimate recipient and software supplier. 00100 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. 00110 RFF, Reference To provide a reference that identifies one software component provided by the software supplier together with the version of the software. 00120 DTM, Date/time/period To specify dates related to the software component, such as effective date and date applied to system. 00130 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. 00140 EVE, Event To identify and describe one event or incident related to the claim. 00150 IDE, Identity To provide identification numbers for the incident which may be used to link the incident to specific items of damage. 00160 ATT, Attribute To specify coded attributes relating to the incident, such as incident scale. 00170 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. 00180 RFF, Reference To specify references relating to the incident such as intermediary's claim reference, insurer's claim number. 00190 PCD, Percentage details To specify percentages relating to the incident such as percentage of responsibility. 00200 QRS, Query and response To specify the response to coded questions about the incident. 00210 QTY, Quantity To specify quantities relating to the incident, such as number of injured parties, number of witnesses. 00220 FTX, Free text To provide text information about the incident, such as incident description. 00230 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. 00240 TCC, Charge/rate calculations To specify one type of cost or charge relating to the incident. 00250 IDE, Identity To specify one type of cost or charge relating to the incident. 00260 ATT, Attribute To specify coded attributes relating to the cost charge, such as method of calculation. 00270 MOA, Monetary amount To specify monetary amounts for the cost or charge, such as amount including tax, discount amount. 00280 PCD, Percentage details To specify percentages relating to the cost or charge, such as tax percentage. 00290 FTX, Free text To provide text information about the cost or charge, such as explanation of cost or charge. 00300 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. 00310 COT, Contribution details To identify one contribution or recovery relating to the cost or charge. 00320 IDE, Identity To specify the identity number of a party to whom this contribution or recovery applies. 00330 ATT, Attribute To provide coded attributes relating to the contribution or recovery, such as contribution or recovery status. 00340 MOA, Monetary amount To specify monetary amounts relating to the contribution or recovery, such as amount of contribution to the cost charge. 00350 PCD, Percentage details To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge. 00360 RFF, Reference To specify references for the contribution or recovery. 00370 FTX, Free text To provide text information about the contribution or recovery. 00380 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. 00390 COD, Component details Provides a coded identification of one type of claim or incident component, such as policy cover, addresses. 00400 IDE, Identity To reference the object or party to which the cover applies. 00410 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. 00420 ATT, Attribute To specify coded attributes related to the cover component, such as cover type, usage. 00430 COM, Communication contact To specify communication numbers for the address. 00440 DTM, Date/time/period To specify dates related to the cover, such as cover inception date, end date. 00450 MOA, Monetary amount To specify monetary amounts related to the cover, such as cover limit. 00460 PCD, Percentage details To specify percentages related to the cover, such as cover index. 00470 QRS, Query and response To specify the response to coded questions concerning the cover. 00480 QTY, Quantity To specify quantities related to the cover, such as number of claims allowed. 00490 RFF, Reference To specify references related to the cover. 00500 FTX, Free text To specify text information about the cover, such as cover description, usage description. 00510 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. 00520 PCC, Premium calculation component details To specify one type of component used in the claim calculation, such as excess, cover condition. 00530 ATT, Attribute To specify coded attributes related to the claim calculation component, such as claim calculated by code. 00540 DTM, Date/time/period To specify dates relating to the claim calculation, such as condition valid date. 00550 MOA, Monetary amount To specify monetary amounts relating to the claim calculation, such as excess amount. 00560 PCD, Percentage details To specify percentages related to the claim calculation component, such as excess percentage. 00570 QRS, Query and response To specify the response to coded questions about the claim calculation component. 00580 QTY, Quantity To specify quantities relating to the claim calculation component. 00590 FTX, Free text To provide text information about the claim calculation component, such as condition wording. 00600 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. 