Element
X12 EDI Release 00401
LC
1203Maintenance Reason Code
Code identifying the reason for the maintenance change
属性
数据类型ID
必须?Optional
Codes (109)
  • 10Consolidation Omnibus Budget Reconciliation Act (COBRA) Premium Paid
  • 11Surviving Spouse
  • 12Lay Off
  • 13Leave of Absence
  • 14Voluntary Withdrawal
  • 15Primary Care Provider (PCP) Change
  • 16Quit
  • 17Fired
  • 18Suspended
  • 19Sabbatical
  • 20Active
  • 21Disability
  • 22Plan Change
  • 23Furloughed
  • 24Resigned
  • 25Change in Identifying Data Elements
  • 26Declined Coverage
  • 27Pre-Enrollment
  • 28Initial Enrollment
  • 29Benefit Selection
  • 30Discrimination Test
  • 31Legal Separation
  • 32Marriage
  • 33Personnel Data
  • 34Investment Elections and Contribution Rates
  • 35Loan Repayment
  • 36Contribution or Plan Allocation
  • 37Leave of Absence with Benefits
  • 38Leave of Absence without Benefits
  • 39Lay Off with Benefits
  • 40Lay Off without Benefits
  • 41Re-enrollment
  • 42New Entity
  • 43Change of Location
  • 44Change of Telephone Number
  • 45Went Out of Business
  • 46Current Customer Information File in Error
  • 47Account Balance Reporting
  • 48Fees Processing
  • 49Interfund Transfer
  • 50Loan Request
  • 51Enrollment in Subsequent Benefit Plan
  • 52Health Care Facility Change
  • 53Name Synonym Add
  • 54Sub Location Add
  • 55Sub Location Change
  • 56Sub Location Expire
  • 57Buyout
  • 58Merger
  • 59Non Payment
  • 60Coverage Placed Elsewhere
  • 61Duplicate Coverage
  • 62Change in Ownership
  • 63Business Sold
  • 64Underwriting Reason
  • 65No Employees, Exposure or Operations
  • 66Revocation of Voluntary Market Acceptance
  • 67Include Primary Business Management
  • 68Exclude Primary Business Management
  • 69Failure to Pay Deductible
  • 70Misrepresented Information
  • 71Rewritten
  • 72Adding a Jurisdiction
  • 73Deleting a Jurisdiction
  • 75Occupational Illness
  • 76Change Insured Federal Employer Identification Number (FEIN)
  • 77Change Employer Federal Employer Identification Number (FEIN)
  • 78Change Employer Unemployment Insurance (UI) Code
  • 79Change Policy Number
  • 80Modification without a Specific Operating Unit Location in Jurisdiction
  • 81Change Policy Effective Date
  • 82Change Policy Expiration Date
  • 83Change Insurer Federal Employer Identification Number (FEIN)
  • 84No Eligible Employees
  • 85Reinstatement - Canceled in Error
  • 86Change in Insured Information
  • 87Change in Employer Information
  • 88Parent Identification Change
  • 89Change to Expiration Date
  • 90Phone Verify Only
  • 01Divorce
  • 02Birth
  • 03Death
  • 04Retirement
  • 05Adoption
  • 06Strike
  • 07Termination of Benefits
  • 08Termination of Employment
  • 09Consolidation Omnibus Budget Reconciliation Act (COBRA)
  • 4ABusiness Name Change
  • 4BBusiness Name Correction
  • 4CPhysical or Mailing Address Correction
  • AADissatisfaction with Office Staff
  • ABDissatisfaction with Medical Care/Services Rendered
  • ACInconvenient Office Location
  • ADDissatisfaction with Office Hours
  • AEUnable to Schedule Appointments in a Timely Manner
  • AFDissatisfaction with Physician's Referral Policy
  • AGLess Respect and Attention Time Given than to Other Patients
  • AHPatient Moved to a New Location
  • AINo Reason Given
  • AJAppointment Times not Met in a Timely Manner
  • XBBecame Medical Only
  • XIIndemnity
  • XLBecame Lost Time
  • XMMedical Only
  • XNNotification Only
  • XTTransfer
  • ZZMutually Defined