Definition
Components
-
Data Element ConceptMedical indemnity claim management episode—reserve size
-
Object ClassMedical indemnity claim management episode
-
PropertyReserve size
-
-
Value DomainMedical indemnity claim reserve 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 |
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.