Segment
X12 EDI Release 00505
To indicate the beginning of the Product Transfer and Resale Report Transaction Set and transmit identifying data
Elements
Code identifying purpose of transaction set
Codes (67)- 10Not Found
- 11Response
- 12Not Processed
- 13Request
- 14Advance Notification
- 15Re-Submission
- 16Proposed
- 17Cancel, to be Reissued
- 18Reissue
- 19Seller initiated change
- 20Final Transmission
- 21Transaction on Hold
- 22Information Copy
- 24Draft
- 25Incremental
- 26Replace - Specified Buyers Parts Only
- 27Verify
- 28Query
- 30Renewal
- 31Allowance/Addition
- 32Recovery/Deduction
- 33Request for Payment
- 34Payment Declined
- 35Request Authority
- 36Authority to Deduct (Reply)
- 37Authority Declined (Reply)
- 38No Financial Value
- 39Response to Proposed Trip Plan
- 40Commitment Advice
- 41Corrected and Verified
- 42Temporary Record
- 43Request Permission to Service
- 44Rejection
- 45Follow-up
- 46Cancellation with Refund
- 47Transfer
- 48Suspended
- 49Original - No Response Necessary
- 50Register
- 51Historical Inquiry
- 52Response to Historical Inquiry
- 53Completion
- 54Approval
- 55Excavation
- 56Expiration Notification
- 57Initial
- 77Simulation Exercise
- 00Original
- 01Cancellation
- 02Add
- 03Delete
- 04Change
- 05Replace
- 06Confirmation
- 07Duplicate
- 08Status
- 5CChargeable Resubmission
- CNCompletion Notification
- COCorrected
- EXFinal Loading Configuration
- GRGranted
- PRProposed Loading Configuration
- RHRelease Hold
- RVRevised Loading Configuration
- SBScan Based Trading
- SUStatus Update
- ZZMutually Defined
Code indicating the title or contents of a document, report or supporting item
Codes (553)- 10Continued Treatment
- 11Chemical Analysis
- 12Mechanical Properties
- 13Certified Test Report
- 14Core Loss Test Report
- 15Justification for Admission
- 16Western Region 01 (Internal Revenue Service Summary of line 31 on 1040)
- 17Return From Tax Payer Report (Internal Revenue Service Summary)
- 18Note Receivable
- 19Credit Report
- 20Process Plan
- 21Recovery Plan
- 22Functional Plan
- 23Contractual Plan
- 24Non-Contractual Plan
- 25Purchase Plan
- 26Production Plan
- 27Contract Delivery Schedule
- 28Master Delivery Schedule
- 29Assembly Plan
- 30Lead Time Chart
- 31Master Schedule
- 32Master Production Schedule
- 33Manufacturing Flow Diagram
- 34Lot Release Plan
- 35Subcontractor Plan
- 36Development Plan
- 37Lease Agreement
- 38Court Judgment
- 39Lottery Winning Letter
- 40Curb Side Inspection
- 41Statistical Model
- 42Interior and Exterior Inspection
- 43Non-Inspection Report
- 44Review Appraisal
- 45Investor Guidelines
- 46Sole Discretion Inspection
- 47Brokers Price Opinion
- 48Social Security Benefit Letter
- 49Divorce Decree
- 50Contract
- 51Gift Letter
- 52Will
- 53Trust Agreement
- 54Award Letter
- 55Rental Agreement
- 56Preliminary Real Estate Settlement Statement
- 57Income Statement (Internal Revenue Service Form 1099)
- 58Utility Bill
- 59Benefit Letter
- 60Canceled Check
- 61Individual Tax Return (Internal Revenue Service Form 1040)
- 62Asset Account Statement
- 63Statement of Profit and Loss
- 64Partner Share of Income, Credit, Deductions, (Internal Revenue Service Form K1)
- 65Partnership Tax Return (Internal Revenue Service Form 1120)
- 66Pay Stub
- 67Wage and Tax Statement (Internal Revenue Service Form W2)
- 68Year End Statement
- 69Bank Statement
- 70Verification of Loan/Installment Debt Form
- 71Verification of Deposit Form
- 72Verification of Mortgage/Rent Form
- 73Verification of Employment Form
- 74Corporation Tax Return (Internal Revenue Service Form 1065)
