D.17A LRECLM
Life reinsurance claims message
Version historyMessage definition
UNHMESSAGE HEADERM 1
1Mandatory A service segment starting and uniquely identifying a message. The message type code for the Life reinsurance claims message is LRECLM.
0062
MESSAGE REFERENCE NUMBER
Mandatoryan0..14
Unique message reference assigned by the sender.
S009
MESSAGE IDENTIFIER
Mandatory
Identification of the type, version, etc. of the message being interchanged.
0065
Message type
Mandatoryan0..6
Code identifying a type of message and assigned by its controlling agency.
Show codelist0054
Message release number
Mandatoryan0..3
Release number within the current message version number.
Show codelist0057
Association assigned code
Conditionalan0..6
Code, assigned by the association responsible for the design and maintenance of the message type concerned, which further identifies the message.
0110
Code list directory version number
Conditionalan0..6
Version number of the code list directory.
0113
Message type sub-function identification
Conditionalan0..6
Code identifying a sub-function of a message type.
Show codelist0068
COMMON ACCESS REFERENCE
Conditionalan0..35
Reference serving as a key to relate all subsequent transfers of data to the same business case or file.
S010
STATUS OF THE TRANSFER
Conditional
Statement that the message is one in a sequence of transfers relating to the same topic.
0070
Sequence of transfers
Mandatoryn0..2
Number assigned by the sender indicating the transfer sequence of a message related to the same topic. The message could be an addition or a change to an earlier transfer related to the same topic.
0073
First and last transfer
Conditionala1
Indication used for the first and last message in a sequence of messages related to the same topic.
Show codelistS016
MESSAGE SUBSET IDENTIFICATION
Conditional
Identification of a message subset by its identifier, version, release and source.
0115
Message subset identification
Mandatoryan0..14
Coded identification of a message subset, assigned by its controlling agency.
0116
Message subset version number
Conditionalan0..3
Version number of the message subset.
0118
Message subset release number
Conditionalan0..3
Release number within the message subset version number.
S017
MESSAGE IMPLEMENTATION GUIDELINE IDENTIFICATION
Conditional
Identification of a message implementation guideline by its identifier, version, release and source.
0121
Message implementation guideline identification
Mandatoryan0..14
Coded identification of the message implementation guideline, assigned by its controlling agency.
0122
Message implementation guideline version number
Conditionalan0..3
Version number of the message implementation guideline.
0124
Message implementation guideline release number
Conditionalan0..3
Release number within the message implementation guideline version number.
S018
SCENARIO IDENTIFICATION
Conditional
Identification of a scenario.
0127
Scenario identification
Mandatoryan0..14
Code identifying scenario.
0128
Scenario version number
Conditionalan0..3
Version number of a scenario.
0130
Scenario release number
Conditionalan0..3
Release number within the scenario version number.
BGMBEGINNING OF MESSAGEM 1
1Mandatory A segment specifying the type of message contained in the transmission.
C002
DOCUMENT/MESSAGE NAME
Conditional
Identification of a type of document/message by code or name. Code preferred.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist1000
Document name
Conditionalan0..35
Name of a document.
C106
DOCUMENT/MESSAGE IDENTIFICATION
Conditional
Identification of a document/message by its number and eventually its version or revision.
1004
Document identifier
Conditionalan0..70
To identify a document.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
4343
RESPONSE TYPE CODE
Conditionalan0..3
Code specifying the type of acknowledgment required or transmitted.
Show codelist3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
DTMDATE/TIME/PERIODM 1
1Mandatory A segment specifying the reporting period ending date.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show codelist2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show codelist
CUXCURRENCIESC 1
1Conditional A segment identifying the default currency and its scaling factor for monetary amounts in this message.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show codelist6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show codelist6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
5402
CURRENCY EXCHANGE RATE
Conditionaln0..12
To specify the rate at which one specified currency is expressed in another specified currency.
