EESSI – CDM 4.3
AWOD-Accidents at Work and Occupational Diseases
DA025-v4.3.4
Reply to Contestation to Claim Interest on Late Payment – Interest (RPY_COC_ILP)
SED Guidelines
Document Control Information
Document Control
Value
Project Title
Electronic Exchange of Social Security Information (EESSI)
Document Name
DA025-v4.3.4
Document Category
SED guidelines
Revision
CDM Package
CDM 4.3.4
Last Update
Project Milestone
30/04/2024
EESSI - 2024
Document Status
Final
Sensitivity (TLP)
Distribution terms
Traffic Light Protocol (TLP) = “GREEN”
The distribution of this document is done strictly in line with the Traffic Light Protocol (TLP) established by the European Commission's note AC 790/15 REV for the EESSI project documentation.
In line with the note AC 790/15 REV, this document is labelled as TLP = “Green”. Therefore, it can be circulated widely within the EESSI community. However, the document or the information herein may not be published or posted on the Internet, nor released outside of the EESSI community.
Connected/Embedded Files
None
Authors
European Commission, DG EMPL A4, EESSI BA
Revised by
European Commission, DG EMPL A4, EESSI BA
Approved by
European Commission, DG EMPL A4, EESSI PMO
Document history
Milestone /
Component version
Publication Date
Changes/Corrections
Description
v4.3.4
30/04/2024
Implementation of change request EESSI-12076 by updating the attachments paragraph to reflect the way the attachments must be correctly referenced. Also added the Document history table.
DA025 – Reply to Contestation to Claim Interest on Late Payment -
Interest (RPY_COC_ILP)
Purpose of the SED:
The SED DA025 is used to reply to contestation to claim interest on late payment.
After receiving a contestation, only one reply on DA025 can be sent for full or partial contestation .
All attachments supporting the reply must be attached to the individual part of the DA025. An attachment, that is not correctly referenced to a specific individual part, cannot be forwarded to the competent institution, and might not be handled properly;
The amount of accepted contestation mentioned in DA025 refers only to the contestation and amount of benefits included in specific contestation round (DA024-DA025). It does not reference to all previous contestation round if the contestation branch was executed several times.
Acronyms used in DA025:
ILP – interest on late payment;
COC_ILP – contestation to claim interest on late payment;
RPY_COC_ILP – reply to contestation to claim interest on late payment.
Reimbursement SEDs includes 2 parts: global and individual.
Global part of DA025 includes following mandatory fields:
Reference numbers:
“Global ILP Reference Creditor Liaison Body” – a reference number of the ILP claim specified in the DA020, which should be copied without any change;
“Global COC_ILP Reference Debtor Liaison Body” – a reference number of the COC_ILP claim specified in the DA024, which should be copied without any change;
“Global RPY_COC_ILP Reference Creditor Liaison Body” - a reference number of the reply to contestation to ILP claim which allows to identify the reply in the next steps of the exchange and in any future communication (links the SEDs). It is a unique number for given reply and is repeated subsequently in the following SEDs at the global and at the individual level of SED.
Total number of contestation replies – which summarize the number of the replies for individual contestation and should be equal to the number of repeated () individual parts;
Total amount of accepted contestations – which summarize the amounts of the accepted contestation to ILP claim which are specified in each individual claim. If none of the contestation was accepted the amount is equal 0;
Date of submission – with a date on which DA025 is submitted by the Creditor Liaison Body (Case Owner).
