Segment
X12 EDI Release 00305
To provide information on activity or process
Elements
Specifies the situation or category the code applies to
Codes (101)- 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
- 69Anti-fungal Therapy
- 70Hospice
- 71Primary Diagnosis
- 72Secondary Diagnosis
- 73Tertiary Diagnosis
- 74Procedure Code
- 75Functional Limitations
- 76Activities Permitted
- 77Mental Status
- 78Manner Property Title Held
- 79Property Improvements
- 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
- A7Source of Data
- A8Endorsement
- A9Notification
- AIHome Health Aide
- B1Audit Data
- B2Declaration Sheet Indicator
- B3Servicing Data
- B4Single Family
- B5Multifamily
- B6Payment Handling
- B7Ginnie Mae 1
- B8Ginnie Mae 2
- B9Ginnie Mae 2 Custom
- DDDischarge Diagnosis
- GDDemonstrations
- GSShelf Format
- MSMedical Social Worker
- OTOccupational Therapy
- PRProperty
- PTPhysical Therapy
- RLRadio License Application
- SNSkilled Nursing
- STSpeech Therapy
Code indicating type of action.
Codes (144)- 1Add
- 2Change (Update)
- 3Delete
- 4Verify
- 5Send
- 6Receive
- 7Request
- 8In Production Send
- 9Not Capable of Taking Action
- 15Correct and Resubmit Claim
- 23Escalation
- 24On-Hold
- 51Complete
- AAdd A Bill of Lading
- CCancelled
- DDelete a Bill of Lading
- EEliminate/Expire
- FFinal
- HMaster-In-Bond (MIB) Arrival
- IReissue
- KIn Production Send and Receive
- LIn Development/Send
- MIn Development/Receive
- NIn Development/Send and Receive
- OIn Test/Send
- PIn Test/Receive
- QIn Test/Send and Receive
- RIn Production Receive
- TStatus Query
- UReject
- VRespond
- WReverse
- ZMutually Defined
- A1Certified in total
- A2Certified - partial
- A3Not Certified
- A4Pended
- A5Upheld
- A6Modified
- AAAward
- ACAcknowledge
- ADDecrease in Amount
- AFAffirm
- AIIncrease in Amount
- ALAllow
- AM
- APAppeal
- ASDiscovered
- AVCancellation Not Effected
- AWMass Cancellation
- AXPartial Cancellation
- BIBifurcate
- BOUse Both Date and Meter Criteria
- CAChange Name
- CFConfirm
- CLClosed
- CNConsolidated
- COCorrect
- CRProcess Immediate, Critical
- CSTransfer of Claim for Security
- CTContact Payer
- CUContinue
- CVConvert
- CXClaim Transferred
- DCDelivered to Another Carrier
- DEDeny
- DFDefer
- DIDismissed with Prejudice
- DJDismissed without Prejudice
- DKDispose
- DLDivert
- DN
- DPDelivered to Public Warehouse
- DSDiscarded
- DXDischarged
- ENEnter
- ERExtension Request
- EXExtend
- FIFile
- FOForfeit
- FRPatient Follow-Up Required
- GRGrant
- HRHold Until Released
- INInterim
- ISIssue
- ITInitiate
- JD
- JOJoin
- JP
- JS
- JUJudgment
- KARegistration Confirmed
- LCLeft at Consignee
- MEMerge
- NANo Action Required
- NDNo Change
- NPNot Present
- NSDo Not Send
- ODOrder
- ORUse Date or Meter Criteria (whichever occurs first)
- OTOther Unlisted Action
- PBPartial Transfer of Claim
- PFPreliminary Final
- PIProvide Additional Information
- PL
- PN
- POProposed
- PRPresent
- R1Reopened
- R2Send Record Now
- R3Send Record at End of the Term
- R4Send Record After Degree is Posted
- R5Send Vocational Record Only
- R6Transfer
- R7Assumption
- R8Terminate
- R9Reinstate
- RCReturned to Carrier Facility
- REReleased
- RFReturned to Shipper's Facility (Other Than Original Shipping Location)
- RGRefer
- RHRecall
- RLReschedule
- RMRemand
- ROReturned to Original Shipping Location
- RRReverse and Remand
- RSReport Status
- RUReturn
- RVRevoke
- RXReplace
- SASatisfy
- SESettle
- SLSchedule
- SUSuspend
- SVSever
- SZSeize
- VAVacate
- VD
- VX
- W1Reconcile Historical Records
- WDWithdrawn
- WQAccept
- WVWaive
- ZZ
Code identifying the specific type of item maintenance.
