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Part Claim Data Specifications - Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2021 - Claim Data Specifications | Zoe
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Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2021
Claim Data SpecificationsClaim Data Specifications Start here
Get a plain-English read of Claim Data Specifications Turn the raw legal text into a practical explanation grounded in Financial Sector (Collection of Data) (reporting standard) determination No. 2 of 2021.
Explain section Claim Data Specifications
Claims Data Data Item Public &<br>Products Professional Risk Field type[1] 1* Insurer code M M 6a 2* Record type M M 1a 3 Status at end of Reporting Period M M 1a 4* Month of End of Reporting Period M M 8n 5.1* Class of Business M M 2a 5.2* Product Type M M 3a 6* Policy Number M M 30a/n 7* Risk Number M M 30a/n 8* Claim Number M M 30a/n 9 Date of Loss M M 8n 10 Date of Report M M 8n 11 Date Finalised M1 M1 8n 12 Jurisdiction of Claim M1 M1 3a 13 Deductible/Excess M M 12n 14 General Nature of Loss M1 M1 1a 15 Cause of Loss M M 3a 16 Body Functions or Structures Affected M2 O 1a 17 Severity of Loss M2 O 1a&1n 18 Litigation Status
Previous section Record Layouts and Field Specifications Record Layouts and Field Specifications
Next section 3. Status at End of Reporting Period 3. Status at End of Reporting Period
19 Gross Payments in the Reporting Period M M 12n
20 Gross Payments to Date M M 12n
21 Gross Case Estimate at Start of Reporting Period M M 12n
22 Gross Case Estimate at End of Reporting Period M M 12n
23 Gross Third Party Recoveries Received M O 12n
24 Gross Third Party Recoveries Outstanding M O 12n
25.1 Past economic loss M M 12n
25.2 Future economic loss M M 12n
25.3 Past medical, hospital, caring and related services M M 12n
25.4 Future medical, hospital and related services M M 12n
25.5 Future caring services M M 12n
25.8 Plaintiff legal costs M M 12n
25.9 Defendant legal costs M M 12n
25.10 Investigation costs M M 12n
1Date must be DDMMYYYY, no delimiter.
M – mandatory field on all records from 1 July 2004.
M1 – mandatory only if field 3 (Status at end of Reporting Period) = “F”.
M2 – mandatory only if field 14 (General Nature of Loss) contains a bodily injury component.
Fields so indicated, as a combination, must be unique.
** A new claim is determined by the following process:
Image unavailable in extracted text Claims Record Data Field Definitions
A unique code assigned by APRA to each contributor.