- 75Title Certificates
- 76Real Estate Settlement Statement (Housing and Urban Development Form - 1 "HUD1")
- 77Support Data for Verification
- 78Visa/Export License
- 79Multi-Country Textile Declaration
- 80Single Country Textile Declaration
- 81Negative Textile Declaration
- 82Endangered Species Convention on International Trade in Endangered Species (CITES)
- 83Trademark Release
- 84Water Resistance Statement
- 85Certificate of Ceramicware Ceramics Commodities Inspection Bureau (CCIB)
- 86Wearing Apparel Detail Sheet (WADS)
- 87Interim Footwear Invoice
- 88Impact Resistance Statement
- 89Toxic Substance Compliance Statement
- 90Foreign Shippers Declaration
- 91Veterinarian Certificate
- 92Child Labor Certificate
- 93Prison Labor Certificate
- 94Purchase Order Copy
- 95Product Analysis
- 96American Automotive Labeling Act Certificate
- 97Broker Market Analysis
- 01Product Transfer
- 02Resale
- 03Report Justifying Treatment Beyond Utilization Guidelines
- 04Drugs Administered
- 05Treatment Diagnosis
- 06Initial Assessment
- 07Functional Goals
- 08Plan of Treatment
- 09Progress Report
- A1Air Emissions Statements
- A2Anti-Dumping Gasoline Program Report
- A3Allergies/Sensitivities Document
- A4Autopsy Report
- AAAgent Inventory Report
- ABAssembly Drawing
- ACAssay Certificate
- ADAgent/Distributor Inventory Report
- AEAttachment
- AFAid Form
- AGActual
- AHEasement Report
- AIConditions, Covenant, and Restrictions Report
- AJImpound Account Escrow Analysis Report
- AKClosing Escrow Analysis Report
- ALReserved Escrow Analysis Report
- AMAmbulance Certification
- ANTitle Policy
- AOAverage Outgoing Quality Report
- APAdvanced Problem Notification
- AQHousing and Urban Development (HUD) 1 Report
- ARAsset Reclassification Extension Request
- ASAdmission Summary
- ATPurchase Order Attachment
- AUAutomobile Claim Report
- AVAveraging Areas Report
- AWAir Waybill
- AXAsset Reclassification Extension Response
- AYTax Certificate
- AZHome Owner Authorization
- B1Batch Report
- B2Prescription
- B3Physician Order
- B4Referral Form
- BABudget
- BBBuy or Sell Exchange Contract Status Statement
- BCBill of Lading Copy
- BEBenzene Content Averaging Report
- BFBailment Warehouse Withdrawal Request
- BLBill of Lading
- BMBill of Material
- BNBeneficiary Certificate
- BOBill of Lading Original
- BRBenchmark Testing Results
- BSBaseline
- BTBlanket Test Results
- BUBillback Report
- BWBill of Sale
- BYBiennial Report
- C1Cost Data Summary
- C2Functional Cost and Hour
- C3Progress Curve
- C4Plant-Wide Data
- C5Certified Cost and Price Data
- C6Wage Determination
- C7Credit Transfer Summary Report
- C8Chemical/Radiological Report
- C9Certification/Authorization Document
- CACertificate of Analysis
- CBChiropractic Justification
- CCC.A.A. Certificate of Conformance (British CAA)
- CDCustomer/Distributor Inventory Report
- CEConstable Report
- CFCapability
- CGCertificate of Origin
- CHCertificate of Weight
- CICertificate of Inspection Report
- CJComplications Document
- CKConsent Form(s)
- CLCable
- CMCustomer/Manufacturer Inventory Report
- CNCustomer's Report of Nonconformance
- COConsignment Order
- CPCertificate of Compliance (Material Certification)
- CQCounty Record
- CRLetter of Credit
- CSConsigned Inventory Sales Report
- CTCertification
- CUCustomer Notification Letter
- CVChange of Hospice Benefit
- CWCorrective Work Order
- CXCost/Schedule Status Report (C/SSR)
- CYContract Funds Status Report (CFSR)
- CZCampus Police Report
- D2Drug Profile Document
- DADental Models
- DBDurable Medical Equipment Prescription