6341
EXCHANGE RATE CURRENCY MARKET IDENTIFIER
Conditionalan0..3
To identify an exchange rate currency market.
Show codelist
CTACONTACT INFORMATIONC 9
9Conditional A segment identifying a person(s) or department(s), and their function(s), to whom communications should be directed.
3139
CONTACT FUNCTION CODE
Conditionalan0..3
Code specifying the function of a contact (e.g. department or person).
Show codelistC056
CONTACT DETAILS
Conditional
Code and/or name of a contact such as a department or employee. Code preferred.
3413
Contact identifier
Conditionalan0..17
To identify a contact, such as a department or employee.
3412
Contact name
Conditionalan0..256
Name of a contact, such as a department or employee.
FTXFREE TEXTC 1
1Conditional A segment with free text information, in coded or clear form, used when additional information is needed but cannot be accommodated within other segments.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
GRP1 IMD ATT DTM LOC PCD RFF CUX FTX GRP2 GRP3 GRP5M 999999
999999Mandatory A group of segments in which is detailed claim information.
IMDITEM DESCRIPTIONM 1
1Mandatory A segment defining the type of claim.
7077
DESCRIPTION FORMAT CODE
Conditionalan0..3
Code specifying the format of a description.
Show codelistC272
ITEM CHARACTERISTIC
Conditional
To provide the characteristic of the item being described.
7081
Item characteristic code
Conditionalan0..3
Code specifying the characteristic of an item.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelistC273
ITEM DESCRIPTION
Conditional
Description of an item.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist7008
Item description
Conditionalan0..256
Free form description of an item.
7008
Item description
Conditionalan0..256
Free form description of an item.
3453
Language name code
Conditionalan0..3
Code specifying the language name.
7383
SURFACE OR LAYER CODE
Conditionalan0..3
Code specifying the surface or layer of an object.
Show codelist
ATTATTRIBUTEM 99
99Mandatory A segment providing attributes of the claim.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying an attribute function.
Show codelistC955
ATTRIBUTE TYPE
Conditional
Identification of the type of attribute.
9021
Attribute type description code
Conditionalan0..17
Coded specifying an attribute type.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist9020
Attribute type description
Conditionalan0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
Conditionalan0..17
Code specifying an attribute.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist9018
Attribute description
Conditionalan0..256
Free form description of an attribute.
DTMDATE/TIME/PERIODC 9
9Conditional A segment specifying general dates or durations related to the claim.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show codelist2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show codelist
LOCPLACE/LOCATION IDENTIFICATIONC 1
1Conditional A segment giving location information for the place of death or location where the onset of the disability occurred.
3227
LOCATION FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code identifying the function of a location.
Show codelistC517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location identifier
Conditionalan0..35
To identify a location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist3224
Location name
Conditionalan0..256
Name of the location.
C519
RELATED LOCATION ONE IDENTIFICATION
Conditional
Identification the first related location by code or name.
3223
First related location identifier
Conditionalan0..35
To identify a first related location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist3222
First related location name
Conditionalan0..70
Name of first related location.
C553
RELATED LOCATION TWO IDENTIFICATION
Conditional
Identification of second related location by code or name.
3233
Second related location identifier
Conditionalan0..35
To identify a second related location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist3232
Second related location name
Conditionalan0..70
Name of the second related location.
5479
RELATION CODE
Conditionalan0..3
Code specifying a relation.
PCDPERCENTAGE DETAILSC 9
9Conditional A segment specifying the extent of loss and the interest rate to be used in calculating the claim payment.
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show codelist5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist
RFFREFERENCEC 9
9Conditional A segment specifying the claim numbers as assigned by the ceding company and the reinsurer.
C506
REFERENCE
Mandatory
Identification of a reference.
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
CUXCURRENCIESC 1
1Conditional A segment identifying the default currency and its scaling factor for monetary amounts for the claim.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show codelist6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
C504
CURRENCY DETAILS
Conditional
The usage to which a currency relates.
