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Insurance claim solicitor's instruction message
This specification provides the definition of the Insurance claim solicitor's instruction message (ICSOLI) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport.
1.1. Functional definition
The Insurance claim solicitor's instruction message is exchanged between insurers and solicitors acting on behalf of the insurer during claim dispute resolution. It allows the insurer to provide claim details and instructions and the solicitor to report progress and resolution details.
1.2. Field of application
The Insurance claim solicitor's instruction 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.
Each instance of the message contains information relating to one claim only.
The message may be used to exchange information of a claim dispute irrespective of the type of resolution being applied e.g. court settlement, independent arbitration, negotiation etc.
The message is used by insurers to provide policy and claim information to the solicitor and also to request a progress update.
It is used by the solicitor to request information from an insurer as well as to provide progress and resolution details.
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.
3.2. Message terms and definitions
Quantum - a legal term used by solicitors to mean "An estimate of the total amount that may be paid by one party to another in compensation for a loss"
4. MESSAGE DEFINITION
4.1. Segment clarification
This section should be read in conjunction with the segment table which indicates mandatory, conditional and repeating requirements.
4.1.1. Header section
Information to be provided in the Header section:
0010 UNH, Message header
A service segment starting and uniquely identifying a message. The message type code for the Insurance claim solicitor's instruction message is ICSOLI.
Note: Insurance claim solicitor's instruction messages conforming to this document must contain the following data in segment UNH, composite S009:
0020 BGM, Beginning of message
To identify the purpose and status of the Insurance claim solicitor's instruction message, such as instruction, progress report, resolution details.
0030 RFF, Reference
To identify the version of the message implementation guide being used in the application.
0040 SEQ, Sequence details
To identify the sequence number of the message in a series of messages relating to the same claim, incident or action.
0050 DTM, Date/time/period
Contains the creation date of the message.
0060 EFI, External file link identification
To enable cross reference to electronic files containing photographic or video files associated with this message.
Contains details of one policy under which the claim was reported. Required when the message type is instruction.
0080 ICD, Insurance cover description
To identify the class of policy.
0090 MOA, Monetary amount
Contains monetary amounts relating to the policy excesses and indemnity limits.
0100 ATT, Attribute
Identifies the type of indemnity provided, and the area of jurisdiction specified by the policy.
0110 RFF, Reference
To specify reference numbers which are specific to the policy, e.g. policy number.
0120 DTM, Date/time/period
To specify the start and end dates for the cover under the policy.
0130 QRS, Query and response
Used to convey whether indemnity is unlimited and whether there was a previous policy in force.
0140 FTX, Free text
Contains a text description of the reason why policy cover is at issue and the legal venue specified in the policy.
SG5 A group of segments used to identify all the parties involved in the transaction. The group will be used in all identified
0160 PNA, Party identification
Contains the name of the party in text or a coded identification of the name and address of the party together with the role of the party in the message.
0170 RFF, Reference
To specify those references which are specific to the party, e.g. national insurance number.
0180 EMP, Employment details
Contains a coded description of the occupation or business of the party.
0190 DTM, Date/time/period
Indicates dates which are relevant to the party, e.g. date of birth, date exposure commenced.
0200 PCD, Percentage details
To specify percentages applicable to the party, e.g. co-insurers proportion.
0210 QRS, Query and response
Used to convey whether the party is registered for value added tax or under a legal disability.
0220 FTX, Free text
Provides a textual description of the function of a party in a message.
0230 COM, Communication contact
Provides the communication number and channel for a contact party. Note: where the communication details are linked to an address they should be included in the address group.
0240 ATT, Attribute
Contains a coded identification or text description of an attribute of the party, e.g. title, gender, trading status.
Contains address details for the party and communication information related to that address. Note: if the address is included in the coded identification of the party it does not need to be repeated here.
0260 ADR, Address
Contains the address type and details for the party.
0270 COM, Communication contact
Contains a communication number and type of communication for the party at the address, e.g. telephone number.
Contains details and amounts relating to quantum applicable to the party in respect of damage, loss or injury caused to the party by the insured risk.
0290 ROD, Risk object type
Contains the type of quantum in respect of the damage, injury or loss caused to the party by the insured risk.
