Segment
X12 EDI Release 00403
To identify the category of underwriting data being transmitted
Elements
Specifies the situation or category to which the code applies
Codes (406)- 10Enteral or Parenteral Therapy Certification
- 11Oxygen Therapy Certification
- 12Admitting Diagnosis
- 13Principal Diagnosis
- 14Pre-Existing Physical Condition
- 15Pre-Existing Mental Condition
- 16Routine Foot Care Class Finding
- 17Systemic Condition for Routine Foot Care
- 18Co-op Advertising
- 19Commercial Advertising
- 20Specimen Kit Type Code
- 21Laboratory Test Condition Code
- 22Automobile Loss
- 23Laboratory Results Identification Code
- 24Line of Business Code
- 25United States Department of Vital Statistics E-Code
- 26Employment Status Information
- 27Income
- 28Loan Information
- 29Injury or Illness
- 30Benefit Adjustment
- 31Claimant
- 32Contractholder Branch
- 33Contractholder
- 34Secondary Claim Administrator
- 35Primary Claim Administrator
- 36Reporting Agency
- 37Process
- 38Hazardous Material
- 39Activity
- 40Accident
- 41Initial Treatment
- 42Cause of Injury
- 43Part of Body
- 44Nature of Injury
- 45Source of Injury
- 46Job
- 47Loss Prevention
- 48Managed Care
- 49Risk Management
- 50Claim Handling
- 51Event or Exposure
- 52Equipment or Materials or Chemicals
- 53Coverage
- 54Overbite
- 55Overjet
- 56Profile
- 57Crossbite
- 58Arch Asymmetry
- 59Dentition Midline
- 60Crowding
- 61Molars
- 62Cuspids
- 63Interviewee
- 64Verification of Deposit
- 65Verification of Mortgage
- 66Verification of Income or Employment or Both
- 67Verification of Rent
- 68Verification of Loan or Installment Debt or Both
- 69Anti-fungal Therapy
- 70Hospice
- 71Primary Diagnosis
- 72Secondary Diagnosis
- 73Tertiary Diagnosis
- 74Procedure Code
- 75Functional Limitations
- 76Activities Permitted
- 77Mental Status
- 78Manner Property Title Held
- 79Property Improvements
- 80Complete Appraisal
- 81Limited Appraisal
- 82Restricted Appraisal Report Limiting Conditions
- 83Route of Administration
- 84Borrower Information
- 85Contract Information
- 86Fannie Mae (Federal National Mortgage Association)
- 87Freddie Mac (Federal Home Loan Mortgage Corporation)
- 88Deductible
- 89Advertising Copy
- 90Private Remarks
- 91Compensation Notes
- 92Open House Notes
- 93Tour Notes
- 94Terms of Sale
- 95Restrictions
- 96Disclosures
- 97Exceptions
- 98Inclusions
- 99Lease Type
- 01Pre-existing Conditions
- 02Diagnosis
- 03Condition
- 04Occurrence
- 05Occurrence Span
- 06Value
- 07Ambulance Certification
- 08Chiropractic Certification
- 09Durable Medical Equipment Certification
- A1Mortgage Record Change
- A2Mortgage Insurance Termination
- A3Mortgage Insurance Cancellation
- A4Mortgage Servicing Transfer
- A5Appraisal
- A6State License Disciplinary Action
- A7Source of Data
- A8Endorsement
- A9Notification
- AAAll
- ABAgent's Questions
- ACAgent's Share
- ADBenefits
- AEContact or Reference Information
- AFCost Basis
- AGDriving Infractions
- AHExcess Dividend Use
- AIHome Health Aide
- AJExisting Coverage Information
- AKHospitalization
- ALActivity Limitations
- AMJuvenile Information
- ANOccupation Information
- AOPersonal Finance and Business Information
- APAppearance
- AQRating Information
- ARArrest
- ASReplaced Amount
- ATAuthority
- AUAutomated Underwriting Information
- AVAviation
- AWSurgery
- AXTravel Information
- AYAge Remark
- AZProperty Remark
- B1Audit Data
- B2Declaration Sheet Indicator
- B3Servicing Data
- B4Single Family
- B5Multifamily
- B6Payment Handling
- B7Ginnie Mae 1
- B8Ginnie Mae 2
- B9Ginnie Mae 2 Custom
- BABankruptcy
- BBBusiness Beneficiary
- BCBuilding Condition
- BDBuydown
- BEBeneficiary
- BFTax Agency Parcel Identifier
- BGHistorical Performance
- BHProduct Rules
- BICommercial Property
- BJUnimproved Land
- BKBanking
- BLNew Contract
- BMOriginal Contract
- BNAccess
- BPBankruptcy Petition
- BQAgent Sales Trend
- BRBroker's Price Opinion
- BSBankruptcy Statement of Financial Affairs
- BTBillings Trend
- BUAssets
- BVCash Flow
- BWCompetition
- BXCredit Line
- BYCreditors Arrangement
- BZCreditors Meeting
- C1Depreciation Conditions
- C2Adverse Environment Conditions
- C3Miscellaneous Adverse Conditions
- C4Site Conditions
- C5Subject Property Conditions
- C6Board of Directors
- C7Reserve
- C8Payment
- CACitizenship
- CBContinuing Education
- CCCompensation Calculation
- CDCause of Death
- CECondominium
- CFCooperative
- CGConviction
- CHDirect Sales Trend
- CIExport Trend
- CJFinancial Embarrassment
- CKIndebtedness
- CLCancellation
- CMClaim Amounts
- CNComparison
- COCounty
- CPComplications
- CQInitial Capital
- CRCurrent Ratio
- CSCommon Stock
- CTCommission Trend
