Segment
X12 EDI Release 00401
To indicate action to be taken for the location specified and to qualify the location specified
Elements
Code indicating type of action
Codes (296)- 1Add
- 2Change (Update)
- 3Delete
- 4Verify
- 5Send
- 6Receive
- 7Request
- 8In Production Send
- 9Not Capable of Taking Action
- 10Adjourn
- 11Approve
- 12Auction
- 13Cleared
- 14Compose
- 15Correct and Resubmit Claim
- 16Consider
- 17Create
- 18Decide
- 19Declare
- 20Decree Recall
- 21Disapprove
- 22Dissolve
- 23Escalation
- 24On-Hold
- 25Dropped
- 26Bankruptcy Filed - Review Account
- 27Moved - Follow Up
- 28Change Phone Number
- 29Payment Received - Follow Up
- 30Account Active - Pursue
- 31Return per Client Request
- 32Pursue Legal Action
- 34Pursue Garnishment
- 35New Assignment - Proceed
- 36Repossess Merchandise
- 37Adjust Payment
- 38Change Address
- 39Skiptrace Account
- 40Close Account - Deceased
- 41Update to Inactive
- 42Account Paid in Full - Close Account
- 43Refused to Pay - Review Account
- 44Account Disputed - Review
- 45Do Not Contact - Fair Debt Collection Practices Act (FDCPA)
- 46Forward Account
- 47Enforce
- 48Extinguish
- 49Judgment for Defendant
- 50Judgment for Plaintiff
- 51Complete
- 52Justified
- 53Legal Moratorium on Debts Incurred to Date
- 54Meeting Held
- 55Meeting Held and Opened
- 56Moratorium
- 57Not Filed
- 58Not Justified
- 59Partial Release
- 60Provisional Moratorium
- 61Readjudicate
- 62Resolve
- 63Resulted in a Suit
- 64Resulted in No Liquidation
- 65Set Aside
- 66Settled out of Court
- 67Sold
- 68Stayed
- 69Subordination
- 70Surrender
- 71Term Expired
- 72Unsatisfied
- 73Void
- 74Suspended, 24 Hours
- 75Dispute
- 76Assign
- 77Agent Change
- 78Agent Hierarchy Change
- 79Reactivate
- 80Reconcile
- 81Renew
- 82Follow Up
- 83Future
- 84Letter of Authority Sent
- 85New Premium Only
- 86Pended for Follow Up
- 87Countersue
- 88Contact via Telephone Call
- 89Contact via Fax
- 90Mark
- AAdd A Bill of Lading
- BCancel Balance of Order/Item that Exceeds Value Specified in Data Element 610
- CCancelled
- DDelete a Bill of Lading
- EEliminate/Expire
- FFinal
- GCancel Entire Order/Item
- HMaster-In-Bond (MIB) Arrival
- IReissue
- JRecord
- 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
- SRe-record
- TStatus Query
- UReject
- VRespond
- WReverse
- XRecommend
- YNot Recommend
- ZMutually Defined
- A1Certified in total
- A2Certified - partial
- A3Not Certified
- A4Pended
- A5Upheld
- A6Modified
- AAAward
- ABAbandon
- ACAcknowledge
- ADDecrease in Amount
- AEActivate
- AFAffirm
- AGAdded Commodity Codes
- AHAdded Equipment
- AIIncrease in Amount
- AJAdded Points Served
- ALAllow
- APAppeal
- AQAcquitted
- ARAdvanced Payment
- ASDiscovered
- ATAppoint
- AVCancellation Not Effected
- AWMass Cancellation
- AXPartial Cancellation
- BDBoard
- BIBifurcate
- BOUse Both Date and Meter Criteria
- C1Community Service Required
- C2Convicted
- CAChange Name
- CBCut
- CCConcur
- CDCompleted Docket (Proposer Only and on Current Docket)
- CECharge
- CFConfirm
- CGConditionally Grant
- CLClosed
- CMCommence
- CNConsolidated
- COCorrect
- CPCounter Proposal
- CSTransfer of Claim for Security
- CTContact Payer
- CUContinue
- CVConvert
- CXClaim Transferred
- D1Deported
- D2Dismissed
- DADivision Adjustment Only
- DBShorten Expiration Date
- DCDelivered to Another Carrier
- DDDelete and Docket (Proposer Only on Unconcurred Docket)
- DEDeny
- DFDefer
- DGDecrease
- DHExtended Expiration Date
- DIDismissed with Prejudice
- DJDismissed without Prejudice
- DKDispose
- DLDivert
- DPDelivered to Public Warehouse
- DRDirect
- DSDiscarded
- DTDiscontinue
- DXDischarged
- EAEstablish Address
- EBEstablish Additional Address
- ECEstablish Electronic Address
- EDSuppress Correspondence
- EESuppress Forms
- ENEnter
- EPEntire Patient Information
- ERExtension Request
- EVEvaluate
- EXExtend
- F1Fined
- FAFail
- FCFactor Change
- FIFile
- FOForfeit
- FRPatient Follow-Up Required
- GRGrant
- HRHold Until Released
- I1Found Not Guilty
- IADeactivate
- IMIncrease
- INInterim
- ISIssue
- ITInitiate
- JAJailed
- JOJoin
- JUJudgment
- KARegistration Confirmed
- LCLeft at Consignee
- LQLiquidate
- MEMerge
- MOMooting
- NANo Action Required
- NDNo Change
- NPNot Present
- NSDo Not Send
- ODOrder
- OPOpen
- ORUse Date or Meter Criteria (whichever occurs first)
- OTOther Unlisted Action
- P1Sentenced to Probation
- PATariff Publisher Add
- PBPartial Transfer of Claim
- PCPreviously Converted
- PDTariff Publisher Delete
- PFPreliminary Final
- PIProvide Additional Information
- PJProgress Payment
- POProposed
- PPPartial Patient Information
- PRPresent
- PSProposal
- PTProposal Trace
- PUPublish Changes
- PVProvisional Payment
- 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
- RARemove
- RBResecure
- RCReturned to Carrier Facility
- RDRate and Division Adjustment
- REReleased
