ICASRP Insurance claim assessment and reporting
ICASRP Insurance claim assessment and reporting
TBG8 Insurance
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.
Position
Segment
Name
Max Use
00010
Mandatory
Max 1
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 17B 0051 UN
00020
Mandatory
Max 1
To specify the function of the message, such as claim notification, assessment request, assessment report.
00030
Conditional
Max 9
To specify the type of transaction within the specified message function.
00040
Conditional
Max 1
To specify the currency of the transaction.
00050
Conditional
Max 9
To specify dates related to the transaction, such as the date processed.
00060
Conditional
Max 9
To provide the response to coded questions related to the transaction.
00070
Conditional
Max 9
To provide additional text information related to the transaction, such as transaction description.
Segment group 1
Mandatory
Repeat 9
00090
Mandatory
Max 1
To specify one party related to the business transaction, such as message originator, ultimate recipient and software supplier.
Segment group 2
Mandatory
Repeat 9
00110
Mandatory
Max 1
To provide a reference that identifies one software component provided by the software supplier together with the version of the software.
00120
Conditional
Max 9
To specify dates related to the software component, such as effective date and date applied to system.
Segment group 3
Mandatory
Repeat 99
00140
Mandatory
Max 1
To identify and describe one event or incident related to the claim.
00150
Conditional
Max 9
To provide identification numbers for the incident which may be used to link the incident to specific items of damage.
00160
Conditional
Max 9
To specify coded attributes relating to the incident, such as incident scale.
00170
Conditional
Max 9
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
Conditional
Max 9
To specify references relating to the incident such as intermediary's claim reference, insurer's claim number.
00190
Conditional
Max 9
To specify percentages relating to the incident such as percentage of responsibility.
00200
Conditional
Max 9
To specify the response to coded questions about the incident.
00210
Conditional
Max 9
To specify quantities relating to the incident, such as number of injured parties, number of witnesses.
00220
Conditional
Max 9
To provide text information about the incident, such as incident description.
Segment group 4
Mandatory
Repeat 9
00240
Mandatory
Max 1
To specify one type of cost or charge relating to the incident.
00250
Conditional
Max 9
To specify one type of cost or charge relating to the incident.
00260
Conditional
Max 9
To specify coded attributes relating to the cost charge, such as method of calculation.
00270
Conditional
Max 9
To specify monetary amounts for the cost or charge, such as amount including tax, discount amount.
00280
Conditional
Max 9
To specify percentages relating to the cost or charge, such as tax percentage.
00290
Conditional
Max 9
To provide text information about the cost or charge, such as explanation of cost or charge.
Segment group 5
Mandatory
Repeat 99
00310
Mandatory
Max 1
To identify one contribution or recovery relating to the cost or charge.
00320
Conditional
Max 9
To specify the identity number of a party to whom this contribution or recovery applies.
00330
Conditional
Max 9
To provide coded attributes relating to the contribution or recovery, such as contribution or recovery status.
00340
Conditional
Max 9
To specify monetary amounts relating to the contribution or recovery, such as amount of contribution to the cost charge.
00350
Conditional
Max 9
To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge.
00360
Conditional
Max 9
To specify references for the contribution or recovery.
00370
Conditional
Max 9
To provide text information about the contribution or recovery.
Segment group 6
Mandatory
Repeat 99
00390
Mandatory
Max 1
Provides a coded identification of one type of claim or incident component, such as policy cover, addresses.
00400
Conditional
Max 9
To reference the object or party to which the cover applies.
00410
Conditional
Max 1
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
Conditional
Max 9
To specify coded attributes related to the cover component, such as cover type, usage.
00430
Conditional
Max 9
To specify communication numbers for the address.
00440
Conditional
Max 9
To specify dates related to the cover, such as cover inception date, end date.
00450
Conditional
Max 9
To specify monetary amounts related to the cover, such as cover limit.
00460
Conditional
Max 9
To specify percentages related to the cover, such as cover index.
