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  UN/EDIFACT  D.03A (Batch) Syntax version 3 Issue date 2003-06-23  
  Message type specification ICASRP
 
 
ICASRP 2 Insurance claim assessment and reporting message  
  Date:
2003-06-10

Source:
TBG8 Insurance

0. INTRODUCTION
This specification provides the definition of the Insurance claim assessment and reporting message (ICASRP) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport.

1. SCOPE
The Insurance claim assessment and reporting message may be used for both national and international applications. It is based on universal practice related to administration, commerce and transport, and is not dependent on the type of business or industry.

1.1 Functional definition
The Insurance claim assessment and reporting message is exchanged between all parties involved in the claims handling process. Claims handling parties include insurers, intermediaries, assessors and repairers. The claims handling process includes the functions, claim notification, assessment request, assessment report, repair estimate, repair authorisation, claim progress reporting.

1.2 Field of application
The Insurance claim assessment and reporting message may be used for both national and international applications. It is based on universal practice related to administration, commerce and transport, and is not dependent on the type of business or industry.

1.3 Principles
Each message contains information relating to one insurance claim against one policy only, although any related claims may be referenced. A claim results from one incident, although that incident may have many sub-incidents. For example the claim may result from storm damage, but that may include lightning strike, flood damage and fire damage caused by electrical short circuit. The message supports all types of claims, including motor, household, commercial. The specific type of object which is the subject of the claim is specified within the risk object details group. A generic 'component' group is positioned below the risk object and is used to describe information relating to the risk object. The actual content of the component group will vary depending on the type of risk object, for example if the object is a motor vehicle the components may include modifications and security devices, but if the object is a house the components may include construction and occupancy.
The type of component is specified by a code within the component details segment which identifies a type of entity from the insurance data model. The re-usable component group is also used elsewhere in the message to provide the flexibility needed to describe the other main information blocks, such as incident, party and insurance history. Inside each of the segment groups an identity segment is positioned to allow the provision of unique identifiers for each instance of the group.
The identifiers may then appear inside other segment groups as 'keys' that provide a relational link e.g. linking each object to its appropriate insurance cover, linking parties to documents or linking child objects to their parent object. Some of the information in the message appears twice, in a 'before' and 'after' state. The insurer will provide information on cover as defined in the policy, together with any conditions and limitations for example there may be a minimum and maximum excess amount written into the policy. The information is then used by the person assessing the claim to derive the covers and amounts that apply to the circumstances of the claim e.g. the amount of excess to be paid on this claim

2. REFERENCES
See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 1.

3. TERMS AND DEFINITIONS

3.1 Standard terms and definitions
See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 2.

4. MESSAGE DEFINITION

4.1 Data segment clarification
This section should be read in conjunction with the segment table which indicates mandatory, conditional and repeating requirements.
 
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