00610 TCC, Charge/rate calculations To specify one type of cost or charge relating to the cover. 00620 IDE, Identity To reference the object or party that the cost or charge applies to. 00630 ATT, Attribute To specify coded attributes relating to the claim calculation, such as method of calculation. 00640 MOA, Monetary amount To specify monetary amounts for the claim calculation component, such as cost or charge amount, discount amount. 00650 PCD, Percentage details To specify percentages relating to the claim calculation component, such as cost or charge discount percentage. 00660 FTX, Free text To provide text information about the claim calculation component, such as explanation of cost or charge. 00670 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. 00680 COT, Contribution details To identify one contribution or recovery relating to the claim calculation. 00690 IDE, Identity To reference a party to whom this contribution or recovery relates. 00700 ATT, Attribute To provide coded attributes related to the contribution or recovery, such as contribution or recovery status. 00710 MOA, Monetary amount To specify monetary amounts related to the contribution or recovery, such as amount of contribution to the cost charge. 00720 PCD, Percentage details To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge. 00730 RFF, Reference To specify references relating to the contribution or recovery. 00740 FTX, Free text To provide text information about the contribution or recovery. 00750 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. 00760 ICD, Insurance cover description To identify the insurance product specified in the policy. 00770 IDE, Identity To provide identification numbers for the policy as specified by the intermediary, insurer and client. 00780 ATT, Attribute To specify coded attributes related to the policy, such as policy product code, scheme code. 00790 DTM, Date/time/period To specify dates related to the policy, such as inception date, expiry date. 00800 MOA, Monetary amount To specify monetary amounts related to the policy, such as indemnity limit. 00810 RFF, Reference To specify references related to the policy, such as policy number, policy wording version number. 00820 QRS, Query and response To provide the response to coded questions relating to the policy. 00830 FTX, Free text To provide text information related to the policy. 00840 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. 00850 DOC, Document/message details To specify one type of document which is external to the message. 00860 IDE, Identity To reference a party or object to which the document relates. 00870 ATT, Attribute To specify coded attributes relating to the document, such as document status code. 00880 ADR, Address To specify addresses relating to the document, such as place of issue. 00890 EFI, External file link identification To specify a link to an external file that is related to the document. 00900 RFF, Reference To specify references relating to the document, such as document reference, previous document reference. 00910 DTM, Date/time/period To specify dates relating to the document, such as date requested, date received. 00920 MOA, Monetary amount To specify monetary amounts relating to the document. 00930 QRS, Query and response To specify the response to coded questions relating to the document. 00940 QTY, Quantity To specify quantities relating to the document, such as number of pages, number of copies. 00950 FTX, Free text To provide text information about the document, such as document description. 00960 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. 00970 PNA, Party identification To identify one party related to a claim described within this message. 00980 IDE, Identity To specify identification numbers for the party which are used to link the party to other entities within the message. 00990 ATT, Attribute To specify coded attributes related to the party, such as value added tax status code, marital status code. 01000 DTM, Date/time/period To specify dates related to the party, such as date of birth, date of death. 01010 MEA, Measurements To provide measurements relating to the party, such as level of blood alcohol. 01020 RFF, Reference To specify references related to the party, such as value added tax registration number. 01030 QRS, Query and response To provide the response to coded questions about the party. 01040 PCD, Percentage details To specify percentages related to the party, such as party proportion of risk. 01050 FTX, Free text To provide text information relating to the party. 01060 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. 01070 COD, Component details Provides a coded identification of one type of input or output component related to the party. 01080 IDE, Identity To provide identification numbers for the party component that may be used to link the component to other entities. 01090 ADR, Address To specify address details for a party. 01100 FII, Financial institution information To provide a set of financial account details for a party. 