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Medical indemnity claim management episode—reserve size, range code N[N]

This item has been superseded by a newer version by one or more Registration Authorities.

Definition

The estimated cost to the health authority of a medical indemnity claim when closed, including legal and investigative costs and claimant payment costs, as represented by a code.

Components

Data Element (this item)
Medical indemnity claim management episode—reserve size, range code N[N]

Representation

This representation is based on the value domain for this data element, more information is available at " Medical indemnity claim reserve range code N[N] ".
Data Type Number
Format N[N]
Maximum character length 2
Values
Value Meaning Start Date End Date
Permissible Values 1 Less than $10,000
2 $10,000 to less than $30,000
3 $30,000 to less than $50,000
4 $50,000 to less than $100,000
5 $100,000 to less than $250,000
6 $250,000 to less than $500,000
7 $500,000 to less than $1 million
8 $1 million to less than $2 million
9 $2 million to less than $5 million
10 $5 million or more

Comments

Guide for use:

The health authority may adjust its reserve based on information that comes to hand subsequent to when the reserve was initially set, and/or based on expenses that are incurred prior to the finalisation of the claim. The amount recorded should reflect the current reserve against the medical indemnity claim at the end of the relevant financial year.

Comments:

Insurance Statistics Australia produces a reserve estimate for current medical indemnity claims, by combining its National Claims and Policies Database (APRA 2006) data items 20 'Gross payments to date' and 22 'Gross case estimate at end of reporting period'. Addition of these two dollar amounts produces the reserve estimate, which can be mapped to the Medical Indemnity National Collection ranges (AIHW 2011).

References

AIHW (Australian Institute of Health and Welfare) 2011. Public and private sector medical indemnity claims in Australia 2008–09. Safety and quality of health care series no.10. Cat. no. HSE 112. Canberra: AIHW

APRA (Australian Prudential Regulation Authority) 2006. Data specifications National Claims and Policies Database document number 3.1. Canberra: APRA


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
Input in Derivations 0
Output in Derivations 0
Inclusion in Data Set Specifications 1
Inclusion in Data Distributions 0
As a numerator in an Indicator 0
As a denominator in an Indicator 0
As a disaggregation in an Indicator 0