Definition
Components
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Data Element ConceptMedical indemnity claim—legal and investigative expenses amount
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Object ClassMedical indemnity claim
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PropertyLegal and investigative expenses amount
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Value DomainTotal Australian currency N[N(8)]
Representation
This representation is based on the value domain for this data element, more information is available at " Total Australian currency N[N(8)] ".| Data Type | Currency |
|---|---|
| Format | N[N(8)] |
| Maximum character length | 9 |
Comments
Guide for use:
The amount records these expenses cumulatively up to and including the year in which the claim is closed. Except when there have been recoveries from third parties, the amount recorded for this item should be at least as much as that recorded for the same claim in a previous year, including when a claim changes its status from closed to reopened.
Claimant legal costs, whether or not paid by the insurer, are excluded.
The recorded amount should be $0 when there have been no legal defence or investigative costs.Comments:
APRA (2006) data item 25 'Gross Claim Payments by Head of Damage before Third Party Recoveries' for finalised claims has 3 fields, 'Defendant legal costs' (25.9), 'Investigation costs' (25.10), and 'Other' (25.11), whose summed AU$ equals the AU$ amount for this Medical indemnity Data Set Specification data item for closed claims.
References
This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.