01110 ATT, Attribute To specify coded attributes relating to the party component, such as offence code, type of blood alcohol test code. 01120 COM, Communication contact To provide communication details relating to a party component, such as telephone and fax numbers at address. 01130 DTM, Date/time/period To specify dates relating to the party component, such as start date at address, length of sentence. 01140 EMP, Employment details To provide one set of employment details for a party. 01150 MOA, Monetary amount To specify monetary amounts relating to the party component, such as fine amount. 01160 QRS, Query and response To provide the response to coded questions relating to the party component. 01170 QTY, Quantity To specify quantities relating to the party component, such as total licence penalty points. 01180 RFF, Reference To specify references relating to the party component, such as conviction reference, financial account number. 01190 FTX, Free text To provide text information relating to the party component, such as offence description, employment description. 01200 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. 01210 ROD, Risk object type To identify one risk object that is the subject of the claim. 01220 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. 01230 RFF, Reference To specify reference numbers for the risk object, such as vehicle identification number, chassis number. 01240 MOA, Monetary amount To specify monetary amounts relating to the risk object, such as sum insured, replacement value. 01250 PCD, Percentage details To specify percentages relating to the risk object. 01260 TAX, Duty/tax/fee details To specify tax/fee details relating to the risk object. 01270 DTM, Date/time/period To specify dates relating to the risk object, such as date first registered, date inspected. 01280 LOC, Place/location identification To specify a place/location related to the risk object. 01290 ATT, Attribute To specify coded attributes relating to the risk object, such as body type code, nature of occupancy. 01300 MEA, Measurements To specify measurements relating to the risk object, such as length, width, floor area. 01310 QTY, Quantity To specify quantities relating to the risk object, such as number of occupants, number of seats. 01320 QRS, Query and response To provide the response to coded questions about the risk object. 01330 RTE, Rate details To specify rate details relating to the risk object. 01340 FTX, Free text To provide text descriptions relating to the risk object, such as object description, business usage of building description. 01350 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. 01360 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. 01370 IDE, Identity To reference a party to whom the charge relates. 01380 ATT, Attribute To specify coded attributes relating to the cost or charge, such as method of calculation. 01390 MOA, Monetary amount To specify monetary amounts relating to the cost or charge, such as tax amount, discount amount. 01400 PCD, Percentage details To specify percentages relating to the cost or charge. 01410 FTX, Free text To provide text descriptions relating to the cost or charge. 01420 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. 01430 COT, Contribution details To identify one contribution or recovery related to the cost or charge. 01440 IDE, Identity To reference a party to whom this contribution or recovery relates. 01450 ATT, Attribute To specify coded attributes relating to the contribution or recovery, such as contribution or recovery status code. 01460 MOA, Monetary amount To specify monetary amounts relating to the contribution or recovery, such as contribution or recovery amount. 01470 PCD, Percentage details To specify percentages relating to the contribution or recovery, such as percentage of insurer's responsibility. 01480 RFF, Reference To specify references relating to the contribution or recovery. 01490 FTX, Free text To provide text descriptions relating to the contribution or recovery. 01500 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. 01510 COD, Component details Provides a coded identification of one type of component related to the risk object. 01520 IDE, Identity To provide identification numbers for the risk object component which may be used to link the component to other entities. 01530 ADR, Address To specify addresses relating to the risk object. 01540 ATT, Attribute To specify coded attributes relating to the risk object component, such as severity of damage code, security device code. 01550 COM, Communication contact To specify communication numbers for the address, such as telephone, fax numbers. 01560 DAM, Damage To specify the damage to the risk object. 01570 DTM, Date/time/period To specify dates relating to the risk object component, such as start date at address. 01580 MEA, Measurements To specify measurements relating to the risk object component. 01590 MOA, Monetary amount To specify monetary amounts relating to the risk object component, such as pre-incident value, resultant value. 