AccountNumberId | The number assigned to the account by the controlling party to uniquely identify that account within its business context. |
ActivitiesDesc | A description of the activities. |
Age | The age in years. It is expected that a whole number would be used over the age of one. |
AtFaultPct | The percentage of fault for the claims driver. |
AuthorizedRepInd | Indicates if this ClaimsParty has an attorney or authorized representative. |
ClaimsDriverInfo | This aggregate provides additional information about a driver who is an involved party. |
ClaimsInjuredInfo | This aggregate provides information about an individual and their injury(ies)/illness associated with the accident, incident, loss, and occurrence. |
ClaimsInjury | This aggregate provides information about specific injury(ies)/illnesses associated with the accident, incident, loss, occurrence. Some insurers capture this information in detail with specific causes related to specific injuries. Other insurers capture the information in a global way listing all injuries and all causes together. In order to accommodate both methods, the aggregate can be repeated, or individual elements within the aggregate can be repeated. |
ClaimsPartyInfo | This aggregate provides additional information about a claims party. |
ClaimsPartyLocCd | A code indicating the location (i.e. insured vehicle, other vehicle, pedestrian) of the ClaimsParty at the time of the accident, incident, loss, occurrence, injury or illness. This element uses the ClaimsPartyLocation Code List. |
ClaimsPartyLocDesc | A description of the location of the ClaimsParty at the time of the accident, incident, loss, occurrence, injury or illness. |
ClaimsPartyRoleCd | A code identifying the role of the ClaimsParty. Formerly this element used the ClaimsPartyRole code list. |
ClosedDt | The date closed. |
DestinationDesc | This describes the destination(s) of the shipment. |
DisputeStatementDesc | A description of the statement of dispute filed by a private citizen contesting the claim data maintained by the claims investigation service provider. |
EquipmentUsedDesc | A description of any equipment, materials and/or chemicals being used. |
EventInfo | This aggregate is used to collect the information about when a specific event occurred. |
EventsDesc | A description of how the injury or illness/ health condition occurred including the sequence of events and any objects or substances that directly relate to the occurrence. |
FatalityInd | Indicates whether or not the injury or illness described resulted in death. |
GeneralPartyInfo | This aggregate provides general name, address and communications information about a person(s) or organization(s). |
GrossTPARecoveriesOutstandingAmt | Gross third party recoveries outstanding amount |
GrossTPARecoveriesReceivedAmt | Gross third party recoveries received amount |
ICDDiagnosticCd | An industry code indicating the diagnostic coding when medical treatment was rendered. The element uses the International Classification of Diseases code list. |
IncidentDesc | A description of the accident, incident, loss, occurrence, injury or illness resulting in the claim. |
InitialTreatmentCd | Indicates the initial type of treatment provided to the injured or ill party. This element uses the InitialTreatment code list. |
InjuriesInd | Indicates if anyone appeared to have injuries. |
InvolvementDesc | A description of this individual's involvement in the accident, incident, loss, occurrence, injury or illness. This element is used when further definition is necessary. |
LossDt | The date the accident, incident, loss, occurrence, injury or illness occurred. |
LossTime | The time at which the accident, incident, loss, occurrence, injury or illness occurred. |
LostTimeInd | Indicates if this was a lost time, or other compensable injury. |
MedicalPlanName | The name of the medical plan that the insured/claimant has opted for. |
MedicalTreatment | This aggregate holds information regarding medical treatments. |
MedicareInfo | Provides information on medicare eligibility for an injured party who is a United States citizen as well as the incurred amount in US dollars. |
OperatorAtFaultInd | Indicates if the agency investigating an accident determined that the operator was at fault. |
OriginDesc | This describes the origin of the shipment. |
OtherOrPriorPolicy | This aggregate contains pertinent information about policies related to 'this' policy, such as prior policy history information, other policies in force, or underlying policy information associated with an umbrella or excess policy. This aggregate may be repeated as many times as needed to contain the appropriate prior policy history or other policy information. |
PartyInvestigationInfo | This aggregate identifies information about a party to an investigation. In claims investigation, this information is generally provided by the claims investigation service provider relative to any type of loss. |
PartyTitle | The title of the party related to their position within a company or organization. |
PermissionInd | Indicates whether the vehicle was used with permission or not. |
PersonInfo | The Person Information aggregate identifies the common information for a person. This information does identify the person and provides useful information. |
PreExistingDisabilityCd | A code which identifies the existence of a disability prior to the injury/illness. The element uses the Response code list. |
ProfessionalSanctionInfo | This aggregate identifies information regarding any professional sanctions levied on an individual party or service provider. |
PurposeUse | A short description explaining the purpose of the trip during which the accident occurred. |
RestrictedWorkPeriod | The amount of time the party was engaged in restricted work duties as a result of this incident. |
SocialSecurityIssuancePeriod | The years in which the individual's social security number was issued. |
SSNValidationCd | An industry code identifying the validity of a social security number as determined by the claims investigation service provider. The source of this code list is the Insurance Services Office (ISO) SSN Validation code list. |
SuitFiledInd | Indicates if this party has filed a lawsuit. |
SuppressMatchInd | Indicates if the submitter wishes to suppress the search that ordinarily is made upon submission of a new claim record. |
SurgeryInd | Indicates if the claimant has undergone surgery as a result of the injury. |
TimeLostPeriod | The amount of time lost. |
TINValidationCd | An industry code identifying the validity of a tax identification number as determined by the claims investigation service provider. The source of this code list is the Insurance Services Office (ISO) TIN Validation code list. |
WhereTakenDesc | A description of where the injured party was taken following the injury, other than an address. |
WitnessIncidentInd | Indicates if the witness saw the incident happen. |
WitnessInfo | This aggregate captures information about the incident as reported by a witness. |
WorkProcessDesc | A description of the work process the employee was engaged in when the accident or illness exposure occurred. |