- DCDistributor/Customer Inventory Report
- DDDistributor Inventory Report
- DECertificate of Quality
- DFDA59 Special Customs Invoice for South Africa
- DGDiagnostic Report
- DHNitrogen Certificate
- DIDirectory
- DJDischarge Monitoring Report
- DKDrawback Affidavit
- DLDraft and Transmittal Letter
- DMDistributor/Manufacturer Inventory Report
- DNDeviation/Nonconformance Test Results and Request for Action
- DQDelinquency
- DRDatalog Report
- DSDischarge Summary
- DTDepartment of Transportation
- DUCommercial
- DVCondominium
- DWDrawing(s)
- E1Exporter's Certificate and Agreement
- EAElectrical Average Outgoing Quality Report
- EBExplanation of Benefits (Coordination of Benefits or Medicare Secondary Payor)
- ECEngineering Change Order
- EDEnvironmental Exposure Document
- EHElection of Hospice Benefit
- ELEligibility
- EPExperimental Material Purchase Order
- EREngineering Change Request
- ESSource Selection Plan
- EXShippers Export Declaration
- EYBarrel for Barrel Exchange Contract Status Statement
- F1Cost Performance Report (CPR) Format 1
- F2Cost Performance Report (CPR) Format 2
- F3Cost Performance Report (CPR) Format 3
- F4Cost Performance Report (CPR) Format 4
- F5Cost Performance Report (CPR) Format 5
- F6Transportation Carrier Inspection Report
- F7Government Inspection Report
- F8Inspection Waiver (Written)
- F9Inspection Waiver (Oral)
- FBFederal Bureau of Investigation
- FCFumigation Certificate
- FDFederal Specification Compliance
- FEFederal Emergency Management Agency
- FHLimitation of Heavy Elements
- FIFire Report
- FMFamily Medical History Document
- FOPost-Operative Radiology Films
- FRPre-Operative Radiology Films
- FSCertificate of Free Sale
- G1State Form
- G2Clearance Letter
- G3Background Release
- G4Exam Results
- G5Prelicense Certificate
- G6National Association of Securities Dealers Certification
- G7License Copy
- GPGas Processor's Report
- GTGas Transporter's Report
- HCHealth Certificate
- HIHazardous Material Incident
- HPHistory and Physical
- HRHealth Clinic Records
- HWHazardous Waste Manifest
- I2Consular Invoice
- I3Customs Invoice
- I4Forwarder's Invoice
- I5Immunization Record
- I6Carrier's Invoice
- IAInsurance Attachment
- ICInsurance Certificate
- IMImport License
- INInspection Request
- IPInventory Parameter Report
- IRState School Immunization Records
- ISIndex System
- ITCertified Inspection and Test Results
- IUInspection Result
- IVInvoice
- J1Doctor’s First Report of Injury
- J2Supplemental Medical Report
- J3Medical Permanent Impairment
- J4Medical Legal Report
- J5Vocational Report
- J6Work Status Report
- J7Consultation Report
- J8Permanent Disability
- J9Itemized Statement
- JACertificate of Good Standing
- JBTax Status Clearance
- JCConsent to Use Name
- JDCertificate of Registration
- JECertificate of Existence
- JFCertificate of Status
- JGCertificate of Name Change
- JHCertificate of Merger
- JICertificate of Significant Change
- JKBalance Sheet
- JLApplication of Name Reservation
- JMSchedule of Capital
- JNForeign Tax Return
- JOPermit Application
- JPAdmission Tax Return
- JQAddendum to Articles
- JRArticles and Amendments
- JSAppointment of Commissioner as Registered Agent
- JTCertificate of Disclosure
- JVNotice of Registered Office
- JWNotice of Directors
- JXOrganization and First Biennial Report
- JYAgreement of Statutory Agent
- JZConsent to Act
- KAContract Data Requirements List (CDRL)
- KCKosher Certificate
- KDEngineering Drawing List
- KEPurchased Engineering Data List
- KFSupport Documents
- KGPurchased Documents
- KHProposal Support Data
