Reply on contestation of individual claim (RPY

S084 - Reply on contestation of individual claim (RPY_COC)
Articles 62, 66(1), 67 of Regulation (EC) No 987/2009

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Global note RPY_COC * [ SED ]

1.1. Global CLA Reference Creditor Liaison Body *

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1.2. Global COC Reference Debtor Liaison Body *

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1.3. Global RPY_COC Reference Creditor Liaison Body *

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1.4. Total Number Of Contestation Replies *

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1.5. Total amount of accepted contestations * [ CC ]

1.5.1. Amount *

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1.5.2. Currency *

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1.6. Date Of Submission *

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2. Individual RPY_COCs * [ SED ]

2.1. Individual RPY_COC * [ SED ]

2.1.1. ID Creditor Institution * [ CC ]

2.1.1.1. Institution ID *

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2.1.1.2. Institution Name *

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2.1.2. ID Debtor Institution * [ CC ]

2.1.2.1. Institution ID *

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2.1.2.2. Institution Name *

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2.1.3. References * [ SED ]

2.1.3.1. Global CLA Reference Creditor Liaison Body *

[ BDT ] {{metaSection.globalCLAReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalCLAReferenceCreditorLiaisonBody.$$warning}}

2.1.3.2. Global COC Reference Debtor Liaison Body *

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2.1.3.3. Global RPY_COC Reference Creditor Liaison Body *

[ BDT ] {{metaSection.globalRPYCOCReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalRPYCOCReferenceCreditorLiaisonBody.$$warning}}

2.1.3.4. Individual CLA number Creditor Liaison Body *

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2.1.3.5. Individual COC number Debtor Liaison Body *

[ BDT ] {{metaSection.individualCOCNumberDebtorLiaisonBody.$$error}} {{metaSection.individualCOCNumberDebtorLiaisonBody.$$warning}}

2.1.3.6. Individual RPY_COC number Creditor Liaison Body *

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2.1.4. Person receiving benefits * [ CC ]

2.1.4.1. Person Information * [ CC ]

2.1.4.1.1. Family name(s) *

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2.1.4.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

2.1.4.1.3. Date of birth *

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2.1.4.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

2.1.4.2. Family name(s) at birth

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2.1.4.3. Forename(s) at birth

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2.1.4.4. Person Identification Number * [ CC ]

2.1.4.4.1. PIN of the person in Competent Member State *

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2.1.4.4.2. PIN of the person in Member State of Stay or Residence

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2.1.5. Contestation Reply Code *

[ ENUM ] {{metaSection.contestationReplyCode.$$error}} {{metaSection.contestationReplyCode.$$warning}}

Please fill in the following if "Contestation reply code" = "03 - Contestation after deadline, received on" or "06 - The primary entitlement in state of residence starts on" : [ SED ]

Please fill in the following if "Contestation reply code" = "99 - Other" : [ SED ]

Please fill in the following if "Contestation reply code" = " 01 - Contestation accepted in full and invoice concerned is decreased " OR "02 - Contestation partially accepted and invoice concerned is decreased" : [ SED ]

2.1.6.1. Contestation Reply Code Date

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2.1.7.1. Contestation Reply Code Other

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2.1.8.1. Benefits after accepted contestation [ SC ]

2.1.8.1.1. Nature of benefits *

[ ENUM ] {{metaSection.natureBenefits.$$error}} {{metaSection.natureBenefits.$$warning}}

2.1.8.1.2. Benefits Period * [ CC ]

2.1.8.1.2.1. Start Date *

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2.1.8.1.2.2. End Date *

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2.1.8.1.3. All Benefits Amount * [ SC ]

2.1.8.1.3.1. Medical Care Amount

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2.1.8.1.3.2. Medicine Amount

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2.1.8.1.3.3. Dental Care Amount

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2.1.8.1.3.4. Long-term Care Amount

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2.1.8.1.3.5. Hospitalisation Benefits [ SC ]

2.1.8.1.3.5.1. Hospitalisation benefit [ SC ]

2.1.8.1.3.5.1.1. Hospitalisation period [ CC ]

2.1.8.1.3.5.1.1.1. Start Date *

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2.1.8.1.3.5.1.1.2. End Date *

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2.1.8.1.3.5.1.2. Hospitalisation Amount *

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2.1.8.1.3.5.1.Hospitalisation benefit

2.1.8.1.3.6. Other benefit(s) [ SC ]

2.1.8.1.3.6.1. Other benefit [ SC ]

2.1.8.1.3.6.1.1. Other Benefit Description *

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2.1.8.1.3.6.1.2. Other Benefits Amount *

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2.1.8.1.3.6.1.Other benefit

2.1.9. Individual amount accepted contestations * [ CC ]

2.1.9.1. Amount *

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2.1.9.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.1.Individual RPY_COC

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S084 - Reply on contestation of individual claim (RPY_COC) Articles 62, 66(1), 67 of Regulation (EC) No 987/2009

S084 - Reply on contestation of individual claim (RPY_COC)
Articles 62, 66(1), 67 of Regulation (EC) No 987/2009