| CheckNumber | This is used to represent the unique number imprinted on the check or draft. |
| ClaimsPaymentCovInfo | This aggregate contains the payment amounts per coverage code. |
| InsuredOrPrincipal | This aggregate provides information regarding the insured or principal on a policy or bond. |
| ItemIdInfo | The Item ID Information Aggregate is architectural in nature. It is used to identify an aggregate uniquely across transactions. |
| LiabilityClaimBasisCd | A code signifying the basis for the claim relating to the Coverage Kind of Loss payment. This element uses the LiabilityClaimBasis code list. |
| LiabilityLossControlEventCd | A 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. |
| LossCauseCd | An 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. |
| LossKindCd | A code identifying the kind of loss that occurred. This element uses the LossKind code list. |
| MethodPaymentCd | A code identifying the means by which the payment was/will be made. This element uses the MethodOfPayment code list. |
| PaymentDesc | A further description of the payment type. |
| PaymentDt | Date on which this payment type activity took place. |
| PaymentTypeCd | Identifies 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. |
| ReferenceNumber | Reference number generated by the score issuing party. |
| ReserveChangeInfo | This aggregate contains information about a claim reserve. |
| ServiceDuration | The duration of service that this payment covers. |
| TotalClaimLossPaidAmt | The total amount paid on a claim. This amount should be sent only when the claim is closed and the claim status is Closed. |
| TotalPaymentAmt | Total amount of this payment type. |
| TotalPaymentDetails | This aggregate identifies the breakdown of payments that comprise the TotalPaymentAmt aggregate. |