0300 MOA, Monetary amount
Contains the monetary amount and status of the quantum.
0310 FTX, Free text
Contains the text description of the type of quantum, required if non-standard and no code available.
Contains details of convictions sustained by the party.
0330 COD, Component details
Identifies the group as containing conviction information.
0340 ATT, Attribute
Identifies the type of sentence.
0350 IDE, Identity
Makes reference to other parties related to the offence.
0360 RFF, Reference
Contains a reference which uniquely identifies the conviction.
0370 DTM, Date/time/period
Contains the date of the conviction and periods relating to the conviction, e.g. length of disqualification.
0380 MOA, Monetary amount
Contains the monetary amount of a fine resulting from the conviction.
0390 EQN, Number of units
Contains the number of penalty points relating to the conviction.
0400 QRS, Query and response
Advises whether the conviction is related to the claim which is the subject of the message.
4.1.2. Detail section
Information to be provided in the Detail section:
0410 UNS, Section control
A service segment placed at the start of the detail section to avoid segment collision.
A group of segments containing details of the claim event.
0430 EVE, Event
Contains a qualifier identifying the segment as claim/loss.
0440 ADR, Address
Contains the location or addresses relevant to the claim event.
0450 RFF, Reference
Identifies the claim number.
0460 DTM, Date/time/period
Contains dates relating to the claim event, e.g. incident start and end date.
0470 QRS, Query and response
Used to convey information relevant to the claim such as whether the solicitor has delegated authority, whether aggregate indemnity/excess or indemnity is at issue, whether the claim is a recovery etc.
0480 FTX, Free text
Contains a text description of the claim. e.g. claim circumstances.
Contains the type, status and amount of a recovery or the type and amount of reserve applicable to the claim.
0500 ATT, Attribute
Contains the type and status of a recovery or the type of reserve.
0510 MOA, Monetary amount
Contains the monetary amount of the reserve or recovery.
A group of segments containing information relating to payments in connection with the claim or dispute resolution.
0530 PYT, Payment terms
Contains a coded identification or textual description of the nature of the monetary value, also whether it is a payment or receipt.
0540 MOA, Monetary amount
Contains the payment/receipt amount.
0550 PNA, Party identification
Contains the full name of the payee.
0560 FII, Financial institution information
Contains the financial institution account number and sort code of the payee.
0570 ATT, Attribute
Contains a coded identification of the payment status, e.g. payment made, make payment etc.
0580 RFF, Reference
Contains the roll number, accounting reference of the payee and a coded identification of the party to whom the payment should be sent.
A group of segments containing information relating to a dispute resolution in connection with the claim.
0600 COD, Component details
Contains a coded identification of the method of dispute resolution, e.g. Crown Court, Civil County Court, mediation etc.
0610 ATT, Attribute
To specify coded attributes relating to the dispute resolution.
0620 RFF, Reference
Contains the reference of the dispute resolution.
0630 ADR, Address
Contains the address details or location where the dispute resolution is to be held. Note: this is used where the address or location is not related to a party, e.g. an inquest may be held at any suitable location such as a cinema or local hall.
0640 DTM, Date/time/period
Contains dates relevant to the dispute resolution e.g. proceedings issue date, dispute resolution date etc.
0650 QRS, Query and response
Used to request whether there are other proceedings in force.
0660 FTX, Free text
Contains a textual description of the dispute resolution or other proceedings.
A group of segments containing information relating to progress in connection with a dispute resolution.
0680 IMD, Item description
Identifies the type of progress, e.g. trial, close of pleadings etc.
0690 ATT, Attribute
Contains a coded identification of the status of progress and/or coroner verdict.
0700 RFF, Reference
Contains the unique identifying reference of a party associated with the progress.
0710 DTM, Date/time/period
Contains dates relevant to the progress, e.g. response date progress as at date etc.
0720 MOA, Monetary amount
Contains details of a monetary amount related to the progress.
0730 FTX, Free text
Contains a textual description of progress.
0740 UNT, Message trailer
A service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message.
4.2. Segment index (alphabetical sequence by tag)
4.3. Message structure
4.3.1. Segment table
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