01600 PCD, Percentage details To specify percentages relating to the risk object component, such as percentage of under insurance, percentage of cost allocation. 01610 QRS, Query and response To specify the response to coded questions relating to the risk object component. 01620 QTY, Quantity To specify quantities relating to the risk object component. 01630 RFF, Reference To specify references relating to the risk object component. 01640 FTX, Free text To provide text information for the risk object component, such as specialist valuation description, explanation of a video image. 01650 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. 01660 TCC, Charge/rate calculations To identify one charge relating to the loss or damage. 01670 IDE, Identity To reference a party to whom this cost or charge relates. 01680 ATT, Attribute To specify coded attributes relating to the cost or charge, such as method of calculation. 01690 MOA, Monetary amount To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount. 01700 PCD, Percentage details To specify percentages relating to the cost or charge component, such as cost or charge discount percentage. 01710 FTX, Free text To provide text information about the cost or charge component. 01720 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. 01730 COT, Contribution details To identify one contribution or recovery component relating to the risk object component cost or charge. 01740 IDE, Identity To reference a party to whom this contribution or recovery relates. 01750 ATT, Attribute To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code. 01760 MOA, Monetary amount To specify monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount. 01770 PCD, Percentage details To specify percentages relating to the contribution or recovery component, such as percentage of insurer's liability. 01780 RFF, Reference To provide references relating to the contribution or recovery component. 01790 FTX, Free text To provide text information about the contribution or recovery component. 01800 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. 01810 IMD, Item description To identify one part or task that relates to the risk object loss/damage component. 01820 IDE, Identity To reference a party that relates to this part or task such as service provider. 01830 ATT, Attribute To specify coded attributes relating to the part or task item, such as paint system code, category of labour code. 01840 DTM, Date/time/period To specify dates relating to the part or task item, such as task/service start date. 01850 MEA, Measurements To specify measurements relating to the part or task item, such as tyre pressure, tyre tread depth. 01860 PCD, Percentage details To specify percentages relating to the part or task. 01870 QRS, Query and response To specify the response to coded questions about the part or task item. 01880 QTY, Quantity To specify quantities relating to the part or task. 01890 RFF, Reference To specify references relating to the part or task. 01900 FTX, Free text To provide text information relating to the part or task, such as evidence of personal injury. 01910 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. 01920 TCC, Charge/rate calculations To identify one charge related to the part or task item. 01930 IDE, Identity To reference a party to whom this cost or charge relates. 01940 ATT, Attribute To specify coded attributes relating to the cost or charge, such as method of calculation. 01950 MOA, Monetary amount To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount. 01960 PCD, Percentage details To specify percentages relating to the cost or charge component, such as cost or charge discount percentage. 01970 FTX, Free text To provide text information about the cost or charge component. 01980 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. 01990 COT, Contribution details To identify one contribution or recovery component relating to the risk object cost or charge. 02000 IDE, Identity To reference a party to whom this contribution or recovery relates. 02010 ATT, Attribute To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code. 02020 MOA, Monetary amount To provide monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount. 02030 PCD, Percentage details To specify percentages relating to the contribution or recovery component, such as percentage of insurer's responsibility. 02040 RFF, Reference To specify references relating to the contribution or recovery component. 02050 FTX, Free text To provide text information relating to the contribution or recovery component. 02060 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. 02070 PRC, Process identification To identify one action related to the claim. 02080 IDE, Identity To reference parties related to the claim. 02090 ATT, Attribute To specify coded attributes relating to the action, such as assessment report type, manner of settlement. 02100 DTM, Date/time/period To specify dates related to the action, such as date of report, date inspection to be performed. 02110 MOA, Monetary amount To specify monetary amounts related to the action, such as settlement amount. 