Element
X12 EDI Release 00403
CFI
1129Adjustment Reason Code Characteristic
Specifies an additional characteristic of the adjustment reason
属性
数据类型ID
必须?Optional
Codes (156)
  • 1Primary Disability - Frozen
  • 2Primary Disability - Non-frozen
  • 3Dependent Disability - Frozen
  • 4Dependent Disability - Non-frozen
  • 5Retirement - Frozen
  • 6Retirement - Non-frozen
  • 7Permanent
  • 8Temporary
  • 9Canadian
  • 10Joint
  • 11Deferred
  • 12Eligible
  • 13Applied
  • 14Receiving
  • 15Defense Medical Evaluation
  • 16Delayed Reporting Penalty (Insured)
  • 17Engineering Services
  • 18Expert Test (Trial)
  • 19Expert Fees and Expenses (excluding tests and testimony)
  • 22Fee Schedule Savings
  • 23Fatal
  • 24Permanent Total
  • 25Permanent Total Supplemental
  • 26Permanent Partial Scheduled
  • 27Permanent Partial Unscheduled
  • 28Temporary Total
  • 29Temporary Partial
  • 30Employer Liability
  • 31Permanent Partial Disfigurement
  • 32Unspecified Employer Payments
  • 34Funeral Expenses
  • 35Penalties
  • 36Interest
  • 37Employer's Legal Expenses
  • 38Claimant's Legal Expenses
  • 39Payments to Physicians
  • 40Hospital Costs
  • 41Other Medical
  • 42Vocational Rehabilitation Evaluation
  • 43Vocational Rehabilitation Education
  • 44Other Vocational Rehabilitation
  • 45Total Temporary Catastrophic
  • 46Unknown Payment Type
  • 57Vocational Rehabilitation Maintenance
  • 58Claim Value Recovery
  • 60Deductible Recovery
  • 61Additional Living Expense
  • 62Alternative Dispute Resolution Services
  • 63Anesthesiologist
  • 64Annuity
  • 65Attorney Expenses
  • 66Attorney Fees
  • 67Auto Liability Subrogation
  • 69Not Eligible
  • 71Catastrophic Benefits
  • 72Central Index Bureau Filing Fees
  • 73Chiropractor
  • 74Indemnity Reserves
  • 75Medical Reserves
  • 76Expense Reserves
  • 77Vocational Rehabilitation Reserves
  • 78Indemnity Payments
  • 79Medical Payments
  • 80Expense Payments
  • 81Vocational Rehabilitation Payments
  • 82Claim Payment
  • 83Claim Reserve
  • 84Bodily Injury Payment
  • 85Bodily Injury Reserve
  • 86Property Damage Payment
  • 87Property Damage Reserve
  • 88Comprehensive Payment
  • 89Comprehensive Reserve
  • 90Collision Payment
  • 91Collision Reserve
  • 92Salvage
  • 93Expert Witness Fees
  • 94Claimant Legal Expense
  • 95Claimant Medical Evaluation
  • 96Commercial Photographers
  • 97Mandated Medical Exam
  • 98Death Benefits
  • 99Defense Attorney Fees and Expenses
  • A1Funeral Benefits
  • A2Hearing Attendance or Representation Fees
  • A3Hospital - Inpatient Charges
  • A4Hospital - Outpatient Charges
  • A5Hospital Bill Audit
  • A6Impairment Income Benefits
  • A7Independent Adjustor Expense
  • A8Independent Medical Exam
  • A9Legal Expenses - Miscellaneous
  • AAChiropractic Expenses
  • ABDental Expenses
  • ACPhysical Therapy Costs
  • ADPharmaceutical Costs
  • AEDurable Medical Costs
  • AFMedical Travel Costs
  • AGEmployee Medical-Legal Costs
  • AHEmployer-Claim Administrator Medical-Legal Costs
  • AIAgreed upon or Directed Medical-Legal Costs
  • AJUnallocated Funds
  • AKFuture Credit Recovery
  • B1Liability Settlement
  • B2Life Pension
  • B3Lump Sum Remarriage Payment
  • B4Lump Sum Settlement Amount
  • B5Major Case of Individual Case Reporting
  • B6Medical Equipment
  • B7Peer Review Board Expenses
  • B8Medical Management Services
  • B9Medical Records or Reports
  • C1Medical Rehabilitation
  • C2Medical Test (Trial)
  • C3No-fault benefit or expense (Non-Workers Compensation)
  • C4Nursing Care
  • C5Extended Care Facility
  • C6State Fund - Other
  • C7Penalties Paid on Medical Benefits
  • C8Penalties Paid on Indemnity Benefits
  • C9Pension Indemnity Benefit
  • D1
  • D2Personal Property or Contents
  • D3Pharmacy
  • D4Photographs other than Commercial
  • D5Physiotherapy
  • D6PPO (Preferred Provider Organization) Fees or Expenses
  • D7Product Liability Subrogation
  • D8Property Adjustment
  • D9Provider Bill Audit Expense
  • E1Radiology
  • E2Time and Expense Fees
  • E3Scheduled Award
  • E4Social Security
  • E5State Second Injury Fund
  • E6State Supplemental Fund
  • E7Supplemental Permanent Total Benefits
  • F1Testing Lab
  • F2Third Party Contribution
  • F3Transportation - Other
  • F4Transportation - Medical Treatment
  • F5Treating or Panel Physician
  • F6Utilization Review - Hospital
  • F7Utilization Review - Physician
  • F8Unallocated Indemnity
  • F9Unallocated Medical
  • G2Witness Fees and Expenses - Other than Expert Witness
  • G3Vocational Rehabilitation Training
  • G4Appraisal Fees
  • G5Autopsy Fees
  • G6Surveillance Special Investigation Fees and Expenses
  • G7Temporary Income Benefits
  • G8
  • G9Federal Second Injury Fund
  • H2Federal Supplemental Fund
  • H3Flat Rate