- KIPurchased Drawings
- KJChange Proposal Data
- KYReport of Assignment or Modification of Key Events
- KZRequest for Assignment or Modification of Key Events
- LALaboratory Results
- LBLegalized Bill of Lading
- LCLocation Inventory Report
- LDLaboratory Quality Review Variation, Deviation
- LELatest Revised Estimate
- LGLegalized Certificate of Origin
- LILegalized Invoice
- LNLocation Reconciliation History Notification Report
- LOLaboratory Quality Review Order, Waiver
- LPLabor Plan
- LRLaboratory Quality Review Order, Deviation
- LSLease Settlement Statement
- LTLicense Application Attachment
- LWLaboratory Quality Review Variation, Waiver
- M1Medical Record Attachment
- MAManufacturer/Agent Inventory Report
- MBManufacturer/Distributor Inventory Report
- MCManufacturer/Customer Inventory Report
- MDMaterial Data Sheets
- MEMajor Deviation Request
- MFManufacturing Specification
- MGMigrant Student Records Transfer System (MSRTS) Record
- MHReport of Full Maintenance Period Detail
- MIMortgage Insurance Certification
- MJRequest for Maintenance Period Status
- MKReport of Maintenance Period Status
- MLRequest for Full Maintenance Period Detail
- MMManufacturer Inventory Report
- MNMinor Deviation Request
- MOManufacturer's Statement of Origin
- MPRequest for Establishment, Modification, or Cancellation of Maintenance Period
- MQReport of Establishment, Modification, or Cancellation of Maintenance Period
- MRMaterial Inspection and Receiving Report
- MSMaterial Safety Data Sheet
- MTModels
- MVMetered Volumes
- MZMotor Vehicle Report
- NANational Insurance Crime Bureau Assignment
- NCCertificate of Quantity
- NDCommercial Invoice
- NINational Insurance Crime Bureau
- NLNational Insurance Crime Bureau Total Loss
- NMMonthly Contractor Financial Management Report
- NNNursing Notes
- NONational Insurance Crime Bureau Other than Theft
- NQQuarterly Contractor Financial Management Report
- NRNOx Emissions Averaging Report
- NTNational Insurance Crime Bureau Total Theft
- OBOperative Note
- OCOxygen Content Averaging Report
- ODOrders and Treatments Document
- OEObjective Physical Examination (including vital signs) Document
- OLOcean Bill of Lading
- OPOutside Production Operation Sheet
- OROil Storer's Report
- OSOrganization Breakdown Structure
- OTOil Transporter's Report
- OXOxygen Therapy Certification
- OZSupport Data for Claim
- P1Packing List
- P2Protest
- P3Receipt
- P4Pathology Report
- P5Patient Medical History Document
- P6Periodontal Charts
- P7Periodontal Reports
- P8Property Claim Report
- P9Provisioning - Supply Support Information
- PAPart Drawing
- PBProduct Catalog
- PCProcess Change Notice
- PDProof of Delivery
- PEParenteral or Enteral Certification
- PFProduct Specification
- PGPackaging Specification
- PHProduction History - Property Level
- PIProduct Availability Inquiry
- PJPurchasing Specification
- PKStorage Information Inquiry
- PLProperty Insurance Loss Register
- PMProof of Insurance
- PNPhysical Therapy Notes
- POProsthetics or Orthotic Certification
- PPProposal
- PQParamedical Results
- PRPurchase Report
- PSPipeline/Shipper Inventory Report
- PTInter-Plant Inventory Report
- PVPolice Report
- PWProduction History - Well Level
- PXProduction, Injection and Disposition Report
- PYPhysician's Report
- PZPhysical Therapy Certification
- QCCause and Corrective Action Report
- QDQuality Review Order, Purchasing
- QEQuality Detail
- QMQuality Review Order, Manufacturing
- QRQuality Report
- QSQuality Review Order Supplement
- QTQuality Summary
- R1Reformulated Gasoline/Anti-Dumping Company Registration