- RFReturned to Shipper's Facility (Other Than Original Shipping Location)
- RGRefer
- RHRecall
- RIRestricted
- RJRate Adjustment
- RKRate Adjustment with a Sequence Change
- RLReschedule
- RMRemand
- RNReject Proposal with Counter Proposal to Follow
- ROReturned to Original Shipping Location
- RPRequest To Publish
- RQTariff Publisher Reissue
- RRReverse and Remand
- RSReport Status
- RTRestrain
- RUReturn
- RVRevoke
- RWRescind
- RXReplace
- S1Secure
- S2Suspended
- SASatisfy
- SBSubrogate
- SCScreen
- SDSeal
- SESettle
- SLSchedule
- SRServe
- SSSustain
- SUSuspend
- SVSever
- SZSeize
- TDTemporarily Deny
- TEOppose
- TGTemporarily Grant
- TNAnnul
- TPTemporarily Grant, in Part
- TRTrim
- TSDisallow
- TUTake Under Advisement
- VAVacate
- W1Reconcile Historical Records
- WDWithdrawn
- WIWinterize
- WQAccept
- WVWaive
Code identifying an organizational entity, a physical location, property or an individual
Codes (1312)- 10Conduit
- 11Party to be billed(AAR Accounting Rule 11)
- 12Regional Office
- 13Contracted Service Provider
- 14Wholly-Owned Subsidiary
- 15Accounts Payable Office
- 16Plant
- 17Consultant's Office
- 18Production
- 19Non-Production Supplier
- 20Foreign Supplier
- 21Small Business
- 22Minority-Owned Business, Small
- 23Minority-Owned Business, Large
- 24Woman-Owned Business, Small
- 25Woman-Owned Business, Large
- 26Socially Disadvantaged Business
- 27Small Disadvantaged Business
- 28Subcontractor
- 29Prototype Supplier
- 30Service Supplier
- 31Postal Mailing Address
- 32Party to Receive Material Release
- 33Inquiry Address
- 34Material Change Notice Address
- 35Electronic Data Interchange (EDI) Coordinator Point Address
- 36Employer
- 37Previous Debt Holder
- 38Mortgage Liability Account Holder
- 39Appraisal Company
- 40Receiver
- 41Submitter
- 42Component Manufacturer
- 43Claimant Authorized Representative
- 44Data Processing Service Bureau
- 45Drop-off Location
- 46Invoicing Dealer
- 47Estimator
- 48In-service Source
- 49Initial Dealer
- 50Manufacturer's Representative
- 51Parts Distributor
- 52Part Remanufacturer
- 53Registered Owner
- 54Order Writer
- 55Service Manager
- 56Servicing Dealer
- 57Servicing Organization
- 58Store Manager
- 59Party to Approve Specification
- 60Salesperson
- 61Performed At
- 62Applicant's Employer
- 63Reference's Employer
- 64Cosigner's Employer
- 65Applicant's Reference
- 66Applicant's Cosigner
- 67Applicant's Comaker
- 68Owner's Representative
- 69Repairing Outlet
- 70Prior Incorrect Insured
- 71Attending Physician
- 72Operating Physician
- 73Other Physician
- 74Corrected Insured
- 75Participant
- 76Secondary Warranter
- 77Service Location
- 78Service Requester
- 79Warranter
- 80Hospital
- 81Part Source
- 82Rendering Provider
- 83Subscriber's School
- 84Subscriber's Employer
- 85Billing Provider
- 86Conductor
- 87Pay-to Provider
- 88Approver
- 89Investor
- 90Previous Business Partner
- 91Action Party
- 92Support Party
- 93Insurance Institute
- 94New Supply Source
- 95Research Institute
- 96Debtor Company
- 97Party Waiving Requirements
- 98Freight Management Facilitator
- 99Outer Continental Shelf (OCS) Area Location
- 01Loan Applicant
- 02Loan Broker
- 03Dependent
- 04Asset Account Holder
- 05Tenant
- 06Recipient of Civil or Legal Liability Payment
- 07Titleholder
- 08Non-Mortgage Liability Account Holder
- 09Note Co-Signer
- 0AComparable Rentals
- 0BInterim Funding Organization
- 0DNon-occupant Co-borrower
- 0EList Owner
- 0FList Mailer
- 0HState Division
- 1ASubgroup
- 1BApplicant
- 1CGroup Purchasing Organization (GPO)
- 1DCo-operative
- 1EHealth Maintenance Organization (HMO)
- 1FAlliance
- 1GOncology Center
- 1HKidney Dialysis Unit
- 1IPreferred Provider Organization (PPO)
- 1JConnection
- 1KFranchisor
- 1LFranchisee
- 1MPrevious Group
- 1NShareholder
- 1OAcute Care Hospital
- 1PProvider
- 1QMilitary Facility
- 1RUniversity, College or School
- 1SOutpatient Surgicenter
- 1TPhysician, Clinic or Group Practice
- 1ULong Term Care Facility
- 1VExtended Care Facility
- 1WPsychiatric Health Facility
- 1XLaboratory
- 1YRetail Pharmacy
- 1ZHome Health Care
- 2AFederal, State, County or City Facility
- 2BThird-Party Administrator
- 2CCo-Participant
- 2DMiscellaneous Health Care Facility
- 2ENon-Health Care Miscellaneous Facility
- 2FState
- 2GAssigner
- 2HHospital District or Authority
- 2IChurch Operated Facility
- 2JIndividual
- 2KPartnership
- 2LCorporation
- 2MAir Force Facility
- 2NArmy Facility
- 2ONavy Facility
- 2PPublic Health Service Facility
- 2QVeterans Administration Facility
- 2RFederal Facility
- 2SPublic Health Service Indian Service Facility
- 2TDepartment of Justice Facility
- 2UOther Not-for-profit Facility
- 2VIndividual for-profit Facility
- 2WPartnership for-profit Facility
- 2XCorporation for-profit Facility
- 2YGeneral Medical and Surgical Facility
- 2ZHospital Unit of an Institution (prison hospital, college infirmary, etc.)