6347
Currency usage code qualifier
Mandatoryan0..3
Code qualifying the usage of a currency.
Show codelist6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
6348
Currency rate
Conditionaln0..4
To specify the value of the multiplication factor used in expressing currency units.
5402
CURRENCY EXCHANGE RATE
Conditionaln0..12
To specify the rate at which one specified currency is expressed in another specified currency.
6341
EXCHANGE RATE CURRENCY MARKET IDENTIFIER
Conditionalan0..3
To identify an exchange rate currency market.
Show codelist
FTXFREE TEXTC 1
1Conditional A segment with free text information, in coded or clear form, used when additional information is needed regarding the claim.
C107
TEXT REFERENCE
Conditional
Coded reference to a standard text and its source.
4441
Free text description code
Mandatoryan0..17
Code specifying free form text.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelistC108
TEXT LITERAL
Conditional
Free text; one to five lines.
4440
Free text
Mandatoryan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
4440
Free text
Conditionalan0..512
Free form text.
3453
LANGUAGE NAME CODE
Conditionalan0..3
Code specifying the language name.
GRP2 MOA ARDC 9
9Conditional A group of segments in which is detailed monetary amounts and their purpose for the claim.
MOAMONETARY AMOUNTM 1
1Mandatory A segment specifying a monetary amount.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show codelist5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
ARDMONETARY AMOUNT FUNCTIONM 1
1Mandatory A segment specifying the purpose of the monetary amount.
C549
MONETARY AMOUNT FUNCTION
Conditional
To identify the function of a monetary amount.
5007
Monetary amount function description code
Conditionalan0..3
Code specifying the monetary amount function.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5006
Monetary amount function description
Conditionalan0..70
Free form description of the monetary amount function.
C008
MONETARY AMOUNT FUNCTION DETAIL
Conditional
To provide the detail of a monetary amount function.
5105
Monetary amount function detail description code
Conditionalan0..17
Code specifying the detail of a monetary amount function.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5104
Monetary amount function detail description
Conditionalan0..70
Free form description of the detail of a monetary amount function.
GRP3 PNA DTM LOC EMP GRP4M 1
1Mandatory A group of segments in which is detailed information regarding the person for which this claim is being submitted.
PNAPARTY IDENTIFICATIONM 1
1Mandatory A segment identifying the name of the person on claim.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show codelistC206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelist1229
ACTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
DTMDATE/TIME/PERIODM 9
9Mandatory A segment specifying general date and durations associated with the person on claim.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show codelist2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show codelist
LOCPLACE/LOCATION IDENTIFICATIONC 1
1Conditional A segment giving location information for the place of residence of the person on claim at the time of loss.
3227
LOCATION FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code identifying the function of a location.
Show codelistC517
LOCATION IDENTIFICATION
Conditional
Identification of a location by code or name.
3225
Location identifier
Conditionalan0..35
To identify a location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist3224
Location name
Conditionalan0..256
Name of the location.
C519
RELATED LOCATION ONE IDENTIFICATION
Conditional
Identification the first related location by code or name.
3223
First related location identifier
Conditionalan0..35
To identify a first related location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist3222
First related location name
Conditionalan0..70
Name of first related location.
C553
RELATED LOCATION TWO IDENTIFICATION
Conditional
Identification of second related location by code or name.
3233
Second related location identifier
Conditionalan0..35
To identify a second related location.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist3232
Second related location name
Conditionalan0..70
Name of the second related location.
5479
RELATION CODE
Conditionalan0..3
Code specifying a relation.
EMPEMPLOYMENT DETAILSC 1
1Conditional A segment providing the occupation class of the person on claim at time of loss for purposes of this claim as defined by the issuing company.
9003
EMPLOYMENT DETAILS CODE QUALIFIER
Mandatoryan0..3
Code qualifying the employment details.
Show codelistC948
EMPLOYMENT CATEGORY
Conditional
Code and/or description of an employment category.