- R2Reformulated Gasoline/Anti-Dumping Facility Registration
- R3Technical Information Package
- R4Purchased Technical Information Package
- R5Technical Information
- R6Miscellaneous Information
- R7Compliance Review
- R9Accident
- RARevision Announcement
- RBRadiology Films
- RCRequest for Cause and Corrective Action Report
- RDPayment Bond
- REPerformance Bond
- RFReliability Fail Rate Report
- RGResidential
- RHBid Bond
- RMRequest for Manufacturing Engineer Appraisal
- RNSupplier's Report of Nonconformance
- RORegular Order
- RRRadiology Reports
- RTReport of Tests and Analysis Report
- RVReid Vapor Pressure (RVP) Averaging Report
- RXRenewable Oxygen Content Averaging Report
- S1Supply and Shipment Status Report
- S2Supply Status Report
- S3Exception Supply Status Report
- S4Exception Supply and Shipment Status Report
- S5Product Quality Deficiency Report Category I
- S6Product Quality Deficiency Report Category II
- S7"Walsh-Healey Act" Manufacturer or Regular Dealer
- S8Report of Findings
- S9Representation
- SAState Police Report
- SBSample Approval and Rejection List
- SCSanitary Certificate
- SDSupport Data for a Request for Quote
- SESecurity Police Report
- SFContract Security Classification Specification
- SGSymptoms Document
- SHSheriff Report
- SISeller Inventory Report
- SJStatement of Work
- SLSample Bale List
- SMShipping Manifests
- SNShipping Notice
- SOSecretary Certificate
- SPSpecification
- SQStatistical Quality Documents
- SRStatistical Report
- SSSeller Sales Report
- STStudent Educational Record (Transcript)
- SUSupplier's Certificate
- SVSurvey
- SWSea Waybill
- SXSteamship Due Bill
- SYTrain Sheet
- T1Title Bill
- T2Preliminary Title Work
- T3Loan Documents
- T4Tax Information
- T5Toxics Emissions Performance Averaging Report
- T6Toxics Release Inventory
- T7Therapy Notes
- TAAsset Support Inquiry
- TBAsset Support Advice
- TCPhysical Inventory Request
- TDAsset Reclassification Response
- TEAsset Reclassification Request
- TFTransaction History Request
- TGTwo to Four Family
- THTotal Theft Claim Report
- TIAsset Status Inquiry
- TJAsset Status Advice
- TKLogistics Transfer Inquiry
- TLLogistics Transfer Advice
- TMStock Sale Report
- TNDelayed Sale Report
- TODemand Report
- TPTreatments Certificate
- TQStorage Information Advice
- TRTransmittal Letter
- TSSulfur, Olefins, and T90 Averaging Report
- TTTitle Transfer
- TXTax-exempt Certificate
- U1Survey Report
- UAUnion Agreement
- UBCertificate of Designation of Registered Agent
- UDList of Officers and Directors
- UEResolution and Consent Form
- UFDomestic Business Corporation Initial Report
- UGRegistered Agent Application
- UHArticles of Incorporation
- UICertificate of Compliance
- UJCertificate of Authorization
- UKCharter
- ULOther Type of Report
- UMAffidavit of Acceptance
- UNResolution Adopting Fictitious Name
- UOTrade Name Application
- UPDeclaration of Solicitor
- UQMemorandum of Association
- URNotice of Registered Agent
- US"BUY AMERICA" Certification of Compliance
- UUDissolution of Existing Registration
- UVAppointment of Statutory Agent
- UXRegulatory Approval for Professional Association
- UYInitial Annual Report
- UZCertificate of Fact
- V1Voter Registration Application
- V2Voter Registration Application Disposition
- V3Voter Information Record
- V4Change of Name and/or Address
- V5Death Notification
- V6Felony Conviction Notification
- V7Incompetency Notification
- VAVariance Analysis
- VCVolatile Organic Compounds (VOC) Emissions Averaging Report
- VDData Request for Vendor's Specifications or Drawings.