- 3AHospital Unit Within an Institution for the Mentally Retarded
- 3BPsychiatric Facility
- 3CTuberculosis and Other Respiratory Diseases Facility
- 3DObstetrics and Gynecology Facility
- 3EEye, Ear, Nose and Throat Facility
- 3FRehabilitation Facility
- 3GOrthopedic Facility
- 3HChronic Disease Facility
- 3IOther Specialty Facility
- 3JChildren's General Facility
- 3KChildren's Hospital Unit of an Institution
- 3LChildren's Psychiatric Facility
- 3MChildren's Tuberculosis and Other Respiratory Diseases Facility
- 3NChildren's Eye, Ear, Nose and Throat Facility
- 3OChildren's Rehabilitation Facility
- 3PChildren's Orthopedic Facility
- 3QChildren's Chronic Disease Facility
- 3RChildren's Other Specialty Facility
- 3SInstitution for Mental Retardation
- 3TAlcoholism and Other Chemical Dependency Facility
- 3UGeneral Inpatient Care for AIDS/ARC Facility
- 3VAIDS/ARC Unit
- 3WSpecialized Outpatient Program for AIDS/ARC
- 3XAlcohol/Drug Abuse or Dependency Inpatient Unit
- 3YAlcohol/Drug Abuse or Dependency Outpatient Services
- 3ZArthritis Treatment Center
- 4ABirthing Room/LDRP Room
- 4BBurn Care Unit
- 4CCardiac Catherization Laboratory
- 4DOpen-Heart Surgery Facility
- 4ECardiac Intensive Care Unit
- 4FAngioplasty Facility
- 4GChronic Obstructive Pulmonary Disease Service Facility
- 4HEmergency Department
- 4ITrauma Center (Certified)
- 4JExtracorporeal Shock-Wave Lithotripter (ESWL) Unit
- 4KFitness Center
- 4LGenetic Counseling/Screening Services
- 4MAdult Day Care Program Facility
- 4NAlzheimer's Diagnostic/Assessment Services
- 4OComprehensive Geriatric Assessment Facility
- 4PEmergency Response (Geriatric) Unit
- 4QGeriatric Acute Care Unit
- 4RGeriatric Clinics
- 4SRespite Care Facility
- 4TSenior Membership Program
- 4UPatient Education Unit
- 4VCommunity Health Promotion Facility
- 4WWorksite Health Promotion Facility
- 4XHemodialysis Facility
- 4YHome Health Services
- 4ZHospice
- 5AMedical Surgical or Other Intensive Care Unit
- 5BHisopathology Laboratory
- 5CBlood Bank
- 5DNeonatal Intensive Care Unit
- 5EObstetrics Unit
- 5FOccupational Health Services
- 5GOrganized Outpatient Services
- 5HPediatric Acute Inpatient Unit
- 5IPsychiatric Child/Adolescent Services
- 5JPsychiatric Consultation-Liaison Services
- 5KPsychiatric Education Services
- 5LPsychiatric Emergency Services
- 5MPsychiatric Geriatric Services
- 5NPsychiatric Inpatient Unit
- 5OPsychiatric Outpatient Services
- 5PPsychiatric Partial Hospitalization Program
- 5QMegavoltage Radiation Therapy Unit
- 5RRadioactive Implants Unit
- 5STherapeutic Radioisotope Facility
- 5TX-Ray Radiation Therapy Unit
- 5UCT Scanner Unit
- 5VDiagnostic Radioisotope Facility
- 5WMagnetic Resonance Imaging (MRI) Facility
- 5XUltrasound Unit
- 5YRehabilitation Inpatient Unit
- 5ZRehabilitation Outpatient Services
- 6AReproductive Health Services
- 6BSkilled Nursing or Other Long-Term Care Unit
- 6CSingle Photon Emission Computerized Tomography (SPECT) Unit
- 6DOrganized Social Work Service Facility
- 6EOutpatient Social Work Services
- 6FEmergency Department Social Work Services
- 6GSports Medicine Clinic/Services
- 6HHospital Auxiliary Unit
- 6IPatient Representative Services
- 6JVolunteer Services Department
- 6KOutpatient Surgery Services
- 6LOrgan/Tissue Transplant Unit
- 6MOrthopedic Surgery Facility
- 6NOccupational Therapy Services
- 6OPhysical Therapy Services
- 6PRecreational Therapy Services
- 6QRespiratory Therapy Services
- 6RSpeech Therapy Services
- 6SWomen's Health Center/Services
- 6THealth Sciences Library
- 6UCardiac Rehabilitation Program Facility
- 6VNon-Invasive Cardiac Assessment Services
- 6WEmergency Medical Technician
- 6XDisciplinary Contact
- 6YCase Manager
- 6ZAdvisor
- 7APremises
- 7BBottler
- 7CPlace of Occurrence
- 7DContracting Officer Representative
- 7EParty Authorized to Definitize Contract Action
- 7FFiling Address
- 7GHazardous Material Office
- 7HGovernment Furnished Property FOB Point
- 7IProject Name
- 7JCodefendant
- 7KCo-occupant
- 7LPreliminary Inspection Location
- 7MInspection and Acceptance Location
- 7NParty to Receive Proposal
- 7OFederally Chartered Facility
- 7PTransportation Office
- 7QParty to Whom Protest Submitted
- 7RBirthplace
- 7SPipeline Segment
- 7THome State Name
- 7ULiquidator
- 7VPetitioning Creditor's Attorney
- 7WMerged Name
- 7XParty Represented
- 7YProfessional Organization
- 7ZReferee
- 8AVacation Home
- 8BPrimary Residence
- 8CSecond Home
- 8DPermit Holder
- 8EMinority Institution
- 8FBailment Warehouse
- 8GFirst Appraiser
- 8HTax Exempt Organization
- 8IService Organization
- 8JEmerging Small Business