02120 QRS, Query and response To provide the response to coded questions about the action. 02130 RFF, Reference To specify references related to the action, such as instructor's assessment reference, assessor's assessment reference. 02140 FTX, Free text To provide text information about the action, such as progress description, verdict description. 02150 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. 02160 SEQ, Sequence details Identifies the sequence of this period of previous insurance. 02170 IDE, Identity To reference parties related to this period of insurance history. 02180 ATT, Attribute To specify coded attributes relating to the previous insurance history, such as policy class. 02190 DTM, Date/time/period To specify dates relating to the period of insurance history, such as inception date, expiry date. 02200 RFF, Reference To specify references relating to the period of previous insurance history, such as policy number. 02210 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. 02220 COD, Component details To identify one prior loss that relates to the period of previous insurance. 02230 IDE, Identity To reference party numbers for the prior loss as specified by the intermediary, insurer and client. 02240 ATT, Attribute To specify coded attributes relating to the prior loss, such as loss type, incident type. 02250 DTM, Date/time/period To specify dates relating to the prior loss, such as loss date, settlement date. 02260 MOA, Monetary amount To specify monetary amounts relating to the prior loss, such as loss amount. 02270 QRS, Query and response To specify the response to coded questions relating to the prior loss. 02280 RFF, Reference To specify references for the prior loss, such as insurerís historical claim reference. 02290 FTX, Free text To provide free text about the prior loss, such as prior loss description. 02300 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 00010 UNH Message header M 1 00020 BGM Beginning of message M 1 00030 ATT Attribute C 9 00040 CUX Currencies C 1 00050 DTM Date/time/period C 9 00060 QRS Query and response C 9 00070 FTX Free text C 9 00080 ---- Segment group 1 ------------------ M 9----------------+ 00090 PNA Party identification M 1 | | 00100 ---- Segment group 2 ------------------ C 9---------------+| 00110 RFF Reference M 1 || 00120 DTM Date/time/period C 9---------------++ 00130 ---- Segment group 3 ------------------ M 99---------------+ 00140 EVE Event M 1 | 00150 IDE Identity C 9 | 00160 ATT Attribute C 9 | 00170 DTM Date/time/period C 9 | 00180 RFF Reference C 9 | 00190 PCD Percentage details C 9 | 00200 QRS Query and response C 9 | 00210 QTY Quantity C 9 | 00220 FTX Free text C 9 | | 00230 ---- Segment group 4 ------------------ C 9---------------+| 00240 TCC Charge/rate calculations M 1 || 00250 IDE Identity C 9 || 00260 ATT Attribute C 9 || 00270 MOA Monetary amount C 9 || 00280 PCD Percentage details C 9 || 00290 FTX Free text C 9 || || 00300 ---- Segment group 5 ------------------ C 99-------------+|| 00310 COT Contribution details M 1 ||| 00320 IDE Identity C 9 ||| 00330 ATT Attribute C 9 ||| 00340 MOA Monetary amount C 9 ||| 00350 PCD Percentage details C 9 ||| 00360 RFF Reference C 9 ||| 00370 FTX Free text C 9--------------++| | 00380 ---- Segment group 6 ------------------ C 99--------------+| 00390 COD Component details M 1 || 00400 IDE Identity C 9 || 00410 ADR Address C 1 || 00420 ATT Attribute C 9 || 00430 COM Communication contact C 9 || 00440 DTM Date/time/period C 9 || 00450 MOA Monetary amount C 9 || 00460 PCD Percentage details C 9 || 00470 QRS Query and response C 9 || 00480 QTY Quantity C 9 || 00490 RFF Reference C 9 || 00500 FTX Free text C 9 || || 00510 ---- Segment group 7 ------------------ C 999------------+|| 00520 PCC Premium calculation component details M 1 ||| 00530 ATT Attribute C 9 ||| 00540 DTM Date/time/period C 9 ||| 00550 MOA Monetary amount C 9 ||| 00560 PCD Percentage details C 9 ||| 00570 QRS Query and response C 9 ||| 00580 QTY Quantity C 9 ||| 00590 FTX Free text C 9 ||| ||| 00600 ---- Segment group 8 ------------------ C 99------------+||| 00610 TCC Charge/rate calculations M 1 |||| 00620 IDE Identity C 9 |||| 00630 ATT Attribute C 9 |||| 00640 MOA Monetary amount C 9 |||| 00650 PCD Percentage details C 9 |||| 00660 FTX Free text C 9 |||| |||| 00670 ---- Segment group 9 ------------------ C 99-----------+|||| 00680 COT Contribution details M 1 ||||| 00690 IDE Identity C 9 ||||| 00700 ATT Attribute C 9 ||||| 00710 MOA Monetary amount C 9 ||||| 00720 PCD Percentage details C 9 ||||| 00730 RFF Reference C 9 ||||| 00740 FTX Free text C 9------------+++++ 00750 ---- Segment group 10 ------------------ C 999--------------+ 00760 ICD Insurance cover description M 1 | 00770 IDE Identity C 9 | 00780 ATT Attribute C 9 | 00790 DTM Date/time/period C 9 | 00800 MOA Monetary amount C 9 | 00810 RFF Reference C 9 | 00820 QRS Query and response C 9 | 00830 FTX Free text C 9----------------+ 00840 ---- Segment group 11 ------------------ C 99---------------+ 00850 DOC Document/message details M 1 | 00860 IDE Identity C 9 | 00870 ATT Attribute C 9 | 00880 ADR Address C 9 | 00890 EFI External file link