- VMVisual/Mechanical Average Outgoing Quality Report
- W1Safe Drinking Water Bacteriological Report
- W2Safe Drinking Water Report
- WAFictitious Name Statement
- WBWork Breakdown Structure
- WCRequest for Assignment or Deletion of Work Candidate
- WDReport of Assignment or Deletion of Work Candidate
- WEBusiness Conducted Prior to Qualification Form
- WFBy-Laws
- WGAppointment of Agent for Service and Consent to Act
- WHCertificate of Name Clearance
- WIWell Information
- WPWork Progress
- WTWell Test Information
- X1Complete Appraisal
- X2Limited Appraisal
- X3Self-contained Report
- X4Summary Report
- X5Restricted Report
- XEEquipment Test Results
- XPPhotographs
- Y1Appraisal
- Y2Broker Price Opinion
- Y3Real Estate Property Information
- ZAFlood Determination Report
- ZBConventional Ammunition Suspension Report
- ZCSelf Monitoring Report
- ZZMutually Defined
Code indicating type of action
Codes (323)- 0Authorize
- 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
- 33Active
- 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
- 91In Progress
- 92Reconfirm
- 93Send Record at End of the Fall Term
- 94Send Record at End of the Winter Term
- 95Send Record at End of the Spring Term
- 96Send Record at End of the Summer Term
- 97Send Record at End of the Intersession Term
- 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
- 00Authorize and Settle Combination
- 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
- ANAnnual Location Reconciliation
- APAppeal
- AQAcquitted
- ARAdvanced Payment
- ASDiscovered
- ATAppoint
- AVCancellation Not Effected
- AWMass Cancellation
- AXPartial Cancellation
- BDBoard
- BEProducer Reporting Structure Change
- BFBackground Investigation
- BGLicense Request
- BHBook of Business Transfer
- BIBifurcate
- BJPrint Loan Application Only
- BKGuarantee Application Only
- BLGuarantee Before Sending Application
- BMReturn Loan Application with Certification Data
- BNGuarantee After Receiving Application
- 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
- CRProcess Immediate, Critical
- 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
- EOEnd of Day Processing
- EPEntire Patient Information
- ERExtension Request
- EVEvaluate
- EXExtend
- EZException Occurred
- F1Fined
- FAFail
- FCFactor Change
- FIFile
- FOForfeit
- FRPatient Follow-Up Required
- GRGrant
- HMProcess Manually
- 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
- NCProcess Routinely, Not Critical
- 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
- RZReject - Header Level Errors
- 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
- VCSight Verification Completed
- W1Reconcile Historical Records
- WDWithdrawn
- WIWinterize
- WQAccept
- WVWaive
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 indicating the level of confidentiality assigned by the sender to the information following
Codes (17)- 11Competition Sensitive
- 20Court Restricted
- 21Juvenile Record Restricted
- 90Government Non-Classified
- 92Government Confidential
- 93Government Secret
- 94Government Top Secret
- 99Government Defined (Trading Partner Level)
- 00Company Non-Classified
- 01Company Internal Use Only
- 02Company Confidential
- 03Company Confidential, Restricted (Need to Know)
- 04Company Registered (Signature Required)
- 05Personal
- 06Supplier Proprietary
- 09Company Defined (Trading Partner Level)
- ZZMutually Defined