- 8KSurplus Dealer
- 8LPolling Site
- 8MSocially Disadvantaged Individual
- 8NEconomically Disadvantaged Individual
- 8ODisabled Individual
- 8PProducer
- 8QPublic or Private Organization for the Disabled
- 8RConsumer Service Provider (CSP) Customer
- 8SConsumer Service Provider (CSP)
- 8TVoter
- 8UNative Hawaiian Organization
- 8VPrimary Intra-LATA (Local Access Transport Area) Carrier
- 8WPayment Address
- 8XOil and Gas Custodian
- 8YRegistered Office
- 8Z
- 9ADebtor Individual
- 9BCountry of Export
- 9CCountry of Destination
- 9DNew Service Provider
- 9ESub-servicer
- 9FLoss Payee
- 9GNickname
- 9HAssignee
- 9IRegistered Principal
- 9JAdditional Debtor
- 9KKey Person
- 9LIncorporated By
- 9NParty to Lease
- 9OParty to Contract
- 9PInvestigator
- 9QLast Supplier
- 9RDownstream First Supplier
- 9SCo-Investigator
- 9TTelephone Answering Service Bureau
- 9UAuthor
- 9VFirst Supplier
- 9WUltimate Parent Company
- 9XContractual Receipt Meter
- 9YContractual Delivery Meter
- 9ZCo-debtor
- A1Adjuster
- A2Woman-Owned Business
- A3Labor Surplus Area Firm
- A4Other Disadvantaged Business
- A5Veteran-Owned Business
- A6Section 8(a) Program Participant Firm
- A7Sheltered Workshop
- A8Nonprofit Institution
- A9Sales Office
- AAAuthority For Shipment
- ABAdditional Pickup Address
- ACAir Cargo Company
- ADParty to be advised (Written orders)
- AEAdditional Delivery Address
- AFAuthorized Accepting Official
- AGAgent/Agency
- AHAdvertiser
- AIAirline
- AJAlleged Debtor
- AKParty to Whom Acknowledgment Should Be Sent
- ALAllotment Customer
- AMAssistant U.S. Trustee
- ANAuthorized From
- AOAccount Of
- APAccount of (Origin Party)
- AQAccount of (Destination Party)
- ARArmed Services Location Designation
- ASPostsecondary Education Sender
- ATPostsecondary Education Recipient
- AUParty Authorizing Disposition
- AVAuthorized To
- AWAccountant
- AXPlaintiff
- AYClearinghouse
- AZPrevious Name
- B1Construction Firm
- B2Other Unlisted Type of Organizational Entity
- B3Previous Name of Firm
- B4Parent Company
- B5Affiliated Company
- B6Registering Parent Party
- B7Registering Nonparent Party
- B8Regular Dealer
- B9Large Business
- BABattery
- BBBusiness Partner
- BCBroadcaster
- BDBill-to Party for Diversion Charges
- BEBeneficiary
- BFBilled From
- BGBuying Group
- BHInterim Trustee
- BITrustee's Attorney
- BJCo-Counsel
- BKBank
- BLParty to Receive Bill of Lading
- BMBrakeman
- BNBeneficial Owner
- BOBroker or Sales Office
- BPSpecial Counsel
- BQAttorney for Defendant Private
- BRBroker
- BSBill and Ship To
- BTBill-to-Party
- BUPlace of Business
- BVBilling Service
- BWBorrower
- BXAttorney for Plaintiff
- BYBuying Party (Purchaser)
- BZBusiness Associate
- C1In Care Of Party no. 1
- C2In Care Of Party no. 2
- C3Circuit Location Identifier
- C4Contract Administration Office
- C5Party Submitting Quote
- C6Municipality
- C7County
- C8City
- C9Contract Holder
- CACarrier
- CBCustoms Broker
- CCClaimant
- CDConsignee (To Receive Mail and Small Parcels)
- CEConsignee (To receive large parcels and freight)
- CFSubsidiary/Division
- CGCarnet Issuer
- CHChassis Provider
- CIConsignor
- CJAutomated Data Processing (ADP) Point
- CKPharmacist
- CLContainer Location
- CMCustoms
- CNConsignee
- COOcean Tariff Conference
- CPParty to Receive Cert. of Compliance
- CQCorporate Office
- CRContainer Return Company
- CSConsolidator/Shipper
- CTCountry of Origin
- CUCoating or Paint Supplier
- CVConverter
- CWAccounting Station
- CXClaim Administrator
- CYCountry
- CZAdmitting Surgeon
- D1Driver
- D2Commercial Insurer
- D3Defendant
- D4Debtor
- D5Debtor-In-Possession
- D6Consolidated Debtor
- D7Petitioning Creditor
- D8Dispatcher
- D9Creditor's Attorney
- DADelivery Address
- DBDistributor Branch
- DCDestination Carrier
- DDAssistant Surgeon
- DEDepositor
- DFMaterial Disposition Authorization Location
- DGDesign Engineering
- DHDoing Business As
- DIDifferent Premise Address (DPA)
- DJConsulting Physician
- DKOrdering Physician
- DLDealer
- DMDestination Mail Facility
- DNReferring Provider
- DODependent Name
- DPParty to Provide Discount
- DQSupervising Physician
- DRDestination Drayman
- DSDistributor
- DTDestination Terminal
- DUResale Dealer
- DVDivision
- DWDownstream Party
- DXDistiller
- DYDefault/Foreclosure Specialist
- DZDelivery Zone
- E1Person or Other Entity Legally Responsible for a Child
- E2Person or Other Entity With Whom a Child Resides
- E3Person or Other Entity Legally Responsible for and With Whom a Child Resides
- E4Other Person or Entity Associated with Student
- E5Examiner
- E6Engineering
- E7Previous Employer
- E8Inquiring Party
