ClaimsOccurrence

Description
This aggregate contains the basic data relative to an incident/occurrence.

Type : Aggregate
DataType : ClaimsOccurrence_Type

Parents
CLAIMSNOTICEINFO RESOURCE_CHOICE

Elements
AdditionalClaimIndThis indicates that additional types of losses (Liability, Property, Automobile) are being reported with this same accident, incident, loss, occurrence, injury or illness.
AddrThe Address Aggregate is used wherever a postal address, including any portion of such address, is needed.
CatastropheContains information concerning a specific catastrophe.
CatastropheLossIndIndicates whether this loss is associated with a specifically identified catastrophe.
ClaimNoticeCdA code identifying if this is notice of an occurrence or a claim. This element uses the ClaimNotice code list.
ClaimsMadeIndIndicates that the coverage was issued on a claims made basis.
ClaimsReportedThis aggregate is used to collect the information about when, by whom, and to whom a claim was reported. This aggregate is only used when you have the information about the date reported or the report number.
ClaimStatusCdCurrent status of the claim. This uses the ClaimStatus code list.
ClaimStatusDtDate the ClaimsStatusCd became effective.
ClaimStatusExplanationDescription of claim status
ClaimSubStatusCdCurrent sub-status of the given claim, where applicable.
ClaimTypeCdAn industry code identifying the type of claim/occurrence. There are multiple sources of this code list such as Insurance Services Organization (ISO), individual insurers, etc.
CountyTownCdA second code for the location. It is the responsibility of the companies to make these codes available. The source of this code list is the individual insurers.
CurrentRetroactiveDtThe retroactive date applicable to a claims made or discovery form policy.
DamageDescA description summarizing the damage and/or injuries resulting from this accident, incident, loss, occurrence, injury or illness.
EventInfoThis aggregate is used to collect the information about when a specific event occurred.
ExtendedReptDtThe end date of the extended reporting period for coverages written on a claims made basis. Also known as the Tail coverage end date.
FullTailIndIndicates if Full Tail coverage is in effect.
IncidentClaimTypeCdA code identifying the line of business classification for this claim or incident. This element uses the LineOfBusiness code list.
IncidentClaimTypeDescA text description of this incident or claim.
IncidentDescA description of the accident, incident, loss, occurrence, injury or illness resulting in the claim.
ItemIdInfoThe Item ID Information Aggregate is architectural in nature. It is used to identify an aggregate uniquely across transactions.
LinkLink provides a mechanism to hyperlink between resources. It is not expected to contain data, instead typically appears as (e.g.): <Link rel="self" href="/policy/4e068b48-798c-4df1-8d1d-ea2a90f4eb4c" title="Self"/>.
LitigationIndIndicates if current or previous litigation is applicable, including if a lawsuit has been filed.
LitigationStatusCdThe current status of the litigation. This element uses the LitigationStatus code list.
LocationCdA specific code defined by communicating partners to identify the location reporting the incident. This is not necessarily a physical location. There are multiple sources for this code list.
LossCauseCdAn industry code identifying the general cause of loss, occurrence, injury or illness. There are multiple sources for this code list such as the Workers' Compensation Insurance Organizations (WCIO), Insurance Services Office (ISO), Bureau of Labor Statistics (BLS), etc. The intent is to provide the general cause(s) of loss being reported such as wind, dog bite, harassment, slip and fall, etc.
LOSSDATE_CHOICECHOICE group option for a Loss Period or a single Loss Date/Time
OutsideAuthorityConditionCdA code defining the Outside Authority Conditions applying to the claim. This element uses the OutsideAuthorityCondition code list.
PoliceFireContactedIndIndicates whether the police or fire departments had been contacted.
PolicyRenewalIndIndicates if the policy applicable to the loss was in renewal status at the time of the loss.
PreviouslyReportedIndIndicates if this accident, incident, loss, occurrence, injury or illness has already been reported to the insurer, and that this is a follow-up with additional information. It is not intended as a flag to indicate duplicate transactions.
ProbableIncurredAmtThe estimated total amount of a claim. This field is used only when the claim has not been completely settled, a.k.a. incurred.
QuestionableClaimInfoThis aggregate contains the information about a questionable claim/occurrence that has been referred for further investigation.
ResponsibleDeptThe department or division of the company to which the accident, loss, occurrence, injury or illness will be charged.
SalvageIndIndicates if the claim is subject to salvage.
SiteCdA specific code defined by communicating partners to further define the location reporting the incident. This is not necessarily a physical location. There are multiple sources for this code list.
TotalLossIndIndicates if the claim is a total loss.
ViolationsCitationsIndIndicates if any violations have been committed in relation to this incident, or whether the authorities have issued citations.
WhereOccurredDescA description of where the accident, incident, loss, occurrence, injury or illness occurred other than an address.

Attributes
idThis attribute is an identifier to a specific element.
SourceSystemRefThis attribute is an identifier reference to a source system.