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Medical indemnity claim finalisation mode code N[N]

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
METeOR identifier:Help on this term330109
Registration status:Help on this termHealth, Standard 07/12/2011
Definition:Help on this termA code set representing the process by which a medical indemnity claim was finalised.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN[N]
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
1Settled through state or territory-based complaints processes
2Settled through court-based alternative dispute resolution processes
3Settled through statutorily mandated compulsory conference process
4Settled—other
5Court decision
8Discontinued commenced claim
9Discontinued potential claim
Supplementary values:Help on this term
99Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

CODE 1   Settled through state or territory-based complaints processes

'Settled through state or territory-based complaints processes' includes proceedings conducted in state or territory health rights and health complaints bodies.

CODE 2   Settled through court-based alternative dispute resolution processes

'Settled through court-based alternative dispute resolution processes' includes mediation, arbitration, and case appraisal provided for under civil procedure rules.

CODE 3   Settled through statutorily mandated compulsory conference process

'Settled through statutorily mandated compulsory conference process' includes settlement conferences required by statute as part of a pre-court process.

CODE 4   Settled—other

'Settled—other' includes instances where a medical indemnity claim is settled part way through a trial or a negotiated settlement.

CODE 8   Discontinued commenced claim

'Discontinued commenced claim' means the discontinued medical indemnity claim has already commenced and now has the status of 'Commenced—claim file closed'.

Discontinued medical indemnity claims include claims which have been closed due to withdrawal by the claimant, or operation of statute of limitations, or particularly with potential claims where the claim manager decides to close the claim file because there has been a long period of inactivity on the matter. Discontinued medical indemnity claims also include instances where a commenced claim is discontinued part way through a trial.

CODE 9   Discontinued potential claim

'Discontinued potential claim' means the discontinued medical indemnity claim has not yet commenced and now has the status of 'Not yet commenced—claim file closed'.

CODE 99   Not stated/inadequately described

'Not stated/inadequately described' should be used for medical indemnity claims that have not yet been closed or a structured settlement has not yet been agreed.

Comments:Help on this termCode 5, 'Court decision', in this value domain maps to Code V, 'Case was settled by court judgement', in the Australian Prudential Regulation Authority National Claims and Policies Database 'Litigation status' data item (APRA 2006).

Source and reference attributes

Submitting organisation:Help on this termAustralian Institute of Health and Welfare
Steward:Help on this termAustralian Institute of Health and Welfare
Reference documents:Help on this termAPRA (Australian Prudential Regulation Authority) 2006. Data Specifications National Claims and Policies Database document number 3.1. Canberra: APRA

Relational attributes

Data elements implementing this value domain:Help on this term

Medical indemnity claim—medical indemnity claim finalisation mode, code N[N] Health, Standard 07/12/2011

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