- CUStockholders
- CVDamage
- CWWorking Capital
- CXCompensation Allocation
- CYDividend Use
- CZExcess Premium Use
- DADrug Adjudication Information
- DBLiquidation Proceedings
- DCLocation
- DDDischarge Diagnosis
- DEDepartmental
- DFProfit Margin
- DGProposal
- DHReceivership
- DIDriver Identification Information
- DJProvider Characteristics and Resources
- DKSecondary Source of Injury
- DLPetitiions
- DMRegistered Charges
- DNCriminal Proceedings
- DOHistorical Criminal Proceedings
- DPDirections to Property
- DRDriving
- DVDriver Record Information
- E1Spectacle Lenses
- E2Contact Lenses
- E3Spectacle Frames
- E4Employment
- E5Examiner's Comments
- EBIntercompany Relations
- ECJudgments
- EDLiens
- EEOperating Surplus Trend
- EFParticipating Interest
- EGProtested Bills
- EHSubcontracting Details
- EISuits
- EJUniform Commercial Code (UCC) Filings
- EKDetrimental Legal Filings
- ELCustomer Details
- EMSupplier Detail
- EREmployee Relocation
- FAFinancial
- FCFamily Coverage
- FHFamily History
- FIFinancing
- FLFlood Determination
- FPFranchise Tax Payments
- FRFinancial Remarks
- FTForeign Travel
- GDDemonstrations
- GSShelf Format
- GUGuarantees
- HAFixed
- HBAdjustable
- HCRate Adjustment
- HDPayment Adjustment
- HELife of Loan
- HFPeriodic Interest Rate
- HGPrincipal and Interest
- HHHealth or Medical
- HILate Charge
- HJDefault Note Holder's Cost
- HKPrepayment
- HLLimited Payment
- HMRate Lookback
- HNPayment Lookback
- HOIndex
- HPMortgage Margin
- HQSingle Family 2-4 Units
- HRAmortization
- HSRate Conversion
- HTInterest Only
- HUPremium Audit Key Question
- HYHistory
- HZHazardous Sports
- ICIssued Capital
- IDIdentification
- IHInsurance History or Other Coverage
- IMImpairment
- INInsurance
- LALicense Revocation
- LELevel Remarks
- LILiability Status
- LLLocal Language Description
- LRListing Remarks
- LSLife Style
- LTLegal Type
- LZLoss Trend
- MAMarital Status
- MIMiscellaneous
- MLMultiple Listing Service
- MNManagement
- MOModification
- MPMedication or Prescription
- MSMedical Social Worker
- MTMilitary Status
- NCNominal Capital
- NSNature of Suit
- NWNot Work Related
- OAOwner Pays Notes
- OCOccupation Class
- OFOutside Financing
- OIOther Investor
- ONOperations Trend
- OPOperations
- OTOccupational Therapy
- OUOperations Outlook
- PAPerformance
- PBProfitability
- PCPaid in Capital
- PDPublic Records
- PEPenalty
- PFProfit Trend
- PGPossession Notes
- PIPhoto Instructions
- PNParking Notes
- POProfit Outlook
- PRProperty
- PSPreferred Stock
- PTPhysical Therapy
- R1Reason for Weight Loss
- R2Association of American Railroads Special Proper Shipping Name Flag
- R3Association of American Railroads Intermodal Indicator
- R4Association of American Railroads U.S. to Canada Flag
- R5Residential Status
- RCRevocation
- RERecovery
- RIReal Estate Property Information
- RLRadio License Application
- RMRemedy
- RNRelated Entities
- RRReinstatement
- RSReason Last Seen
- RTRegistration Type
- RUResults
- RVRevenue Trend
- SASource Fund
- SDStarting Details
- SESummary and Evaluation
- SIShowing Instructions
- SJSuits, Judgments & Liens
- SLSupplement Note or Line
- SNSkilled Nursing
- SPStatement Preparation
- SRSales Trend
- SSSuspension
- STSpeech Therapy
- SUSubstance Use
- SWReported Statement of Witness
- SZSize
- TBTobacco
- TETests
- TFTarget Fund
- THTherapy
- TIAction
- TMTerms
- TNTrend
- TPTenant Pays Notes
- TRTreatment
- TWTwo to Four Units
- TXTax Service
- UAProduction Capacity
- UBActual Production
- UCBranch Trend
- UDRetail Locations
- UENet Profit
- UFOrdinary Profit
- UGDeclared Profit to Local Tax Office
- UHMarket Trend
- UIPre Tax Profit
- UJNet Worth
- UKDebt to Equity
- ULEquity Return
- UMStability
- UNEfficiency
- UOOutlook
- UPUpdate
- UQCorporate Registration
- VAVoter Registration Application
- VDVoter Registration Application Disposition
- VOViolation
- WAWarning
- WBPrognosis
- WC
- WDTreatment Plan
- WEWork Restrictions
- WFWitness Statement
- WGConditions Affecting Total Employees and Hours
- WHInjury Work Related
- WIIllness Work Related
- WKControvert Reason
- WLSupervisor's Comments
- WMWillful Misconduct
- WNSupervisor's Exception
- WOClaim Related Work Assignment Changes
- WP30 Day Delay Reason
- WQEmployee Comment
- WREmployee Comment Not Provided Reason
- WSMedical Records Not Attached Reason
- WTWork Exposures and Duration
- X1Letter of Credit Overdrawn
- X2Cargo Receipt Not Signed
- X3Customs Statement Missing from Invoice
- X4Purchase Order Not on Letter of Credit (Except Masters)
- X5Reduced Draft
- X6Time Drafts
- X7Demand for Payment
- X8Early Presentation of Documents
- ZZMutually Defined