9005
Employment category description code
Conditionalan0..3
Code specifying the employment category.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist9004
Employment category description
Conditionalan0..35
Free form description of the employment category.
C951
OCCUPATION
Conditional
Description of an occupation.
9009
Occupation description code
Conditionalan0..3
Code specifying an occupation.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist9008
Occupation description
Conditionalan0..35
Free form description of an occupation.
9008
Occupation description
Conditionalan0..35
Free form description of an occupation.
C950
QUALIFICATION CLASSIFICATION
Conditional
Qualification classification description and/or code. This specifies the trade, skill, professional or similar qualification category.
9007
Qualification classification description code
Conditionalan0..3
Code specifying a qualification classification.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.
9006
Qualification classification description
Conditionalan0..35
Free form description of a qualification classification.
3480
PERSON JOB TITLE
Conditionalan0..35
Name of a job title such as rank or rating of crew member.
9035
QUALIFICATION APPLICATION AREA CODE
Conditionalan0..3
Code specifying the application area of a qualification.
Show codelist
GRP4 MOA ARDC 9
9Conditional A group of segments in which is detailed monetary amounts and their purpose for this person on claim.
MOAMONETARY AMOUNTM 1
1Mandatory A segment specifying a monetary amount.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show codelist5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
ARDMONETARY AMOUNT FUNCTIONM 1
1Mandatory A segment specifying the purpose of the monetary amount.
C549
MONETARY AMOUNT FUNCTION
Conditional
To identify the function of a monetary amount.
5007
Monetary amount function description code
Conditionalan0..3
Code specifying the monetary amount function.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5006
Monetary amount function description
Conditionalan0..70
Free form description of the monetary amount function.
C008
MONETARY AMOUNT FUNCTION DETAIL
Conditional
To provide the detail of a monetary amount function.
5105
Monetary amount function detail description code
Conditionalan0..17
Code specifying the detail of a monetary amount function.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5104
Monetary amount function detail description
Conditionalan0..70
Free form description of the detail of a monetary amount function.
GRP5 GEI RFF PNA DTM GRP6 GRP7M 99
99Mandatory A group of segments in which is detailed information regarding the policy on claim and other policies related to the claim.
GEIPROCESSING INFORMATIONM 1
1Mandatory An indicator specifying whether this policy is the policy on claim or an associated policy.
9649
PROCESSING INFORMATION CODE QUALIFIER
Mandatoryan0..3
Code qualifying the processing information.
Show codelistC012
PROCESSING INDICATOR
Conditional
Identification of the processing indicator.
7365
Processing indicator description code
Conditionalan0..3
Code specifying a processing indicator.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist7364
Processing indicator description
Conditionalan0..35
Free form description of a processing indicator.
RFFREFERENCEM 9
9Mandatory A segment specifying the policy number as assigned by the ceding company.
C506
REFERENCE
Mandatory
Identification of a reference.
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
PNAPARTY IDENTIFICATIONC 1
1Conditional A segment identifying the original issuer of the policy, in coded or clear form.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show codelistC206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelist1229
ACTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
DTMDATE/TIME/PERIODC 99
99Conditional A segment specifying general dates and durations associated with the policy on claim or related policy.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show codelist2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show codelist
GRP6 MOA ARDC 9
9Conditional A group of segments in which is detailed monetary amounts and their purpose for this policy.
MOAMONETARY AMOUNTM 1
1Mandatory A segment specifying a monetary amount.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show codelist5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
ARDMONETARY AMOUNT FUNCTIONM 1
1Mandatory A segment specifying the purpose of the monetary amount.
C549
MONETARY AMOUNT FUNCTION
Conditional
To identify the function of a monetary amount.
5007
Monetary amount function description code
Conditionalan0..3
Code specifying the monetary amount function.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5006
Monetary amount function description
Conditionalan0..70
Free form description of the monetary amount function.
C008
MONETARY AMOUNT FUNCTION DETAIL
Conditional
To provide the detail of a monetary amount function.