identification C 1 | 00900 RFF Reference C 9 | 00910 DTM Date/time/period C 9 | 00920 MOA Monetary amount C 9 | 00930 QRS Query and response C 9 | 00940 QTY Quantity C 9 | 00950 FTX Free text C 9----------------+ 00960 ---- Segment group 12 ------------------ M 99---------------+ 00970 PNA Party identification M 1 | 00980 IDE Identity C 9 | 00990 ATT Attribute C 99 | 01000 DTM Date/time/period C 9 | 01010 MEA Measurements C 9 | 01020 RFF Reference C 9 | 01030 QRS Query and response C 9 | 01040 PCD Percentage details C 9 | 01050 FTX Free text C 9 | | 01060 ---- Segment group 13 ------------------ C 99--------------+| 01070 COD Component details M 1 || 01080 IDE Identity C 9 || 01090 ADR Address C 1 || 01100 FII Financial institution information C 1 || 01110 ATT Attribute C 9 || 01120 COM Communication contact C 9 || 01130 DTM Date/time/period C 9 || 01140 EMP Employment details C 9 || 01150 MOA Monetary amount C 9 || 01160 QRS Query and response C 9 || 01170 QTY Quantity C 9 || 01180 RFF Reference C 9 || 01190 FTX Free text C 9---------------++ 01200 ---- Segment group 14 ------------------ M 99---------------+ 01210 ROD Risk object type M 1 | 01220 IDE Identity C 9 | 01230 RFF Reference C 9 | 01240 MOA Monetary amount C 99 | 01250 PCD Percentage details C 9 | 01260 TAX Duty/tax/fee details C 1 | 01270 DTM Date/time/period C 99 | 01280 LOC Place/location identification C 9 | 01290 ATT Attribute C 99 | 01300 MEA Measurements C 9 | 01310 QTY Quantity C 9 | 01320 QRS Query and response C 99 | 01330 RTE Rate details C 9 | 01340 FTX Free text C 9 | | 01350 ---- Segment group 15 ------------------ C 99--------------+| 01360 TCC Charge/rate calculations M 1 || 01370 IDE Identity C 9 || 01380 ATT Attribute C 9 || 01390 MOA Monetary amount C 9 || 01400 PCD Percentage details C 9 || 01410 FTX Free text C 9 || || 01420 ---- Segment group 16 ------------------ C 99-------------+|| 01430 COT Contribution details M 1 ||| 01440 IDE Identity C 9 ||| 01450 ATT Attribute C 9 ||| 01460 MOA Monetary amount C 9 ||| 01470 PCD Percentage details C 9 ||| 01480 RFF Reference C 9 ||| 01490 FTX Free text C 9--------------++| | 01500 ---- Segment group 17 ------------------ C 999-------------+| 01510 COD Component details M 1 || 01520 IDE Identity C 9 || 01530 ADR Address C 1 || 01540 ATT Attribute C 9 || 01550 COM Communication contact C 9 || 01560 DAM Damage C 9 || 01570 DTM Date/time/period C 9 || 01580 MEA Measurements C 9 || 01590 MOA Monetary amount C 9 || 01600 PCD Percentage details C 9 || 01610 QRS Query and response C 9 || 01620 QTY Quantity C 9 || 01630 RFF Reference C 9 || 01640 FTX Free text C 9 || || 01650 ---- Segment group 18 ------------------ C 99-------------+|| 01660 TCC Charge/rate calculations M 1 ||| 01670 IDE Identity C 9 ||| 01680 ATT Attribute C 9 ||| 01690 MOA Monetary amount C 9 ||| 01700 PCD Percentage details C 9 ||| 01710 FTX Free text C 9 ||| ||| 01720 ---- Segment group 19 ------------------ C 99------------+||| 01730 COT Contribution details M 1 |||| 01740 IDE Identity C 9 |||| 01750 ATT Attribute C 9 |||| 01760 MOA Monetary amount C 9 |||| 01770 PCD Percentage details C 5 |||| 01780 RFF Reference C 9 |||| 01790 FTX Free text C 9-------------++|| || 01800 ---- Segment group 20 ------------------ C 99-------------+|| 01810 IMD Item description M 1 ||| 01820 IDE Identity C 9 ||| 01830 ATT Attribute C 9 ||| 01840 DTM Date/time/period C 9 ||| 01850 MEA Measurements C 9 ||| 01860 PCD Percentage details C 9 ||| 01870 QRS Query and response C 9 ||| 01880 QTY Quantity C 9 ||| 01890 RFF Reference C 9 ||| 01900 FTX Free text C 9 ||| ||| 01910 ---- Segment group 21 ------------------ C 9-------------+||| 01920 TCC Charge/rate calculations M 1 |||| 01930 IDE Identity C 9 |||| 01940 ATT Attribute C 9 |||| 01950 MOA Monetary amount C 9 |||| 01960 PCD Percentage details C 9 |||| 01970 FTX Free text C 9 |||| |||| 01980 ---- Segment group 22 ------------------ C 99-----------+|||| 01990 COT Contribution details M 1 ||||| 02000 IDE Identity C 9 ||||| 02010 ATT Attribute C 9 ||||| 02020 MOA Monetary amount C 9 ||||| 02030 PCD Percentage details C 9 ||||| 02040 RFF Reference C 9 ||||| 02050 FTX Free text C 9------------+++++ 02060 ---- Segment group 23 ------------------ C 99---------------+ 02070 PRC Process identification M 1 | 02080 IDE Identity C 9 | 02090 ATT Attribute C 9 | 02100 DTM Date/time/period C 99 | 02110 MOA Monetary amount C 9 | 02120 QRS Query and response C 99 | 02130 RFF Reference C 9 | 02140 FTX Free text C 9----------------+ 02150 ---- Segment group 24 ------------------ C 99---------------+ 02160 SEQ Sequence details M 1 | 02170 IDE Identity C 9 | 02180 ATT Attribute C 9 | 02190 DTM Date/time/period C 9 | 02200 RFF Reference C 9 | | 02210 ---- Segment group 25 ------------------ C 99--------------+| 02220 COD Component details M 1 || 02230 IDE Identity C 9 || 02240 ATT Attribute C 9 || 02250 DTM Date/time/period C 9 || 02260 MOA Monetary amount C 9 || 02270 QRS Query and response C 9 || 02280 RFF Reference C 9 || 02290 FTX Free text C 9---------------++ 02300 UNT Message trailer M 1

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