ClaimsParty

Description
This aggregate contains information regarding any entity that has an "interest" or "involvement" in the claim, except for the adjuster.

Type : Aggregate
DataType : ClaimsParty_Type

Parents
CLAIMSNOTICEINFO REQUESTORPARTY_CHOICE RESOURCE_CHOICE VIEWINQPARTY_CHOICE

Elements
AccountNumberIdThe number assigned to the account by the controlling party to uniquely identify that account within its business context.
ActivitiesDescA description of the activities.
AgeThe age in years. It is expected that a whole number would be used over the age of one.
AtFaultPctThe percentage of fault for the claims driver.
AuthorizedRepIndIndicates if this ClaimsParty has an attorney or authorized representative.
ClaimsDriverInfoThis aggregate provides additional information about a driver who is an involved party.
ClaimsInjuredInfoThis aggregate provides information about an individual and their injury(ies)/illness associated with the accident, incident, loss, and occurrence.
ClaimsInjuryThis 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.
ClaimsPartyInfoThis aggregate provides additional information about a claims party.
ClaimsPartyLocCdA 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.
ClaimsPartyLocDescA description of the location of the ClaimsParty at the time of the accident, incident, loss, occurrence, injury or illness.
ClaimsPartyRoleCdA code identifying the role of the ClaimsParty. Formerly this element used the ClaimsPartyRole code list.
ClosedDtThe date closed.
DestinationDescThis describes the destination(s) of the shipment.
DisputeStatementDescA description of the statement of dispute filed by a private citizen contesting the claim data maintained by the claims investigation service provider.
EquipmentUsedDescA description of any equipment, materials and/or chemicals being used.
EventInfoThis aggregate is used to collect the information about when a specific event occurred.
EventsDescA 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.
FatalityIndIndicates whether or not the injury or illness described resulted in death.
GeneralPartyInfoThis aggregate provides general name, address and communications information about a person(s) or organization(s).
GrossTPARecoveriesOutstandingAmtGross third party recoveries outstanding amount
GrossTPARecoveriesReceivedAmtGross third party recoveries received amount
ICDDiagnosticCdAn industry code indicating the diagnostic coding when medical treatment was rendered. The element uses the International Classification of Diseases code list.
IncidentDescA description of the accident, incident, loss, occurrence, injury or illness resulting in the claim.
InitialTreatmentCdIndicates the initial type of treatment provided to the injured or ill party. This element uses the InitialTreatment code list.
InjuriesIndIndicates if anyone appeared to have injuries.
InvolvementDescA description of this individual's involvement in the accident, incident, loss, occurrence, injury or illness. This element is used when further definition is necessary.
LossDtThe date the accident, incident, loss, occurrence, injury or illness occurred.
LossTimeThe time at which the accident, incident, loss, occurrence, injury or illness occurred.
LostTimeIndIndicates if this was a lost time, or other compensable injury.
MedicalPlanNameThe name of the medical plan that the insured/claimant has opted for.
MedicalTreatmentThis aggregate holds information regarding medical treatments.
MedicareInfoProvides information on medicare eligibility for an injured party who is a United States citizen as well as the incurred amount in US dollars.
OperatorAtFaultIndIndicates if the agency investigating an accident determined that the operator was at fault.
OriginDescThis describes the origin of the shipment.
OtherOrPriorPolicyThis 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.
PartyInvestigationInfoThis 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.
PartyTitleThe title of the party related to their position within a company or organization.
PermissionIndIndicates whether the vehicle was used with permission or not.
PersonInfoThe Person Information aggregate identifies the common information for a person. This information does identify the person and provides useful information.
PreExistingDisabilityCdA code which identifies the existence of a disability prior to the injury/illness. The element uses the Response code list.
ProfessionalSanctionInfoThis aggregate identifies information regarding any professional sanctions levied on an individual party or service provider.
PurposeUseA short description explaining the purpose of the trip during which the accident occurred.
RestrictedWorkPeriodThe amount of time the party was engaged in restricted work duties as a result of this incident.
SocialSecurityIssuancePeriodThe years in which the individual's social security number was issued.
SSNValidationCdAn 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.
SuitFiledIndIndicates if this party has filed a lawsuit.
SuppressMatchIndIndicates if the submitter wishes to suppress the search that ordinarily is made upon submission of a new claim record.
SurgeryIndIndicates if the claimant has undergone surgery as a result of the injury.
TimeLostPeriodThe amount of time lost.
TINValidationCdAn 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.
WhereTakenDescA description of where the injured party was taken following the injury, other than an address.
WitnessIncidentIndIndicates if the witness saw the incident happen.
WitnessInfoThis aggregate captures information about the incident as reported by a witness.
WorkProcessDescA description of the work process the employee was engaged in when the accident or illness exposure occurred.

Attributes
AuthorizedRepRefDEPRECATED - Use Relationship aggregate with appropriate RelationshipToCd. This attribute is an identifier reference to a ClaimsParty that is an attorney or authorized representative of this individual.
EmployerRefDEPRECATED - Use Relationship aggregate with appropriate RelationshipToCd. This attribute is an identifier reference to a ClaimsParty that is employer of this individual.