5105
Monetary amount function detail description code
Conditionalan0..17
Code specifying the detail of a monetary amount function.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5104
Monetary amount function detail description
Conditionalan0..70
Free form description of the detail of a monetary amount function.
GRP7 IDE PNA DTM GRP8C 99
99Conditional A group of segments in which is detailed information regarding the insureds on this policy.
IDEIDENTITYM 1
1Mandatory A segment identifying the party as the insured of record.
C206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist1222
CONFIGURATION LEVEL NUMBER
Conditionaln0..2
To specify a level within a configuration.
C778
POSITION IDENTIFICATION
Conditional
To identify the position of an object in a structure containing the object.
7164
Hierarchical structure level identifier
Conditionalan0..35
To identify a level within a hierarchical structure.
1050
Sequence position identifier
Conditionalan0..10
To identify a position in a sequence.
C240
CHARACTERISTIC DESCRIPTION
Conditional
To provide a description of a characteristic.
7037
Characteristic description code
Mandatoryan0..17
A code specifying a characteristic.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
7036
Characteristic description
Conditionalan0..35
Free form description of a characteristic.
PNAPARTY IDENTIFICATIONM 1
1Mandatory A segment identifying the insured's name and universal identifier.
3035
PARTY FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code giving specific meaning to a party.
Show codelistC206
IDENTIFICATION NUMBER
Conditional
The identification of an object.
7402
Object identifier
Mandatoryan0..35
Code specifying the unique identity of an object.
7405
Object identification code qualifier
Conditionalan0..3
Code qualifying the identification of an object.
Show codelistC082
PARTY IDENTIFICATION DETAILS
Conditional
Identification of a transaction party by code.
3039
Party identifier
Mandatoryan0..35
Code specifying the identity of a party.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelistC816
NAME COMPONENT DETAILS
Conditional
To specify a name component.
3405
Name component type code qualifier
Mandatoryan0..3
Code qualifying the type of a name component.
Show codelist3398
Name component description
Conditionalan0..256
Free form description of a name component.
3401
Name component usage code
Conditionalan0..3
Code specifying the usage of a name component.
Show codelist3295
Name original alphabet code
Conditionalan0..3
Code specifying the alphabet originally used to represent a name.
Show codelist1229
ACTION CODE
Conditionalan0..3
Code specifying the action to be taken or already taken.
Show codelist
DTMDATE/TIME/PERIODM 1
1Mandatory A segment specifying the date of birth of the insured.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show codelist2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show codelist
GRP8 ICD DTM RFF ATT PCD AGR GRP9C 99
99Conditional A group of segments in which is detailed coverage information regarding the insured.
ICDINSURANCE COVER DESCRIPTIONM 1
1Mandatory A segment giving the insurance cover type associated with this coverage.
C330
INSURANCE COVER TYPE
Mandatory
To provide the insurance cover type.
4497
Insurance cover type code
Mandatoryan0..3
Code specifying the meaning of the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelistC331
INSURANCE COVER DETAILS
Mandatory
To provide the insurance cover details.
4495
Insurance cover description code
Conditionalan0..17
Code specifying the insurance cover.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.
4494
Insurance cover description
Conditionalan0..35
Free form description of the insurance cover.
DTMDATE/TIME/PERIODC 99
99Conditional A segment specifying general dates or durations related to this coverage.
C507
DATE/TIME/PERIOD
Mandatory
Date and/or time, or period relevant to the specified date/time/period type.
2005
Date or time or period function code qualifier
Mandatoryan0..3
Code qualifying the function of a date, time or period.
Show codelist2380
Date or time or period text
Conditionalan0..35
The value of a date, a date and time, a time or of a period in a specified representation.
2379
Date or time or period format code
Conditionalan0..3
Code specifying the representation of a date, time or period.
Show codelist
RFFREFERENCEC 9
9Conditional A segment specifying general references for this coverage.
C506
REFERENCE
Mandatory
Identification of a reference.
