1129Adjustment Reason Code Characteristic

Batch

Specifies an additional characteristic of the adjustment reason

Element Details

Type ID

LengthMin 1 / Max 2

Codes

<>84Bodily Injury Payment
<>C7Penalties Paid on Medical Benefits
<>73Chiropractor
<>E1Radiology
<>15Defense Medical Evaluation
<>G3Vocational Rehabilitation Training
<>37Employer's Legal Expenses
<>A5Hospital Bill Audit
<>D8Property Adjustment
<>61Additional Living Expense
<>D3Pharmacy
<>F1Testing Lab
<>96Commercial Photographers
<>7Permanent
<>25Permanent Total Supplemental
<>78Indemnity Payments
<>B5Major Case of Individual Case Reporting
<>G8State Fund - Other
<>43Vocational Rehabilitation Education
<>H2Federal Supplemental Fund
<>82Claim Payment
<>C1Medical Rehabilitation
<>28Temporary Total
<>57Vocational Rehabilitation Maintenance
<>E7Supplemental Permanent Total Benefits
<>75Medical Reserves
<>B8Medical Management Services
<>G5Autopsy Fees
<>13Applied
<>A3Hospital - Inpatient Charges
<>31Permanent Partial Disfigurement
<>14Receiving
<>G2Witness Fees and Expenses - Other than Expert Witness
<>36Interest
<>A4Hospital - Outpatient Charges
<>D9Provider Bill Audit Expense
<>85Bodily Injury Reserve
<>C6State Fund - Other
<>72Central Index Bureau Filing Fees
<>22Fee Schedule Savings
<>B2Life Pension
<>19Expert Fees and Expenses (excluding tests and testimony)
<>A9Legal Expenses - Miscellaneous
<>44Other Vocational Rehabilitation
<>66Attorney Fees
<>D4Photographs other than Commercial
<>F6Utilization Review - Hospital
<>91Collision Reserve
<>88Comprehensive Payment
<>83Claim Reserve
<>29Temporary Partial
<>E6State Supplemental Fund
<>74Indemnity Reserves
<>B9Medical Records or Reports
<>G4Appraisal Fees
<>12Eligible
<>30Employer Liability
<>A2Hearing Attendance or Representation Fees
<>H3Flat Rate
<>86Property Damage Payment
<>C5Extended Care Facility
<>71Catastrophic Benefits
<>E3Scheduled Award
<>17Engineering Services
<>35Penalties
<>A7Independent Adjustor Expense
<>F8Unallocated Indemnity
<>45Total Temporary Catastrophic
<>67Auto Liability Subrogation
<>D5Physiotherapy
<>F7Utilization Review - Physician
<>90Collision Payment
<>89Comprehensive Reserve
<>1Primary Disability - Frozen
<>23Fatal
<>B3Lump Sum Remarriage Payment
<>18Expert Test (Trial)
<>A8Independent Medical Exam
<>40Hospital Costs
<>62Alternative Dispute Resolution Services
<>F2Third Party Contribution
<>95Claimant Medical Evaluation
<>4Dependent Disability - Non-frozen
<>26Permanent Partial Scheduled
<>B6Medical Equipment
<>E2Time and Expense Fees
<>16Delayed Reporting Penalty (Insured)
<>34Funeral Expenses
<>A6Impairment Income Benefits
<>69Not Eligible
<>F9Unallocated Medical
<>87Property Damage Reserve
<>C4Nursing Care
<>C9Pension Indemnity Benefit
<>2Primary Disability - Non-frozen
<>39Payments to Physicians
<>46Unknown Payment Type
<>64Annuity
<>D6PPO (Preferred Provider Organization) Fees or Expenses
<>F4Transportation - Medical Treatment
<>93Expert Witness Fees
<>94Claimant Legal Expense
<>5Retirement - Frozen
<>58Claim Value Recovery
<>27Permanent Partial Unscheduled
<>B7Peer Review Board Expenses
<>41Other Medical
<>63Anesthesiologist
<>D1Permanent Partial Disfigurement
<>F3Transportation - Other
<>99Defense Attorney Fees and Expenses
<>80Expense Payments
<>C3No-fault benefit or expense (Non-Workers Compensation)
<>8Temporary
<>77Vocational Rehabilitation Reserves
<>E5State Second Injury Fund
<>11Deferred
<>G7Temporary Income Benefits
<>A1Funeral Benefits
<>38Claimant's Legal Expenses
<>65Attorney Expenses
<>D7Product Liability Subrogation
<>F5Treating or Panel Physician
<>92Salvage
<>C8Penalties Paid on Indemnity Benefits
<>3Dependent Disability - Frozen
<>B1Liability Settlement
<>24Permanent Total
<>79Medical Payments
<>B4Lump Sum Settlement Amount
<>G9Federal Second Injury Fund
<>42Vocational Rehabilitation Evaluation
<>60Deductible Recovery
<>D2Personal Property or Contents
<>97Mandated Medical Exam
<>6Retirement - Non-frozen
<>9Canadian
<>76Expense Reserves
<>E4Social Security
<>G6Surveillance Special Investigation Fees and Expenses
<>10Joint
<>32Employer Paid
<>98Death Benefits
<>81Vocational Rehabilitation Payments
<>C2Medical Test (Trial)

EDI Dictionary

1129Adjustment Reason Code Characteristic

Element Details