- E9Participating Laboratory
- EAStudy Submitter
- EBEligible Party To The Contract
- ECExchanger
- EDExcluded Party
- EELocation of Goods for Customs Examination Before Clearance
- EFElectronic Filer
- EGEngineer
- EHExhibitor
- EIExecutor of Estate
- EJPrincipal Person
- EKAnimal Source
- ELEstablished Location
- EMParty to Receive Electronic Memo of Invoice
- ENEnd User
- EOLimited Liability Partnership
- EPEligible Party to the Rate
- EQOld Debtor
- ERNew Debtor
- ES
- ETPlan Administrator
- EUOld Secured Party
- EVSelling Agent
- EWServicing Broker
- EXExporter
- EYEmployee Name
- EZNew Secured Party
- F1Company - Owned Oil Field
- F2Energy Information Administration (Department of Energy) - Owned Oil Field
- F3Specialized Mobile Radio Service (SMRS) Licensee
- F4Former Residence
- F5Radio Control Station Location
- F6Small Control Station Location
- F7Small Base Station Location
- F8Antenna Site
- F9Area of Operation
- FAFacility
- FBFirst Break Terminal
- FCCustomer Identification File (CIF) Customer Identifier
- FDPhysical Address
- FEMail Address
- FFForeign Language Synonym
- FGTrade Name Synonym
- FHParty to Receive Limitations of Heavy Elements Report
- FIName Variation Synonym
- FJFirst Contact
- FLPrimary Control Point Location
- FMFireman
- FNFiler Name
- FOField or Branch Office
- FPName on Credit Card
- FQPier Name
- FRMessage From
- FSFinal Scheduled Destination
- FTNew Assignee
- FUOld Assignee
- FVVessel Name
- FWForwarder
- FXClosed Door Pharmacy
- FYVeterinary Hospital
- FZChildren's Day Care Center
- G0Dependent Insured
- G1Bankruptcy Trustee
- G2Annuitant
- G3Clinic
- G5Contingent Beneficiary
- G6Entity Holding the Information
- G7Entity Providing the Service
- G8Entity Responsible for Follow-up
- G9Family Member
- GAGas Plant
- GBOther Insured
- GCPrevious Credit Grantor
- GDGuardian
- GEGeneral Agency
- GFInspection Company
- GGIntermediary
- GHMotor Vehicle Report Provider Company
- GIParamedic
- GJParamedical Company
- GKPrevious Insured
- GLPrevious Residence
- GMSpouse Insured
- GNGarnishee
- GOPrimary Beneficiary
- GPGateway Provider
- GQProposed Insured
- GRReinsurer
- GSGaraged Location
- GTCredit Grantor
- GUGuarantee Agency
- GVGas Transaction Ending Point
- GWGroup
- GXRetrocessionaire
- GYTreatment Facility
- GZGrandparent
- H1Representative
- H2Sub-Office
- H3District
- H5Paying Agent
- H6School District
- H7Group Affiliate
- H8
- H9Designer
- HAOwner
- HBHistorically Black College or University
- HCJoint Annuitant
- HDContingent Annuitant
- HEContingent Owner
- HFHealthcare Professional Shortage Area (HPSA) Facility
- HGBroker Opinion or Analysis Requester
- HHHome Health Agency
- HIListing Company
- HJAutomated Underwriting System
- HKSubscriber
- HLDocument Custodian
- HMCompetitive Property Listing
- HNCompeting Property
- HOComparable Property Listing
- HPClosed Sale
- HQSource Party of Information
- HRSubject of Inquiry
- HSHigh School
- HTState Chartered Facility
- HUSubsidiary
- HVTax Address
- HWDesignated Hazardous Waste Facility
- HXTransporter of Hazardous Waste
- HYCharity
- HZHazardous Waste Generator
- I1Interested Party
- I3Independent Physicians Association (IPA)
- I4Intellectual Property Owner
- I9Interviewer
- IAInstalled At
- IBIndustry Bureau
- ICIntermediate Consignee
- IDIssuer of Debit or Credit Memo
- IEOther Individual Disability Carrier
- IFInternational Freight Forwarder
- IIIssuer of Invoice
- IJInjection Point
- IKIntermediate Carrier
- ILInsured or Subscriber
- IMImporter
- INInsurer
- IOInspector
- IPIndependent Adjuster
- IQIn-patient Pharmacy
- IRSelf Insured
- ISParty to Receive Certified Inspection Report
- ITInstallation on Site
- IUIssuer
- IVRenter
- J1Associate General Agent
- J2Authorized Entity
- J3Broker's Assistant
- J4Custodian
- J5Irrevocable Beneficiary
- J6Power of Attorney
- J7Trust Officer
- J8Broker Dealer
- J9Community Agent
- JADairy Department
- JBDelicatessen Department
- JCDry Grocery Department
- JDJudge
- JEFrozen Department
- JFGeneral Merchandise Department
- JGHealth & Beauty Department
- JHAlcohol Beverage Department
- JIMeat Department
- JJProduce Department
- JKBakery Department
- JLVideo Department
- JMCandy and Confections Department
- JNCigarettes and Tobacco Department
- JOIn-Store Bakery Department
- JPFloral Department
- JQPharmacy Department
- JRBidder
- JSJoint Debtor Attorney
- JTJoint Debtor
- JUJurisdiction
- JVJoint Owner
- JWJoint Venture
- JXClosing Agent
- JYFinancial Planner
- JZManaging General Agent
- K1Contractor Cognizant Security Office
- K2Subcontractor Cognizant Security Office
