ClaimsPayment

Description
This aggregate contains data regarding any reserves that were set or any claims payments made, including to whom the payment was made.

Type : Aggregate
DataType : ClaimsPayment_Type

Parents
CLAIMSNOTICEINFO

Elements
CheckNumberThis is used to represent the unique number imprinted on the check or draft.
ClaimsPaymentCovInfoThis aggregate contains the payment amounts per coverage code.
InsuredOrPrincipalThis aggregate provides information regarding the insured or principal on a policy or bond.
ItemIdInfoThe Item ID Information Aggregate is architectural in nature. It is used to identify an aggregate uniquely across transactions.
LiabilityClaimBasisCdA code signifying the basis for the claim relating to the Coverage Kind of Loss payment. This element uses the LiabilityClaimBasis code list.
LiabilityLossControlEventCdA code signifying the Loss control event category, noting that: Event is the categorization of the occurrence giving rise to the claim. This element uses the LiabilityLossControlEvent 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.
LossKindCdA code identifying the kind of loss that occurred. This element uses the LossKind code list.
MethodPaymentCdA code identifying the means by which the payment was/will be made. This element uses the MethodOfPayment code list.
PaymentDescA further description of the payment type.
PaymentDtDate on which this payment type activity took place.
PaymentTypeCdIdentifies the type of reserve or payment made. This includes true claims payments and adjustment expenses, as well as negative payment actions from subrogation recoveries, stop payments, and cancelled payments.Please note that a VOID of a prior payment should use a negative amount in order to effect a zero balance. This element uses the PaymentType code list.
ReferenceNumberReference number generated by the score issuing party.
ReserveChangeInfoThis aggregate contains information about a claim reserve.
ServiceDurationThe duration of service that this payment covers.
TotalClaimLossPaidAmtThe total amount paid on a claim. This amount should be sent only when the claim is closed and the claim status is Closed.
TotalPaymentAmtTotal amount of this payment type.
TotalPaymentDetailsThis aggregate identifies the breakdown of payments that comprise the TotalPaymentAmt aggregate.

Attributes
AdjusterPartyRefThis attribute is an identifier reference to the adjuster assigned to this payment.
ClaimsPartyRefThis attribute is an identifier reference to a ClaimsParty.
idThis attribute is an identifier to a specific element.
IdRefThis attribute is an identifier reference to a specific element within the stream.
SourceSystemRefThis attribute is an identifier reference to a source system.