A reinsurance claims message is exchanged between insurers, professional intermediaries, reinsurers to send information concerning a loss and/or to request settlement (payment or refund) concerning the loss.
A service segment starting and uniquely identifying a message. The message type code for the Reinsurance claims message is RECLAM. Note: Reinsurance claims messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 RECLAM 0052 D 0054 18B 0051 UN
A segment to give a processing indicator relating to the whole message.
A segment to give free format text regarding type of participation, type of risk, cause of loss, consequence of loss.
A segment to specify the name and address and the related function of the party involved.
A segment to specify the producing or the placing intermediary's or broker's order percentage in the reinsurance, and to give the reinsurer's share in this intermediary's or broker's order.
A segment to identify a person or department to whom the communication should be directed.
A segment to identify a communication number of a department or a person to whom communication should be directed.
A segment to specify the references of the party identified in the leading NAD segment.
A segment to give a processing indicator relating to the consequence of loss.
A segment to provide the ceding company details, leading reinsurer's comments, claimant information.
A segment to give information dates regarding claimants in medical malpractice.
A segment placed at the start of the detail section to avoid segment collision.
A segment to specify pertinent dates and periods relating to the RECLAM.
A segment to provide free format information regarding the loss, the risk or the reinsurance contract.