- K3Place of Performance Cognizant Security Office
- K4Party Authorizing Release of Security Information
- K5Party To Receive Contract Security Classification Specification
- K6Policy Writing Agent
- K7Radio Station
- K8Filing Location
- K9Previous Distributor
- KAItem Manager
- KBCustomer for Whom Same or Similar Work Was Performed
- KCParty That Received Disclosure Statement
- KDProposer
- KEContact Office
- KFAudit Office
- KGProject Manager
- KHOrganization Having Source Control
- KIUnited States Overseas Security Administration Office
- KJQualifying Officer
- KKRegistering Party
- KLClerk of Court
- KMCoordinator
- KNFormer Address
- KOPlant Clearance Officer
- KPName Under Which Filed
- KQLicensee
- KRPre-kindergarten to Grade 12 Recipient
- KSPre-kindergarten to Grade 12 Sender
- KTCourt
- KUReceiver Site
- KVDisbursing Officer
- KWBid Opening Location
- KXFree on Board Point
- KYTechnical Office
- KZAcceptance Location
- L1Inspection Location
- L2Location of Principal Assets
- L3Loan Correspondent
- L5Contact
- L8Head Office
- L9Information Provider
- LAAttorney
- LBLast Break Terminal
- LCLocation of Spot for Storage
- LDLiability Holder
- LELessor
- LFLimited Partner
- LGLocation of Goods
- LHPipeline
- LIIndependent Lab
- LJLimited Liability Company
- LKJuvenile Owner
- LLLocation of Load Exchange (Export)
- LMLending Institution
- LNLender
- LOLoan Originator
- LPLoading Party
- LQLaw Firm
- LRLegal Representative
- LSLessee
- LTLong-term Disability Carrier
- LUMaster Agent
- LVLoan Servicer
- LWCustomer
- LYLabeler
- LZLocal Chain
- M1Source Meter Location
- M2Receipt Location
- M3Upstream Meter Location
- M4Downstream Meter Location
- M5Migrant Health Clinic
- M6Landlord
- M7Foreclosing Lender
- M8Educational Institution
- M9Manufacturing
- MAParty for whom Item is Ultimately Intended
- MBCompany Interviewer Works For
- MCMotor Carrier
- MDVeterans Administration Loan Guaranty Authority
- MEVeterans Administration Loan Authorized Supplier
- MFManufacturer of Goods
- MGGovernment Loan Agency Sponsor or Agent
- MHMortgage Insurer
- MIPlanning Schedule/Material Release Issuer
- MJFinancial Institution
- MKLoan Holder for Real Estate Asset
- MLConsumer Credit Account Company
- MMMortgage Company
- MNAuthorized Marketer
- MORelease Drayman
- MPManufacturing Plant
- MQDelivery Location
- MRMedical Insurance Carrier
- MSBureau of Land Management (Minerals Management Service) Property Unit
- MTMaterial
- MUMeeting Location
- MVMainline
- MWMarine Surveyor
- MXJuvenile Witness
- MYMaster General Agent
- MZMinister
- N1Notify Party no. 1
- N2Notify Party no. 2
- N3Ineligible Party
- N4Price Administration
- N5Party Who Signed the Delivery Receipt
- N6Nonemployment Income Source
- N7Previous Neighbor
- N8Relative
- N9Neighborhood
- NBNeighbor
- NCCross-Town Switch
- NDNext Destination
- NENewspaper
- NFOwner Annuitant
- NGAdministrator
- NHAssociation
- NINon-insured
- NJTrust or Estate
- NKNational Chain
- NLNon-railroad Entity
- NMPhysician - Specialists
- NNNetwork Name
- NPNotify Party for Shipper's Order
- NQPipeline Segment Boundary
- NRGas Transaction Starting Point
- NSNon-Temporary Storage Facility
- NTMagistrate Judge
- NUFormerly Known As
- NVFormerly Doing Business As
- NWMaiden Name
- NXPrimary Owner
- NYBirth Name
- NZPrimary Physician
- O1Originating Bank
- O2Originating Company
- O3Receiving Company
- O4Factor
- O5Merchant Banker
- O6Non Registered Business Name
- O7Registered Business Name
- O8Registrar
- OAElectronic Return Originator
- OBOrdered By
- OCOrigin Carrier
- ODDoctor of Optometry
- OEBooking Office
- OFOffset Operator
- OGCo-owner
- OHOther Departments
- OIOutside Inspection Agency
- OK
- OLOfficer
- OMOrigin Mail Facility
- ONProduct Position Holder
- OOOrder Of (Shippers Orders) - (Transportation)
- OPOperator of property of Unit
- OROrigin Drayman
- OSOverride Institution; this is not the institution sending the record, but another institution the student previously attended or is currently attending
- OTOrigin Terminal
- OUOutside Processor
- OVOwner of Vessel
- OWOwner of Property or Unit
- OXOxygen Therapy Facility
- OYOwner of Vehicle
- OZOutside Testing Agency
- P0Patient Facility
- P1Preparer
- P2Primary Insured or Subscriber
- P3Primary Care Provider
- P4Prior Insurance Carrier
- P5Plan Sponsor
- P6Third Party Reviewing Preferred Provider Organization (PPO)
- P7Third Party Repricing Preferred Provider Organization (PPO)
- P8Personnel Office
- P9Primary Interexchange Carrier (PIC)
- PAParty to Receive Inspection Report
- PBPaying Bank
- PCParty to Receive Cert. of Conformance (C.A.A.)
