Claim Party Information

For each Party Information placeholder, the PartyRole must be specified.  Enter an option from the following list:

 

PartyRole

Description

Claimant

The party submitting the claim.

Adjuster

The adjuster company attached to the claim.

Insurer

The insurer company underwriting the policy.

Assured

The client company attached to the policy.

Distributor

The distributor company attached to the policy.

 

 

Document

E-mail

Field

Core

Party Role

û

ü

ü

û

    E-mail

[[Party/PartyRole/PartyRole]]

    Calculated Field

[[Party/PartyRole/PartyRole]]

 

 

Document

E-mail

Field

Core

Party Claim Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/PartyClaimNumber]]

    Calculated Field

[[Party/PartyRole/PartyClaimNumber]]

 

 

Document

E-mail

Field

Core

Name

û

ü

ü

û

    E-mail

[[Party/PartyRole/Name]]

    Calculated Field

[[Party/PartyRole/Name]]

 

 

Document

E-mail

Field

Core

Phone Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/Phone]]

    Calculated Field

[[Party/PartyRole/Phone]]

 

 

Document

E-mail

Field

Core

Email Address

û

ü

ü

û

    E-mail

[[Party/PartyRole/Email]]

    Calculated Field

[[Party/PartyRole/Email]]

 

 

Document

E-mail

Field

Core

Fax Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/Fax]]

    Calculated Field

[[Party/PartyRole/Fax]]

 

 

Document

E-mail

Field

Core

Contact Name

û

ü

ü

û

    E-mail

[[Party/PartyRole/ContactName]]

    Calculated Field

[[Party/PartyRole/ContactName]]

 

 

Document

E-mail

Field

Core

Payment Method

û

ü

ü

û

    E-mail

[[Party/PartyRole/PaymentMethod]]

    Calculated Field

[[Party/PartyRole/PaymentMethod]]

 

 

Document

E-mail

Field

Core

Company Type

û

ü

ü

û

    E-mail

[[Party/PartyRole/CompanyType]]

    Calculated Field

[[Party/PartyRole/CompanyType]]

 

 

Document

E-mail

Field

Core

Party General Purpose Field One

û

ü

ü

û

    E-mail

[[Party/PartyRole/GeneralField1]]

    Calculated Field

[[Party/PartyRole/GeneralField1]]

 

 

Document

E-mail

Field

Core

Party General Purpose Field Two

û

ü

ü

û

    E-mail

[[Party/PartyRole/GeneralField2]]

    Calculated Field

[[Party/PartyRole/GeneralField2]]

 

 

Document

E-mail

Field

Core

Party General Purpose Field Three

û

ü

ü

û

    E-mail

[[Party/PartyRole/GeneralField3]]

    Calculated Field

[[Party/PartyRole/GeneralField3]]

 

 

Document

E-mail

Field

Core

Address Line One

û

ü

ü

û

    E-mail

[[Party/PartyRole/Address/AddressLine1]]

    Calculated Field

[[Party/PartyRole/Address/AddressLine1]]

 

 

Document

E-mail

Field

Core

Address Line Two

û

ü

ü

û

    E-mail

[[Party/PartyRole/Address/AddressLine2]]

    Calculated Field

[[Party/PartyRole/Address/AddressLine2]]

 

 

Document

E-mail

Field

Core

City

û

ü

ü

û

    E-mail

[[Party/PartyRole/Address/City]]

    Calculated Field

[[Party/PartyRole/Address/City]]

 

 

Document

E-mail

Field

Core

State or Province

û

ü

ü

û

    E-mail

[[Party/PartyRole/Address/StateProvince]]

    Calculated Field

[[Party/PartyRole/Address/StateProvince]]

 

 

Document

E-mail

Field

Core

Country

û

ü

ü

û

    E-mail

[[Party/PartyRole/Address/Country]]

    Calculated Field

[[Party/PartyRole/Address/Country]]

 

 

