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Medical indemnity claim status code NN

Definition

A code set representing the stage of a medical indemnity claim in the claims management process.

Representation

Data Type Number
Format NN
Maximum character length 2

Values

Value Meaning Start Date End Date
Permissible Values 10 Not yet commenced, claim file open
11 Not yet commenced, claim file closed
20 Commenced, claim file open
30 Commenced, claim file closed
32 Structured settlement, claim file open
33 Structured settlement, claim file closed
40 Claim previously closed, now reopened
50 Claim record rescinded, not a medical indemnity claim

Comments

Guide for use:

CODE 10 Not yet commenced, claim file open

'Not yet commenced, claim file open' indicates that a reserve has been set for the medical indemnity claim but none of the events signalling claim commencement have yet occurred and the claim remains open.

CODE 11 Not yet commenced, claim file closed

'Not yet commenced, claim file closed' indicates that a reserve has been set for the medical indemnity claim but none of the events signalling claim commencement have occurred, so the claim has been finalised as a discontinued potential claim.

CODE 20 Commenced, claim file open

'Commenced, claim file open' indicates that the medical indemnity claim has commenced and remains open.

CODE 30 Commenced, claim file closed

'Commenced, claim file closed' indicates that the medical indemnity claim has commenced and has been closed.

CODE 32 Structured settlement, claim file open

'Structured settlement, claim file open' indicates where a decision on a structured settlement has been reached but the medical indemnity claim file remains open.

CODE 33 Structured settlement, claim file closed

'Structured settlement, claim file closed' indicates where the medical indemnity claim was subject to a structured settlement and the medical indemnity claim file has been closed.

CODE 40 Claim previously closed, now reopened

'Claim previously closed, now reopened' indicates instances where a medical indemnity claim previously recorded as finalised on the Medical Indemnity National Collection (Public Sector) database has been reopened.

CODE 50 Claim record rescinded, not a medical indemnity claim

'Claim record rescinded, not a medical indemnity claim' indicates when the health authority determines that a record previously transmitted to the Australian Institute of Health and Welfare (the National Data Custodian) is not a medical indemnity claim but is another type of claim, a duplicate record with a different claim identifier, or the record of a health-care incident construed as a potential claim but on insufficient justification.

References


This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.

Related content

Relation Count
Data Elements implementing this Value Domain 1