- PDPurchaser's Department Buyer
- PEPayee
- PFParty to Receive Freight Bill
- PGPrime Contractor
- PHPrinter
- PIPublisher
- PJParty to Receive Correspondence
- PKParty to Receive Copy
- PLParty to Receive Purchase Order
- PMParty to receive paper Memo of Invoice
- PNParty to Receive Shipping Notice
- POParty to Receive Invoice for Goods or Services
- PPProperty
- PQParty to Receive Invoice for Lease Payments
- PRPayer
- PSPrevious Station
- PTParty to Receive Test Report
- PUParty at Pickup Location
- PVParty performing certification
- PWPickup Address
- PXParty Performing Count
- PYParty to File Personal Property Tax
- PZParty to Receive Equipment
- Q1Conductor Pilot
- Q2Engineer Pilot
- Q3Retail Account
- Q4Cooperative Buying Group
- Q5Advertising Group
- Q6Interpreter
- Q7Partner
- Q8Base Period Employer
- Q9Last Employer
- QAPharmacy
- QBPurchase Service Provider
- QCPatient
- QDResponsible Party
- QEPolicyholder
- QFPassenger
- QGPedestrian
- QHPhysician
- QIParty in Possession
- QJMost Recent Employer (Chargeable)
- QKManaged Care
- QLChiropractor
- QMDialysis Centers
- QNDentist
- QODoctor of Osteopathy
- QPPrincipal Borrower
- QQQuality Control
- QRBuyer's Quality Review Board
- QSPodiatrist
- QTPsychiatrist
- QUVeterinarian
- QVGroup Practice
- QWGovernment
- QXHome Health Corporation
- QYMedical Doctor
- QZCo-borrower
- R0Royalty Owner
- R1Party to Receive Scale Ticket
- R2Reporting Officer
- R3Next Scheduled Destination
- R4Regulatory (State) District
- R5Regulatory (State) Entity
- R6Requester
- R7Consumer Referral Contact
- R8Credit Reporting Agency
- R9Requested Lender
- RAAlternate Return Address
- RBReceiving Bank
- RCReceiving Location
- RDDestination Intermodal Ramp
- RE
- RFRefinery
- RGResponsible Installation, Origin
- RHResponsible Installation, Destination
- RIRemit To
- RJResidence or Domicile
- RKRefinery Operator
- RLReporting Location
- RMParty that remits payment
- RNRepair or Refurbish Location
- ROOriginal Intermodal Ramp
- RPReceiving Point for Customer Samples
- RQResale Customer
- RRRailroad
- RSReceiving Facility Scheduler
- RTReturned to
- RUReceiving Sub-Location
- RVReservoir
- RWRural Health Clinic
- RXResponsible Exhibitor
- RYSpecified Repository
- RZReceipt Zone
- S0Sole Proprietor
- S1Parent
- S2Student
- S3Custodial Parent
- S4Skilled Nursing Facility
- S5Secured Party
- S6Agency Granting Security Clearance
- S7Secured Party Company
- S8Secured Party Individual
- S9Sibling
- SASalvage Carrier
- SBStorage Area
- SCStore Class
- SDSold To and Ship To
- SESelling Party
- SFShip From
- SGStore Group
- SHShipper
- SIShipping Schedule Issuer
- SJService Provider
- SKSecondary Location Address (SLA)
- SLOrigin Sublocation
- SMParty to Receive Shipping Manifest
- SNStore
- SOSold To If Different From Bill To
- SPParty filling Shipper's Order
- SQService Bureau
- SRSamples to be Returned To
- SSSteamship Company
- STShip To
- SUSupplier/Manufacturer
- SVService Performance Site
- SWSealing Company
- SXSchool-based Service Provider
- SYSecondary Taxpayer
- SZSupervisor
- T1Operator of the Transfer Point
- T2Operator of the Source Transfer Point
- T3Terminal Location
- T4Transfer Point
- T6Terminal Operator
- T8Previous Title Company
- T9Prior Title Evidence Holder
- TATitle Insurance Services Provider
- TBTooling
- TCTool Source
- TDTooling Design
- TETheatre
- TFTank Farm
- TGTooling Fabrication
- THTheater Circuit
- TITariff Issuer
- TJCosigner
- TKTest Sponsor
- TLTesting Laboratory
- TMTransmitter
- TNTradename
- TOMessage To
- TPPrimary Taxpayer
- TQThird Party Reviewing Organization (TPO)
- TRTerminal
- TSParty to Receive Certified Test Results
- TTTransfer To
- TUThird Party Repricing Organization (TPO)
- TVThird Party Administrator (TPA)
- TWTransit Authority
- TXTax Authority
- TYTrustee
- TZSignificant Other
- U1Gas Transaction Point 1
- U2Gas Transaction Point 2
- U3Servicing Agent
- U4Team
- U5Underwriter
- U6Title Underwriter
- U7Psychologist
- U8Reference
- U9Non-Registered Investment Advisor
- UAPlace of Bottling
- UBPlace of Distilling
- UCUltimate Consignee
- UDRegion
- UETesting Service
- UFHealth Miscellaneous
- UGNursing Home Chain
- UHNursing Home
- UIRegistered Investment Advisor
- UJSales Assistant
- UKSystem
- ULSpecial Account
- UMCurrent Employer (Primary)
- UNUnion
- UOCurrent Employer (Secondary)
- UPUnloading Party
- UQSubsequent Owner
- URSurgeon
- USUpstream Party
- UTU.S. Trustee
- UUAnnuitant Payor
- UWUnassigned Agent
- UXBase Jurisdiction
- UYVehicle
- UZSigner
- V1Surety
- V2Grantor
- V3Well Pad Construction Contractor
- V4Oil and Gas Regulatory Agency
- V5Surface Discharge Agency
- V6Well Casing Depth Authority
- V8Market Timer
- V9Owner Annuitant Payor
- VASecond Contact
- VBCandidate
- VCVehicle Custodian
- VDMultiple Listing Service
- VEBoard of Realtors
- VFSelling Office
- VGListing Agent
- VHShowing Agent
- VIContact Person
- VJOwner Joint Annuitant Payor
- VKProperty or Building Manager
- VLBuilder Name
- VMOccupant
- VNVendor
- VOElementary School
- VPParty with Power to Vote Securities
- VQMiddle School
- VRJunior High School
- VSVehicle Salvage Assignment
- VTListing Office
- VUSecond Contact Organization
- VVOwner Payor
- VWWinner
- VXProduction Manager
- VYOrganization Completing Configuration Change
- VZ
- W1Work Team
- W2Supplier Work Team
- W3Third Party Investment Advisor
- W4Trust
- W8Interline Service Commitment Customer
- W9Sampling Location
- WAWriting Agent
- WBAppraiser Name
- WCComparable Property
- WDStorage Facility at Destination
- WESubject Property
- WFTank Farm Owner
- WGWage Earner
- WHWarehouse
- WIWitness