00470
Conditional
Max 9
To specify the response to coded questions concerning the cover.
00480
Conditional
Max 9
To specify quantities related to the cover, such as number of claims allowed.
00490
Conditional
Max 9
To specify references related to the cover.
00500
Conditional
Max 9
To specify text information about the cover, such as cover description, usage description.
Segment group 7
Mandatory
Repeat 999
00520
Mandatory
Max 1
To specify one type of component used in the claim calculation, such as excess, cover condition.
00530
Conditional
Max 9
To specify coded attributes related to the claim calculation component, such as claim calculated by code.
00540
Conditional
Max 9
To specify dates relating to the claim calculation, such as condition valid date.
00550
Conditional
Max 9
To specify monetary amounts relating to the claim calculation, such as excess amount.
00560
Conditional
Max 9
To specify percentages related to the claim calculation component, such as excess percentage.
00570
Conditional
Max 9
To specify the response to coded questions about the claim calculation component.
00580
Conditional
Max 9
To specify quantities relating to the claim calculation component.
00590
Conditional
Max 9
To provide text information about the claim calculation component, such as condition wording.
Segment group 8
Mandatory
Repeat 99
00610
Mandatory
Max 1
To specify one type of cost or charge relating to the cover.
00620
Conditional
Max 9
To reference the object or party that the cost or charge applies to.
00630
Conditional
Max 9
To specify coded attributes relating to the claim calculation, such as method of calculation.
00640
Conditional
Max 9
To specify monetary amounts for the claim calculation component, such as cost or charge amount, discount amount.
00650
Conditional
Max 9
To specify percentages relating to the claim calculation component, such as cost or charge discount percentage.
00660
Conditional
Max 9
To provide text information about the claim calculation component, such as explanation of cost or charge.
Segment group 9
Mandatory
Repeat 99
00680
Mandatory
Max 1
To identify one contribution or recovery relating to the claim calculation.
00690
Conditional
Max 9
To reference a party to whom this contribution or recovery relates.
00700
Conditional
Max 9
To provide coded attributes related to the contribution or recovery, such as contribution or recovery status.
00710
Conditional
Max 9
To specify monetary amounts related to the contribution or recovery, such as amount of contribution to the cost charge.
00720
Conditional
Max 9
To specify percentages relating to the contribution or recovery, such as percentage of contribution to the cost charge.
00730
Conditional
Max 9
To specify references relating to the contribution or recovery.
00740
Conditional
Max 9
To provide text information about the contribution or recovery.
Segment group 10
Mandatory
Repeat 999
00760
Mandatory
Max 1
To identify the insurance product specified in the policy.
00770
Conditional
Max 9
To provide identification numbers for the policy as specified by the intermediary, insurer and client.
00780
Conditional
Max 9
To specify coded attributes related to the policy, such as policy product code, scheme code.
00790
Conditional
Max 9
To specify dates related to the policy, such as inception date, expiry date.
00800
Conditional
Max 9
To specify monetary amounts related to the policy, such as indemnity limit.
00810
Conditional
Max 9
To specify references related to the policy, such as policy number, policy wording version number.
00820
Conditional
Max 9
To provide the response to coded questions relating to the policy.
00830
Conditional
Max 9
To provide text information related to the policy.
Segment group 11
Mandatory
Repeat 99
00850
Mandatory
Max 1
To specify one type of document which is external to the message.
00860
Conditional
Max 9
To reference a party or object to which the document relates.
00870
Conditional
Max 9
To specify coded attributes relating to the document, such as document status code.
00880
Conditional
Max 9
To specify addresses relating to the document, such as place of issue.
00890
Conditional
Max 1
To specify a link to an external file that is related to the document.
00900
Conditional
Max 9
To specify references relating to the document, such as document reference, previous document reference.
00910
Conditional
Max 9
To specify dates relating to the document, such as date requested, date received.
