1203Maintenance Reason Code

Batch

Code identifying the reason for the maintenance change

Element Details

Type ID

LengthMin 2 / Max 3

Codes

<>84No Eligible Employees
<>XTTransfer
<>51Enrollment in Subsequent Benefit Plan
<>73Deleting a Jurisdiction
<>15Primary Care Provider (PCP) Change
<>37Leave of Absence with Benefits
<>48Fees Processing
<>AEUnable to Schedule Appointments in a Timely Manner
<>61Duplicate Coverage
<>4CPhysical or Mailing Address Correction
<>07Termination of Benefits
<>25Change in Identifying Data Elements
<>78Change Employer Unemployment Insurance (UI) Code
<>43Change of Location
<>ACInconvenient Office Location
<>82Change Policy Expiration Date
<>28Initial Enrollment
<>57Buyout
<>75Occupational Illness
<>XBBecame Medical Only
<>13Leave of Absence
<>31Legal Separation
<>14Voluntary Withdrawal
<>36Contribution or Plan Allocation
<>49Interfund Transfer
<>ADDissatisfaction with Office Hours
<>85Reinstatement - Canceled in Error
<>50Loan Request
<>72Adding a Jurisdiction
<>22Plan Change
<>19Sabbatical
<>ZZMutually Defined
<>44Change of Telephone Number
<>66Revocation of Voluntary Market Acceptance
<>AINo Reason Given
<>88Parent Identification Change
<>83Change Insurer Federal Employer Identification Number (FEIN)
<>29Benefit Selection
<>56Sub Location Expire
<>12Lay Off
<>30Discrimination Test
<>ABDissatisfaction with Medical Care/Services Rendered
<>86Change in Insured Information
<>53Name Synonym Add
<>71Rewritten
<>17Fired
<>35Loan Repayment
<>68Exclude Primary Business Management
<>AGLess Respect and Attention Time Given than to Other Patients
<>45Went Out of Business
<>67Include Primary Business Management
<>01Divorce
<>AHPatient Moved to a New Location
<>90Phone Verify Only
<>89Change to Expiration Date
<>23Furloughed
<>XIIndemnity
<>18Suspended
<>XLBecame Lost Time
<>40Lay Off without Benefits
<>62Change in Ownership
<>04Retirement
<>26Declined Coverage
<>59Non Payment
<>52Health Care Facility Change
<>70Misrepresented Information
<>16Quit
<>34Investment Elections and Contribution Rates
<>69Failure to Pay Deductible
<>AFDissatisfaction with Physician's Referral Policy
<>87Change in Employer Information
<>20Active
<>39Lay Off with Benefits
<>46Current Customer Information File in Error
<>64Underwriting Reason
<>02Birth
<>58Merger
<>27Pre-Enrollment
<>XMMedical Only
<>41Re-enrollment
<>63Business Sold
<>4ABusiness Name Change
<>05Adoption
<>08Termination of Employment
<>AADissatisfaction with Office Staff
<>80Modification without a Specific Operating Unit Location in Jurisdiction
<>55Sub Location Change
<>77Change Employer Federal Employer Identification Number (FEIN)
<>11Surviving Spouse
<>33Personnel Data
<>38Leave of Absence without Benefits
<>47Account Balance Reporting
<>65No Employees, Exposure or Operations
<>03Death
<>AJAppointment Times not Met in a Timely Manner
<>21Disability
<>24Resigned
<>79Change Policy Number
<>XNNotification Only
<>42New Entity
<>60Coverage Placed Elsewhere
<>4BBusiness Name Correction
<>06Strike
<>54Sub Location Add
<>76Change Insured Federal Employer Identification Number (FEIN)
<>10Consolidation Omnibus Budget Reconciliation Act (COBRA) Premium Paid
<>32Marriage
<>09Consolidation Omnibus Budget Reconciliation Act (COBRA)
<>81Change Policy Effective Date

EDI Dictionary

1203Maintenance Reason Code

Element Details