- WJSupervisory Appraiser Name
- WLWholesaler
- WNCompany Assigned Well
- WOStorage Facility at Origin
- WPWitness for Plaintiff
- WRWithdrawal Point
- WSWater System
- WTWitness for Defendant
- WUPrimary Support Organization
- WVPreliminary Maintenance Period Designating Organization
- WWPreliminary Maintenance Organization
- WXPreliminary Referred To Organization
- WYFinal Maintenance Period Designating Organization
- WZFinal Maintenance Organization
- X1Mail to
- X2Party to Perform Packaging
- X3Utilization Management Organization
- X4Spouse
- X5Durable Medical Equipment Supplier
- X6International Organization
- X7Inventor
- X8Hispanic Service Institute
- XACreditor
- XCDebtor's Attorney
- XDAlias
- XEClaim Recipient
- XFAuctioneer
- XGEvent Location
- XHFinal Referred To Organization
- XIOriginal Claimant
- XJActual Referred By Organization
- XKActual Referred To Organization
- XLBorrower's Employer
- XMMaintenance Organization Used for Estimate
- XNPlanning/Maintenance Organization
- XOPreliminary Customer Organization
- XPParty to Receive Solicitation
- XQCanadian Customs Broker
- XRMexican Customs Broker
- XSS Corporation
- XTFinal Customer Organization
- XUUnited States Customs Broker
- XVCross Claimant
- XWCounter Claimant
- XXBusiness Area
- XYTribal Government
- XZAmerican Indian-Owned Business
- Y2Managed Care Organization
- YAAffiant
- YBArbitrator
- YCBail Payor
- YDDistrict Justice
- YEThird Party
- YFWitness for Prosecution
- YGExpert Witness
- YHCrime Victim
- YIJuvenile Victim
- YJJuvenile Defendant
- YKBondsman
- YLCourt Appointed Attorney
- YMComplainant's Attorney
- YNDistrict Attorney
- YOAttorney for Defendant, Public
- YPPro Bono Attorney
- YQPro Se Counsel
- YRParty to Appear Before
- YSAppellant
- YTAppellee
- YUArresting Officer
- YVHostile Witness
- YWDischarge Point
- YXFlood Certifier
- YYFlood Determination Provider
- YZElectronic Registration Utility
- Z1Party to Receive Status
- Z2Unserviceable Material Consignee
- Z3Potential Source of Supply
- Z4Owning Inventory Control Point
- Z5Management Control Activity
- Z6Transferring Party
- Z7Mark-for Party
- Z8Last Known Source of Supply
- Z9Banker
- ZACorrected Address
- ZBParty to Receive Credit
- ZCRent Payor
- ZDParty to Receive Reports
- ZEEnd Item Manufacturer
- ZFBreak Bulk Point
- ZGPresent Address
- ZHChild
- ZJBranch
- ZKReporter
- ZLParty Passing the Transaction
- ZMLease Location
- ZNLosing Inventory Manager
- ZOMinimum Royalty Payor
- ZPGaining Inventory Manager
- ZQScreening Point
- ZRValidating Party
- ZSMonitoring Party
- ZTParticipating Area
- ZUFormation
- ZVAllowable Recipient
- ZWField
- ZXAttorney of Record
- ZYAmicus Curiae
- ZZMutually Defined
- 001Pumper
- 002Surface Management Entity
- 003Application Party
- 004Site Operator
- 005Construction Contractor
- 006Drilling Contractor
- 007Spud Contractor
- AAASub-account
- AABManagement Non-Officer
- AACIncorporated Location
- AADName not to be Confused with
- AAELot
- AAFPrevious Occupant
- AAGGround Ambulance Services
- AAHAir Ambulance Services
- AAIWater Ambulance Services
- AAJAdmitting Services
- AAKPrimary Surgeon
- AALMedical Nurse
- AAMCardiac Rehabilitation Services
- AANSkilled Nursing Services
- AAOObservation Room Services
- AAPEmployee
- AAQAnesthesiology Services
- AASPrior Base Jurisdiction
- AATIncorporation Jurisdiction
- AAUMarker Owner
- AAVReclamation Center
- ABBMaster Property
- ABCProject Property
- ABDUnit Property
- ABEAdditional Address
- ABFSociety of Property Information Compilers and Analysts
- ABGOrganization
- ABHJoint Owner Annuitant
- ABIJoint Annuitant Owner
- ABJJoint Owner Annuitant Payor
- ABKJoint Owner Joint Annuitant
- ABLJoint Owner Joint Annuitant Payor
- ABMJoint Owner Payor
- ALAAlternative Addressee
- BALBailiff
- BKRBookkeeper
- BRNBrand Name
- BUSBusiness
- CMWCompany Merged With
- COLCollateral Assignee
- CORCorrected Name
- DCCChief Deputy Clerk of Court
- DIRDistribution Recipient
- ENREnroller
- EXSEx-spouse
- FRLForeign Registration Location
- FSRFinancial Statement Recipient
- GIRGift Recipient
- HMIMaterial Safety Data Sheet (MSDS) Recipient
- HOMHome Office
- IAABusiness Entity
- IACPrincipal Executive Office
- IADForeign Office
- IAEMember
- IAFExecutive Committee Member
- IAGDirector
- IAHClerk
- IAIParty with Knowledge of Affairs of the Company
- IAKParty to Receive Statement of Fees Due
- IALCompany in which Interest Held
- IAMCompany which Holds Interest
- IANNotary
- IAOManager
- IAPAlien Affiliate
- IAQIncorporation State Principal Office
- IARIncorporation State Place of Business
- IASOut-of-State Principal Office
- IATParty Executing and Verifying
- IAUFelon
- IAVOther Related Party
- IAWRecord-Keeping Address
- IAYInitial Subscriber
- IAZOriginal Jurisdiction
- INVInvestment Advisor
- LGSLocal Government Sponsor
- LYMAmended Name
- LYNStockholder
- LYOManaging Agent
- LYPOrganizer
- MSCMammography Screening Center
- NCTName Changed To
- NPCNotary Public
- ORIOriginal Name
- PLRPayer of Last Resort
- PMFParty Manufactured For
- PPSPerson for Whose Benefit Property was Seized
- PREPrevious Owner
- PRPPrimary Payer
- PURPurchased Company
- RCRRecovery Room
- RECReceiver Manager
- RGAResponsible Government Agency
- SEPSecondary Payer
- TPMThird Party Marketer
- TSEConsignee Courier Transfer Station
- TSRConsignor Courier Transfer Station
- TTPTertiary Payer
Time expressed in 24-hour clock time as follows:HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows:D = tenths (0-9) and DD = hundredths (00-99)
Code identifying the reason for the maintenance change
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