00920
Conditional
Max 9
To specify monetary amounts relating to the document.
00930
Conditional
Max 9
To specify the response to coded questions relating to the document.
00940
Conditional
Max 9
To specify quantities relating to the document, such as number of pages, number of copies.
00950
Conditional
Max 9
To provide text information about the document, such as document description.
Segment group 12
Mandatory
Repeat 99
00970
Mandatory
Max 1
To identify one party related to a claim described within this message.
00980
Conditional
Max 9
To specify identification numbers for the party which are used to link the party to other entities within the message.
00990
Conditional
Max 99
To specify coded attributes related to the party, such as value added tax status code, marital status code.
01000
Conditional
Max 9
To specify dates related to the party, such as date of birth, date of death.
01010
Conditional
Max 9
To provide measurements relating to the party, such as level of blood alcohol.
01020
Conditional
Max 9
To specify references related to the party, such as value added tax registration number.
01030
Conditional
Max 9
To provide the response to coded questions about the party.
01040
Conditional
Max 9
To specify percentages related to the party, such as party proportion of risk.
01050
Conditional
Max 9
To provide text information relating to the party.
Segment group 13
Mandatory
Repeat 99
01070
Mandatory
Max 1
Provides a coded identification of one type of input or output component related to the party.
01080
Conditional
Max 9
To provide identification numbers for the party component that may be used to link the component to other entities.
01090
Conditional
Max 1
To specify address details for a party.
01100
Conditional
Max 1
To provide a set of financial account details for a party.
01110
Conditional
Max 9
To specify coded attributes relating to the party component, such as offence code, type of blood alcohol test code.
01120
Conditional
Max 9
To provide communication details relating to a party component, such as telephone and fax numbers at address.
01130
Conditional
Max 9
To specify dates relating to the party component, such as start date at address, length of sentence.
01140
Conditional
Max 9
To provide one set of employment details for a party.
01150
Conditional
Max 9
To specify monetary amounts relating to the party component, such as fine amount.
01160
Conditional
Max 9
To provide the response to coded questions relating to the party component.
01170
Conditional
Max 9
To specify quantities relating to the party component, such as total licence penalty points.
01180
Conditional
Max 9
To specify references relating to the party component, such as conviction reference, financial account number.
01190
Conditional
Max 9
To provide text information relating to the party component, such as offence description, employment description.
Segment group 14
Mandatory
Repeat 99
01210
Mandatory
Max 1
To identify one risk object that is the subject of the claim.
01220
Conditional
Max 9
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
Conditional
Max 9
To specify reference numbers for the risk object, such as vehicle identification number, chassis number.
01240
Conditional
Max 99
To specify monetary amounts relating to the risk object, such as sum insured, replacement value.
01250
Conditional
Max 9
To specify percentages relating to the risk object.
01260
Conditional
Max 1
To specify tax/fee details relating to the risk object.
01270
Conditional
Max 99
To specify dates relating to the risk object, such as date first registered, date inspected.
01280
Conditional
Max 9
To specify a place/location related to the risk object.
01290
Conditional
Max 99
To specify coded attributes relating to the risk object, such as body type code, nature of occupancy.
01300
Conditional
Max 9
To specify measurements relating to the risk object, such as length, width, floor area.
01310
Conditional
Max 9
To specify quantities relating to the risk object, such as number of occupants, number of seats.
01320
Conditional
Max 99
To provide the response to coded questions about the risk object.
01330
Conditional
Max 9
To specify rate details relating to the risk object.
01340
Conditional
Max 9
To provide text descriptions relating to the risk object, such as object description, business usage of building description.
Segment group 15
Mandatory
Repeat 99
01360
Mandatory
Max 1
To identify one charge or cost related to the risk object. To identify one charge or cost related to the risk object.
01370
Conditional
Max 9
To reference a party to whom the charge relates.
01380
Conditional
Max 9
To specify coded attributes relating to the cost or charge, such as method of calculation.