Codes (63)- 100Sale of Mortgage Change
- 101Servicer Change
- 102Mortgagor Change
- 104Prepayment Termination
- 105Non-conveyance Termination
- 106Voluntary Action Termination
- 107Loan Refinanced Termination
- 108Transfer Due to Interest and Servicing Sold
- 109Retain Servicing
- 110Transfer Servicing
- 111Assign Servicing
- 112Servicer Loan Number Change
- 113Merger
- 114Acquisition
- 115Receivership
- 116Loan Maturity Maintenance
- 001Change
- 002Delete
- 003Add Full Item Detail
- 004Withdraw Item (Temporary)
- 005Restore Item
- 006Membership Type
- 007Purchase Eligibility
- 008Verified
- 009Not Verified
- 010Periodic Report
- 012Medical Noncompliance
- 013Administrative Noncompliance
- 014Suspended Pending Settlement Approval
- 015Suspended Pending Appeal or Judicial Review
- 021Addition
- 022Change in Status
- 023Change in Rate Factors
- 024Cancellation or Termination
- 025Reinstatement
- 026Correction
- 028Policy Adjustment
- 029Inquiry
- 030Audit or Compare
- 032Employee Information Not Applicable
- 050Original
- 051Denial
- 052Initial Payment
- 053Change in Benefit Amount
- 054Change in Benefit Type
- 055Reinstatement of Benefit
- 056Reduced Earnings
- 057Final
- 058
- 059Suspension Medically Determined or Qualified to Return to Work
- 060Non-compliance of Medical Requirements
- 061Non-compliance of Administrative Requirements
- 062Compensable Death
- 063Incarceration
- 064Claimant's Whereabouts Unknown
- 065Volunteer
- 066Status Request
- 067Benefits Exhausted
- 068Jurisdictional Change
- 069Payment Notification
- 070Status Request Response
- 071Re-issue Identification Card(s)
- ZZZMutually Defined
Code indicating the status reason.
Codes (271)- 001Death of Principal Mortgagor
- 002Illness of Principal Mortgagor
- 003Illness of Mortgagor's Family Member
- 004Death of Mortgagor's Family Member
- 005Marital Difficulties
- 006Curtailment of Income
- 007Excessive Obligations - Same Income, Including Habitual Nonpayment of Debts
- 008Abandonment of Property
- 009Distant Employment Transfer
- 010Neighborhood Problem
- 011Property Problem
- 012Inability to Sell Property
- 013Inability to Rent Property
- 014Military Service
- 015Default Detail
- 016Unemployment
- 017Business Failure
- 018Bankruptcy
- 019Casualty Loss
- 020Moved - Vacated
- 021Dissatisfied with Property
- 022Energy-Environment Cost
- 023Servicing Problems
- 024Auto Repairs
- 025Extended Reasons
- 026Payment Adjustment
- 027Payment Dispute
- 028Due on Transfer
- 029Transfer of Ownership Pending
- 030Fraud
- 031Unable to Contact Borrower
- A01Missed Delivery
- A02Release Signature or Release Number
- A03Incorrect Address
- A04Indirect Delivery
- A05Unable To Locate
- A06Address Corrected - Delivery Attempt
- A07Refused by Consignee
- A08Not In On Delivery Completed
- A09Damaged - Delivery Completed
- A10Damaged - Delivery Not Completed
- A11Business Closed
- A12Package Sorted To Wrong Route
- A13Other
- A14Returned to Shipper
- A15Business On Strike
- A16Payment Received
- A17Customer Requested Future Delivery
- A18Missort
- A19Restricted Articles Incompatible
- A20Restricted Articles Unacceptable
- A21Bulk Plane
- A22Package Missed Inbound Plane At Origin Station
- A23Customer Dropped Off Package After Aircraft Depart
- A24Accident
- A25Package Received At Destination Station Without Airbill
- A26Consignee Related
- A27Driver Related
- A28Package Missorted During Aircraft Unload
- A29Hold Changed To Delivery Package
- A30Mechanical Breakdown
- A31Arrived In Station After Courier Dispatch
- A32Aircraft Arrived Late In Hub
- A33Other Carrier-Related
- A34Package Shipped From Overgoods
- A36Holding In Overgoods
- A37Damaged Rewrapped In Hub
- A38Detached Airbill
- A39Previous Stop
- A40Shipper Related
- A41Standard Air Package
- A42Holiday - Closed