Document

E-mail

Field

Core

Postal Code

û

ü

ü

û

    E-mail

[[Party/PartyRole/Address/PostalCode]]

    Calculated Field

[[Party/PartyRole/Address/PostalCode]]

 

 

Document

E-mail

Field

Core

Payee Reference Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/ReferenceNumber]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/ReferenceNumber]]

 

 

Document

E-mail

Field

Core

Payee Name

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/Name]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/Name]]

 

 

Document

E-mail

Field

Core

Payee Address

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/Address]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/Address]]

 

 

Document

E-mail

Field

Core

Payee City

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/City]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/City]]

 

 

Document

E-mail

Field

Core

Payee State or Province

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/StateProvince]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/StateProvince]]

 

 

Document

E-mail

Field

Core

Payee Country

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/Country]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/Country]]

 

 

Document

E-mail

Field

Core

Payee Postal Code

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/PostalCode]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/PostalCode]]

 

 

Document

E-mail

Field

Core

Payee Phone Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/Phone]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/Phone]]

 

 

Document

E-mail

Field

Core

Payee Email Address

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/Email]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/Email]]

 

 

Document

E-mail

Field

Core

Payee Fax Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/Fax]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/Fax]]

 

 

Document

E-mail

Field

Core

Payment Method

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/PaymentMethod]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/PaymentMethod]]

 

 

Document

E-mail

Field

Core

Payment Currency

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/Currency]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/Currency]]

 

 

Document

E-mail

Field

Core

Payee General Purpose Field One

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/GeneralField1]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/GeneralField1]]

 

 

Document

E-mail

Field

Core

Payee General Purpose Field Two

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/GeneralField2]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/GeneralField2]]

 

 

Document

E-mail

Field

Core

Payee General Purpose Field Three

û

ü

ü

û

    E-mail

[[Party/PartyRole/PayeeInfo/GeneralField3]]

    Calculated Field

[[Party/PartyRole/PayeeInfo/GeneralField3]]

 

 

Document

E-mail

Field

Core

Bank Details, Account Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/AccountNumber]]

    Calculated Field

[[Party/PartyRole/BankInfo/AccountNumber]]

 

 

Document

E-mail

Field

Core

Bank Details, Routing Number

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/RoutingNumber]]

    Calculated Field

[[Party/PartyRole/BankInfo/RoutingNumber]]

 

 

Document

E-mail

Field

Core

Bank Details, Name

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/Name]]

    Calculated Field

[[Party/PartyRole/BankInfo/Name]]

 

 

Document

E-mail

Field

Core

Bank Details, Address

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/Address]]

    Calculated Field

[[Party/PartyRole/BankInfo/Address]]

 

 

Document

E-mail

Field

Core

Bank Details, City

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/City]]

    Calculated Field

[[Party/PartyRole/BankInfo/City]]

 

 

Document

E-mail

Field

Core

Bank Details, State or Province

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/StateProvince]]

    Calculated Field

[[Party/PartyRole/BankInfo/StateProvince]]

 

 

Document

E-mail

Field

Core

Bank Details, Country

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/Country]]

    Calculated Field

[[Party/PartyRole/BankInfo/Country]]

 

 

Document

E-mail

Field

Core

Bank Details, Postal Code

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/PostalCode]]

    Calculated Field

[[Party/PartyRole/BankInfo/PostalCode]]

 

 

Document

E-mail

Field

Core

Bank Details General Purpose Field One

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/GeneralField1]]

    Calculated Field

[[Party/PartyRole/BankInfo/GeneralField1]]

 

 

Document

E-mail

Field

Core

Bank Details General Purpose Field Two

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/GeneralField2]]

    Calculated Field

[[Party/PartyRole/BankInfo/GeneralField2]]

 

 

Document

E-mail

Field

Core

Bank Details General Purpose Field Three

û

ü

ü

û

    E-mail

[[Party/PartyRole/BankInfo/GeneralField3]]

    Calculated Field

[[Party/PartyRole/BankInfo/GeneralField3]]