01390
Conditional
Max 9
To specify monetary amounts relating to the cost or charge, such as tax amount, discount amount.
01400
Conditional
Max 9
To specify percentages relating to the cost or charge.
01410
Conditional
Max 9
To provide text descriptions relating to the cost or charge.
Segment group 16
Mandatory
Repeat 99
01430
Mandatory
Max 1
To identify one contribution or recovery related to the cost or charge.
01440
Conditional
Max 9
To reference a party to whom this contribution or recovery relates.
01450
Conditional
Max 9
To specify coded attributes relating to the contribution or recovery, such as contribution or recovery status code.
01460
Conditional
Max 9
To specify monetary amounts relating to the contribution or recovery, such as contribution or recovery amount.
01470
Conditional
Max 9
To specify percentages relating to the contribution or recovery, such as percentage of insurer's responsibility.
01480
Conditional
Max 9
To specify references relating to the contribution or recovery.
01490
Conditional
Max 9
To provide text descriptions relating to the contribution or recovery.
Segment group 17
Mandatory
Repeat 999
01510
Mandatory
Max 1
Provides a coded identification of one type of component related to the risk object.
01520
Conditional
Max 9
To provide identification numbers for the risk object component which may be used to link the component to other entities.
01530
Conditional
Max 1
To specify addresses relating to the risk object.
01540
Conditional
Max 9
To specify coded attributes relating to the risk object component, such as severity of damage code, security device code.
01550
Conditional
Max 9
To specify communication numbers for the address, such as telephone, fax numbers.
01560
Conditional
Max 9
To specify the damage to the risk object.
01570
Conditional
Max 9
To specify dates relating to the risk object component, such as start date at address.
01580
Conditional
Max 9
To specify measurements relating to the risk object component.
01590
Conditional
Max 9
To specify monetary amounts relating to the risk object component, such as pre-incident value, resultant value.
01600
Conditional
Max 9
To specify percentages relating to the risk object component, such as percentage of under insurance, percentage of cost allocation.
01610
Conditional
Max 9
To specify the response to coded questions relating to the risk object component.
01620
Conditional
Max 9
To specify quantities relating to the risk object component.
01630
Conditional
Max 9
To specify references relating to the risk object component.
01640
Conditional
Max 9
To provide text information for the risk object component, such as specialist valuation description, explanation of a video image.
Segment group 18
Mandatory
Repeat 99
01660
Mandatory
Max 1
To identify one charge relating to the loss or damage.
01670
Conditional
Max 9
To reference a party to whom this cost or charge relates.
01680
Conditional
Max 9
To specify coded attributes relating to the cost or charge, such as method of calculation.
01690
Conditional
Max 9
To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount.
01700
Conditional
Max 9
To specify percentages relating to the cost or charge component, such as cost or charge discount percentage.
01710
Conditional
Max 9
To provide text information about the cost or charge component.
Segment group 19
Mandatory
Repeat 99
01730
Mandatory
Max 1
To identify one contribution or recovery component relating to the risk object component cost or charge.
01740
Conditional
Max 9
To reference a party to whom this contribution or recovery relates.
01750
Conditional
Max 9
To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code.
01760
Conditional
Max 9
To specify monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount.
01770
Conditional
Max 5
To specify percentages relating to the contribution or recovery component, such as percentage of insurer's liability.
01780
Conditional
Max 9
To provide references relating to the contribution or recovery component.
01790
Conditional
Max 9
To provide text information about the contribution or recovery component.
Segment group 20
Mandatory
Repeat 99
01810
Mandatory
Max 1
To identify one part or task that relates to the risk object loss/damage component.
01820
Conditional
Max 9
To reference a party that relates to this part or task such as service provider.
01830
Conditional
Max 9
To specify coded attributes relating to the part or task item, such as paint system code, category of labour code.
01840
Conditional
Max 9
To specify dates relating to the part or task item, such as task/service start date.