- A43Weather or Natural Disaster Related
- A45Delivery Not Completed
- A46Recipient Unavailable - Delivery Delayed
- A49ODA/Cartage Agent
- A50Improper International Paperwork
- A51Carrier Keying Error
- A52No Requested Arrival Date
- A55Hold Due to Customs/Documentation
- A58Unable to Contact Recipient For Broker Information
- A59Hold At Location
- A61International Manifest
- A63Puerto Rican Tax Authorities Holding Package
- A64Non-FEC Broker Advised
- A65Customs Release
- A73Package Delivered Before Commitment
- A74Package Delivered After Commitment
- A84Civil Event Related Delay
- A85Customer-requested Early Delivery
- A91Exceeds Service Limitations
- A95Past Cutoff Time
- A96Insufficient Pickup Time
- A98Missed Pickup
- A99Alternate Carrier Delivered
- ABNAbnormal
- ACCActual Contractor-Caused Delay
- ACDAnticipated Contractor-Caused Delay
- AGCActual Government-Caused Delay
- AGDAnticipated Government-Caused Delay
- B01Reconsigned
- B02Appointment or Pre-Arranged Delivery Date
- B03Trap for Customer
- B04Held for Payment
- B05Held for Consignee
- B06Consignee Closed (Inventory, Vacation, Etc.)
- B07Dock Pickup
- B08Improper Unloading Facility or Equipment
- B09Receiving Time Restricted
- B10Order Notify
- B11Held for Protective Service
- B12Connecting Line or Cartage Pickup
- B13Held per Shipper
- B14Missing Documents
- B15Border Clearance
- B16Road Conditions
- B17Did not complete secondary school
- B18Standard high school diploma
- B19Advanced or honors diploma
- B20Vocational/Technical Preparatory Diploma
- B21Special education diploma
- B22Certificate of completion or attendance
- B23Special certificate of completion
- B24General Education Development Diploma (GED)
- B25Other high school equivalency diploma
- B26International diploma or certificate (such as International Baccalaureate)
- B27Student is eligible to continue or return or both
- B28Student is on Suspension or Dismissal
- B29Student is expelled (from PreK - grade 12)
- B30Currently enrolled but courses in progress not included
- B31Not currently enrolled
- B32Previous enrollment. Used for entry or exit or both at school other than the sending school
- B33Unreported - Information is not available in record
- B34Currently enrolled and courses in progress are included
- B35Highest Honors
- B36Second Highest Honors
- B37Third Highest Honors
- B38Dropped
- B39Academic Probation
- B40Suspended
- B41Requested record will not be sent; Cannot identify student
- B42Requested record will not be sent electronically; Paper copy will be sent
- B43Requested record will not be sent; Have student contact us
- B44Part of requested record being sent; Remainder to be sent by hard copy
- B45Requested record will not be sent; No record of student
- B46Requested record will not be sent; Degree or Diploma not yet awarded
- B47Requested record will not be sent; Institutional policy requires student release. Have student contact us
- B48Record being sent at request of student
- B49Record being sent to replace one previously sent
- B50Requested record being sent
- B51Student on Suspension or Dismissal; Eligible to Apply for Re-entry
- B52According to established regulations or statutes, the student is considered to be a "dropout"
- BW2Bottom Well Cannot Handle Two or More Units
- BWLBottom Well Cannot Handle Unit Assigned because of Length
- BWTBottom Well Cannot Handle Unit Assigned because of Type
- BWWBottom Well Cannot Handle Unit Assigned because of Width
- C01Waiting for Customer Pickup
- C02Credit Hold
- C03Suspended at Customer Request
- C04Customer Vacation
- C05Customer Strike
- C06Waiting Shipping Instructions
- C07Waiting for Customer Specified Carrier
- C08Collect on Delivery Required
- C09Cash Not Available from Consignee
- C10Customs (Import/Export)
