ActualWeeklyAmt | The actual weekly amount. |
ClaimsFinancialSummary | This aggregate contains summary information on payments, reserves and recoveries. |
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. |
ClaimsParty | This aggregate contains information regarding any entity that has an "interest" or "involvement" in the claim, except for the adjuster. |
ClaimStatusCd | Current status of the claim. This uses the ClaimStatus code list. |
ClaimStatusDt | Date the ClaimsStatusCd became effective. |
FraudulentClaimCd | An industry code, used in Workers Comp claims and only from a finding of fraud in accordance with the applicable state law, to indicate the involvement of fraud in the claim. The source of this code is the Workers Compensation Insurance Organization (WCIO). |
ICRInfo | The Individual Case Report (ICR) Information aggregate contains information specific to the WCIO WCSTAT ICR record data elements that do not map to other areas of the specification. |
ItemIdInfo | The Item ID Information Aggregate is architectural in nature. It is used to identify an aggregate uniquely across transactions. |
JurisdictionCd | The state that has jurisdiction. There are multiple sources for this code list. |
LossCondition | This aggregate contains information on the loss conditions of a claim. |
LossDt | The date the accident, incident, loss, occurrence, injury or illness occurred. |
LumpSumInd | Indicates that a lump sum payment was made. |
ManagedCareCd | Code which identifies the type of organization that will administer the applicable medical losses on the claim. The source of this code is the Workers Compensation Insurance Organization (WCIO). |
NumClaims | The numeric count of all claims which occurred during the policy period. |
RatingClassificationCd | An industry code used to classify the exposure, risk, or coverage. The source of this list includes various bureaus, insurers, and other state manuals or rating organization. |
SequenceNumber | A generic sequence number used to order "anything" or "anyone" associated with this transaction. |
VocationalRehabInd | Indicates the inclusion of vocational rehabilitation costs in the losses. |