1154
Reference identifier
Conditionalan0..70
Identifies a reference.
1156
Document line identifier
Conditionalan0..6
To identify a line of a document.
1056
Version identifier
Conditionalan0..9
To identify a version.
1060
Revision identifier
Conditionalan0..6
To identify a revision.
ATTATTRIBUTEC 9
9Conditional A segment providing attributes of the coverage.
9017
ATTRIBUTE FUNCTION CODE QUALIFIER
Mandatoryan0..3
Code qualifying an attribute function.
Show codelistC955
ATTRIBUTE TYPE
Conditional
Identification of the type of attribute.
9021
Attribute type description code
Conditionalan0..17
Coded specifying an attribute type.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist9020
Attribute type description
Conditionalan0..70
Free form description of an attribute type.
C956
ATTRIBUTE DETAIL
Conditional
Identification of the attribute related to an entity.
9019
Attribute description code
Conditionalan0..17
Code specifying an attribute.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist9018
Attribute description
Conditionalan0..256
Free form description of an attribute.
PCDPERCENTAGE DETAILSC 1
1Conditional A segment specifying the percentages associated with the claim.
C501
PERCENTAGE DETAILS
Mandatory
Percentage relating to a specified basis.
5245
Percentage type code qualifier
Mandatoryan0..3
Code qualifying the type of percentage.
Show codelist5482
Percentage
Conditionaln0..10
To specify a percentage.
5249
Percentage basis identification code
Conditionalan0..3
Code specifying the basis on which a percentage is calculated.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist
AGRAGREEMENT IDENTIFICATIONC 1
1Conditional A segment identifying the treaty as assigned by the ceding company.
C543
AGREEMENT TYPE IDENTIFICATION
Conditional
Identification of specific agreement type by code or name.
7433
Agreement type description code
Conditionalan0..3
Code specifying the type of agreement.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist7434
Agreement type description
Conditionalan0..70
Free form description of the type of agreement.
9419
SERVICE LAYER CODE
Conditionalan0..3
Code specifying a service layer.
GRP9 MOA ARDC 9
9Conditional A group of segments in which is detailed monetary amounts and their purpose for the coverage.
MOAMONETARY AMOUNTM 1
1Mandatory A segment specifying a monetary amount.
C516
MONETARY AMOUNT
Mandatory
Amount of goods or services stated as a monetary amount in a specified currency.
5025
Monetary amount type code qualifier
Mandatoryan0..3
Code qualifying the type of monetary amount.
Show codelist5004
Monetary amount
Conditionaln0..35
To specify a monetary amount.
6345
Currency identification code
Conditionalan0..3
Code specifying a monetary unit.
ARDMONETARY AMOUNT FUNCTIONM 1
1Mandatory A segment specifying the purpose of the monetary amount.
C549
MONETARY AMOUNT FUNCTION
Conditional
To identify the function of a monetary amount.
5007
Monetary amount function description code
Conditionalan0..3
Code specifying the monetary amount function.
Show codelist1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5006
Monetary amount function description
Conditionalan0..70
Free form description of the monetary amount function.
C008
MONETARY AMOUNT FUNCTION DETAIL
Conditional
To provide the detail of a monetary amount function.
5105
Monetary amount function detail description code
Conditionalan0..17
Code specifying the detail of a monetary amount function.
1131
Code list identification code
Conditionalan0..17
Code identifying a user or association maintained code list.
3055
Code list responsible agency code
Conditionalan0..3
Code specifying the agency responsible for a code list.
Show codelist5104
Monetary amount function detail description
Conditionalan0..70
Free form description of the detail of a monetary amount function.
UNTMESSAGE TRAILERM 1
1Mandatory 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.
0074
NUMBER OF SEGMENTS IN A MESSAGE
Mandatoryn0..10
The number of segments in a message body, plus the message header segment and message trailer segment.
0062
MESSAGE REFERENCE NUMBER
Mandatoryan0..14
Unique message reference assigned by the sender.