- C11No Requested Arrival Date Provided To Carrier By Shipper
- C12No Requested Arrival Time Provided To Carrier By Shipper
- C13Loan Paid in Full
- C14Loan Refinanced, Insured by Insurer Receiving Report
- C15Loan Refinanced, Insured by Other Insurance Carrier
- C16Loan Refinanced, No Insurance Required
- C17Coverage No Longer Required
- C18No Outstanding Commitments
- CDEClearance to Destination Exceeded
- D01Carrier Dispatch Error
- D02Driver Not Available
- D03Student has attended a nonpublic school or home education program in- or out-of-state this year, but is entering a public school in this state for the first time this school year
- D04Student was received from another attendance reporting unit in the same school
- D05Student was received from a school in the same district
- D06Student was received from another public school outside the district either in- or out-of-state
- D07Student was received from a nonpublic school either in or out of the district or has returned after having been enrolled in a home education program; The student must have been enrolled previously in a public school this year
- D08Student unexpectedly reentered the same school after withdrawing or being discharged
- D09Student was expected to attend a school but did not enter as expected for unknown reasons
- D10Student was promoted, retained, or transferred to another attendance-reporting unit in the same school
- D11Student was promoted, retained, or transferred to another school in the same district
- D12Student withdrew to attend another public school in the same district
- D13Student withdrew to attend another public school in- or out-of-state
- D14Student Over Compulsory Attendance Age Left School Voluntarily with No Intention of Returning
- D15Student Graduated from School with a Standard Diploma
- D16Student Graduated from School with a Special Diploma
- D17Student Left School with a Certificate of Completion
- D18Student Left School with a Special Certificate of Completion
- D19Student Left School with a State General Education Development (GED) High School Diploma
- D20Student Withdrew to Attend a Non-Public School or Home Education Program In- or Out-of-State.
- D21Student withdrew from school due to hardship
- D22Student has not entered any school in this or any other state this school year
- D23Previously attended out-of-state public school but is entering a public school in this state for the first time this school year
- D24Returned to Regular Education Program
- D25Reclassified Fully English Proficient
- D26Retained in Current Grade
- D27Placed in Next Grade After Expected Grade
- D28Placed in Transitional Program (K-1)
- D29Status Pending Completion of Summer School (K-12)
- D30Declined Services
- D50Delayed
- EB1Deceased
- EB2Did not Attend this Semester
- EB3Withdrawn
- EB4Graduated
- EB5Never Attended
- EB6Full-Time Enrollment
- EB7Half-Time Enrollment
- EB8Less Than Half-Time Enrollment
- EB9Approved Leave of Absence
- EBANo Record Found
- ENRExport Release Not Required
- ERRExport Release Required
- EXDExcessive Dimension Cannot be Accepted
- F73Non-express Clearance Delay
- F74International Non-carrier Delay
- HZMHazardous Material Placement
- IV1Failed Material Returned for Repair
- IV2Material Shipped Between Intermediate Points
- MP2Middle Position Cannot Handle Two or More Units
- MPLMiddle Position Cannot Handle Unit Assigned because of Length
- MPTMiddle Position Cannot Handle Unit Assigned because of Type
- MPWMiddle Position Cannot Handle Unit Assigned because of Width
- NORNormal
- P01Processing Delay
- P02Waiting Inspection
- P03Production Falldown
- P04Held for Full Carrier Load
- P05Waiting Test Results
- P06Producer Strike
- P07Producer Vacation
- S01Delivery Shortage
- T01Tractor With Sleeper Car Not Available