Individual part of DA025, which can be repeated (), allows to provide information about the reply to each contestation for individual ILP claim and includes following mandatory fields:
ID Creditor / Debtor Institution – copied from DA020 – with identification data (Institution ID, institution name) either of the institution of the place of residence / stay which provided benefits and requested reimbursement (Creditor) or the competent institution which issued entitlement document and is responsible for covering the cost of the benefits (Debtor);
References – a set of references which allows to identify the COC_CRN_ILP on global and individual level and connect it with the previous SEDs, including:
“Global ILP Reference Creditor Liaison Body” – a reference number of
the ILP claim specified in the DA020, which allows to link individual COC_ILP with the original ILP claim (DA020) and should be copied without a change;
“Global COC_ILP Reference Debtor Liaison Body” – a reference number of the COC_ILP specified in the global part of DA024 which allows to link individual reply to contestations RPY_COC_ILP with the COC_ILP (DA024) and should be copied without a change;
“Global RPY_COC_ILP reference Creditor Liaison Body” - a reference number of the RPY_COC_ILP specified in the global part of DA025 which allows to link individual replies with the global part of DA025 and should be copied without a change;
“Individual ILP number Creditor Liaison Body” – a reference number of the individual ILP claim specified in the individual part of DA020 which allows to link the individual RPY_COC_ILP (DA025) with individual ILP claim (DA020) and should be copied without a change;
“Individual COC_ILP Number Debtor Liaison Body ” – a reference number of the individual COC_ILP specified in the individual part of DA024 which allows to link the individual RPY_COC_ILP (DA025) with the individual COC_ILP (DA024) and should be copied without a change;
“Individual RPY_COC_ILP number Creditor Liaison Body” – a reference number of the individual RPY_COC_ILP which allows to identify the replies in the next steps of the exchange and in any future communication (links the SEDs). It is a unique number for given reply and is repeated subsequently in the following SEDs at the individual level of SED.
Person receiving benefits – copied from DA020 – an information about the person who received the benefits in kind;
Reply to contestation – with a list of predefined reasons:
01 – Contestation accepted in full – should be chosen if the contestation
is accepted and the claims are being withdrawn from the ILP claim (DA010). If this reason is chosen amount of the accepted contestation must be provided. This amount is being summarized in the Total
amount of accepted contestation in the global part;
02 – Contestation partially accepted and invoice concerned decreased –
should be chosen if only part of the contestation for ILP claim has been accepted. If this reason is chosen adjusted amount of the individual interest should be provided (amount of claim which is still to be paid);
03 – Rectified corresponding claim interest number is – If this reply is
chosen the correct interest claim number must be provided
04 - Initial claim not paid in time, paid on – should be chosen if the ILP
claim has not been paid within the deadlines specified in the regulations. If this reply is chosen a date must be provided;
05 – Initial claim not contested in time, date of contestation – should be
chosen if the initial claim for which ILP claim has been introduced has been contested after the 18 months of the end of the month during which they were introduced to the Debtor Liaison Body (art. 12 par. 1 S9). If this reply is chosen a date must be provided;
06 – ILP received in time - – should be chosen if the ILP claim has not
been introduced after the deadline, i.e. before the 6 month following the month during which the late payment was made. If this reply is chosen a date must be provided
07 – Down payment not paid in time, payment received on. If this reply
is chosen a date must be provided;
08 – Down payment did not cover 90% of the total claim, covered
[percentage to be filled in]. If this reply is chosen the down payment percentage must be provided;
99 - Other – should be chosen if none of the replies available is
applicable and it is a free text field. If this reply is chosen details about the other reason must be provided in the free text field;
It is possible to choose only one reply among the ones available.
Amount accepted contestations – available if reply code 01 chosen – This is the amount of the accepted contestation which reduces the amount of the claim sent in DA020. The amount of accepted contestation refers only to the contestation and amount of benefits included in the specific contestation round (DA024 – DA025). It does not include the amounts of accepted contestations from all previous contestation rounds (if the contestation branch was executed several times). The CURRENT claim amount will be reduced by this amount
It is possible to add attachments to DA025. Especially the proof to support the reply to contestations. All attachments supporting the reply must be attached to the individual part of the SED. An attachment that is not correctly referenced to a specific individual part might not be handled properly.
In order to see the content and explanatory notes of SED DA025 please click here.