01850
Conditional
Max 9
To specify measurements relating to the part or task item, such as tyre pressure, tyre tread depth.
01860
Conditional
Max 9
To specify percentages relating to the part or task.
01870
Conditional
Max 9
To specify the response to coded questions about the part or task item.
01880
Conditional
Max 9
To specify quantities relating to the part or task.
01890
Conditional
Max 9
To specify references relating to the part or task.
01900
Conditional
Max 9
To provide text information relating to the part or task, such as evidence of personal injury.
Segment group 21
Mandatory
Repeat 9
01920
Mandatory
Max 1
To identify one charge related to the part or task item.
01930
Conditional
Max 9
To reference a party to whom this cost or charge relates.
01940
Conditional
Max 9
To specify coded attributes relating to the cost or charge, such as method of calculation.
01950
Conditional
Max 9
To specify monetary amounts relating to the cost or charge component, such as tax amount, discount amount.
01960
Conditional
Max 9
To specify percentages relating to the cost or charge component, such as cost or charge discount percentage.
01970
Conditional
Max 9
To provide text information about the cost or charge component.
Segment group 22
Mandatory
Repeat 99
01990
Mandatory
Max 1
To identify one contribution or recovery component relating to the risk object cost or charge.
02000
Conditional
Max 9
To reference a party to whom this contribution or recovery relates.
02010
Conditional
Max 9
To specify coded attributes relating to the contribution or recovery component, such as contribution or recovery status code.
02020
Conditional
Max 9
To provide monetary amounts relating to the contribution or recovery component, such as contribution or recovery amount.
02030
Conditional
Max 9
To specify percentages relating to the contribution or recovery component, such as percentage of insurer's responsibility.
02040
Conditional
Max 9
To specify references relating to the contribution or recovery component.
02050
Conditional
Max 9
To provide text information relating to the contribution or recovery component.
Segment group 23
Mandatory
Repeat 99
02070
Mandatory
Max 1
To identify one action related to the claim.
02080
Conditional
Max 9
To reference parties related to the claim.
02090
Conditional
Max 9
To specify coded attributes relating to the action, such as assessment report type, manner of settlement.
02100
Conditional
Max 99
To specify dates related to the action, such as date of report, date inspection to be performed.
02110
Conditional
Max 9
To specify monetary amounts related to the action, such as settlement amount.
02120
Conditional
Max 99
To provide the response to coded questions about the action.
02130
Conditional
Max 9
To specify references related to the action, such as instructor's assessment reference, assessor's assessment reference.
02140
Conditional
Max 9
To provide text information about the action, such as progress description, verdict description.
Segment group 24
Mandatory
Repeat 99
02160
Mandatory
Max 1
Identifies the sequence of this period of previous insurance.
02170
Conditional
Max 9
To reference parties related to this period of insurance history.
02180
Conditional
Max 9
To specify coded attributes relating to the previous insurance history, such as policy class.
02190
Conditional
Max 9
To specify dates relating to the period of insurance history, such as inception date, expiry date.
02200
Conditional
Max 9
To specify references relating to the period of previous insurance history, such as policy number.
Segment group 25
Mandatory
Repeat 99
02220
Mandatory
Max 1
To identify one prior loss that relates to the period of previous insurance.
02230
Conditional
Max 9
To reference party numbers for the prior loss as specified by the intermediary, insurer and client.
02240
Conditional
Max 9
To specify coded attributes relating to the prior loss, such as loss type, incident type.
02250
Conditional
Max 9
To specify dates relating to the prior loss, such as loss date, settlement date.
02260
Conditional
Max 9
To specify monetary amounts relating to the prior loss, such as loss amount.
02270
Conditional
Max 9
To specify the response to coded questions relating to the prior loss.
02280
Conditional
Max 9
To specify references for the prior loss, such as insurer's historical claim reference.
02290
Conditional
Max 9
To provide free text about the prior loss, such as prior loss description.
02300
Mandatory
Max 1
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.