- T02Tractor, Conventional, Not Available
- T03Trailer Not Available
- T04Trailer Not Usable Due to Prior Product
- T05Trailer Class Not Available
- T06Trailer Volume Not Available
- T07Insufficient Delivery Time
- TP2Top Position Cannot Handle Two or More Units
- TPLTop Position Cannot Handle Unit Assigned because of Length
- TPTTop Position Cannot Handle Unit Assigned because of Type
- TPWTop Position Cannot Handle Unit Assigned because of Width
- UCDUnknown Cause of Delay
- UNDUndetermined
- W01Out of Stock
- W02Equipment Cut
- W03Booking Location Request
- W04On Hold
- W05Order Discrepancy
- W06Receiving Location Request
- W07Inventory Discrepancy
- W08Material Shortage
- W09Substitution
- W10Diverted Item
- W11Loading Error
- W12Inbound Carrier Failure
- W13Product Allocation Exceeded
- W14Improperly Sized Order
- W15Wrong Equipment
- W16Insufficient Equipment Space
- WLCWeight Limit of Car Exceeded
- WLTWeight Limit of Truck Exceeded
- WLWWeight Limit of Well Exceeded
- WTPWaiting for Proof
- ZZZMutually Defined
Code identifying the type of insurance policy within a specific insurance program
Codes (31)- 12Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan
- 13Medicare Secondary End-Stage Renal Disease Beneficiary in the Mandated Coordination Period with an Employer's Group Health Plan
- 14Medicare Secondary, No-fault Insurance including Auto is Primary
- 15Medicare Secondary Worker's Compensation
- 16Medicare Secondary Public Health Service (PHS)or Other Federal Agency
- 41Medicare Secondary Black Lung
- 42Medicare Secondary Veteran's Administration
- 43Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)
- APAuto Insurance Policy
- C1Commercial
- COConsolidated Omnibus Budget Reconciliation Act (COBRA)
- CPMedicare Conditionally Primary
- FFFamily or Friends
- GPGroup Policy
- HMHealth Maintenance Organization (HMO)
- HNHealth Maintenance Organization (HMO) - Medicare Risk
- IPIndividual Policy
- LDLong Term Policy
- LTLitigation
- MAMedicare Part A
- MBMedicare Part B
- MCMedicaid
- MG
- MPMedicare Primary
- OTOther
- PLPersonal
- PPPersonal Payment (Cash - No Insurance)
- PRPreferred Provider Organization (PPO)
- PSPoint of Service (POS)
- SPSupplemental Policy
- TFTax Equity Fiscal Responsibility Act (TEFRA)
This code identifies the loan program or type
Codes (57)- 1Subsidized Federal Stafford
- 2Federal Supplemental Loans for Students (SLS)
- 3Federal PLUS Loan to Parents
- 4Unsubsidized Federal Stafford
- 5Federal Consolidated Loan
- 6Residential Loan
- 7Personal Loan
- 8Automobile
- 9Unsecured
- 10Secured
- 11Partially Secured
- 12Home Improvement
- 13FHA Home Improvement
- 14Installment Sales Contract
- 15Charge Account
- 16Real Estate, Specific Type Unknown
- 17Secured by Co-signer
- 18Business
- 19Recreational
- 20Educational
- 21Lease
- 22Co-maker
- 23Check Credit or Line of Credit
- 24FHA Co-maker (Not Borrower)
- 25Mobile Home
- 26Credit Card
- 27FHA Real Estate Mortgage
- 28Note Loan
- 29Note Loan with Co-maker
- 30Household Good (Secured)
- 31Household Goods and Other Collateral Auto
- 32Veterans Administration Real Estate Mortgage
- 33Conventional Real Estate Mortgage
- 34Real Estate Mortgage without Other Collateral
- 35Rental Agreement
- 36Summary of Accounts with Same Status
- 37Unknown Loan Type
- 38Debt Counseling Service
- 39Employment
- 40Combined Credit Plan
- 41Debit Card
- 42Credit Line - Secured
- 43Collection Attorney
- 44Insurance Claims
- 45Child Support
- 46Government Unsecured Guarantee Loan
- 47Government Secured Guarantee Loan
- 48Government Secured Direct Loan
- 49Government Grant
- 50Government Overpayment
- 51Government Fine
- 52Government Fee for Service
- 53Government Employee Advance
- 54Government Miscellaneous Debt
- 55Government Benefit
- 56Returned Check
- 57Installment Loan
