HD Health Coverage

Batch

To provide information on health coverage

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	875	Maintenance Type Code	Mandatory	ID	3/3	1
2	1203	Maintenance Reason Code	Opt	ID	2/3	1
3	1205	Insurance Line Code	Opt	ID	2/3	1
4	1204	Plan Coverage Description	Opt	Alphanumeric	1/50	1
5	1207	Coverage Level Code	Opt	ID	3/3	1
6	609	Count	Opt	Number	1/9	1
7	609	Count	Opt	Number	1/9	1
8	1209	Underwriting Decision Code	Opt	ID	1/1	1
9	1073	Yes/No Condition or Response Code	Opt	ID	1/1	1
10	1211	Drug House Code	Opt	ID	2/3	1
11	1073	Yes/No Condition or Response Code	Opt	ID	1/1	1

Element Details

ID875

NameMaintenance Type Code

LengthMin 3 / Max 3

Position1

RequirementMandatory

Codes

<>051Denial
<>114Acquisition
<>073Partial Denial
<>136Change of Additional Insured Endorsement
<>015Suspended Pending Appeal or Judicial Review
<>078Partial Suspension, Incarceration
<>061Non-compliance of Administrative Requirements
<>106Voluntary Action Termination
<>007Purchase Eligibility
<>124Canceled by Insured
<>025Reinstatement
<>130Termination of Lienholder or Loss Payee
<>075Partial Suspension, Medical Non-compliance
<>013Administrative Noncompliance
<>031Medical Examination Authorization
<>129Termination of Additional Insured Interest
<>ZZZMutually Defined
<>057Final
<>112Servicer Loan Number Change
<>028Policy Adjustment
<>082Partially Suspended, Benefits Pending Settlement Approval
<>072Suspension Due to Claimant Death
<>137Acquired Unallocated
<>014Suspended Pending Settlement Approval
<>050Original
<>115Receivership
<>066Status Request
<>101Servicer Change
<>123Canceled by Administrator
<>118New Policy
<>022Change in Status
<>019Record Security Instrument
<>128Termination of Lessor Interest
<>029Inquiry
<>056Reduced Earnings
<>113Merger
<>PRIPrice Change Only
<>083Partially Suspended, Pending Appeal or Judicial Review
<>131Addition of Lessor Endorsement
<>074Partial Suspension, Returned to Work, or Medically Determined or Qualified to Return to Work
<>012Medical Noncompliance
<>030Audit or Compare
<>017Illness Report Creation
<>068Jurisdictional Change
<>116Loan Maturity Maintenance
<>CEPChange Excluding Price
<>053Change in Benefit Amount
<>071Re-issue Identification Card(s)
<>134Change of Lessor Endorsement
<>018Transfer of Beneficial Rights
<>067Benefits Exhausted
<>100Sale of Mortgage Change
<>001Change
<>119Renewal Policy
<>023Change in Rate Factors
<>062Compensable Death
<>105Non-conveyance Termination
<>004Withdraw Item (Temporary)
<>127Termination of All Endorsements
<>026Correction
<>059Suspension Medically Determined or Qualified to Return to Work
<>070Status Request Response
<>135Change of Lienholder Endorsement
<>016Injury Report Creation
<>069Payment Notification
<>117Binder
<>052Initial Payment
<>064Claimant's Whereabouts Unknown
<>002Delete
<>020Assignment
<>138Acquired Payment
<>063Incarceration
<>104Prepayment Termination
<>005Restore Item
<>126Non-renewal
<>058Full Salary
<>077Partial Suspension, Claimant Death
<>132Addition of Lienholder Endorsement
<>033Release of Interim Funding Interest
<>109Retain Servicing
<>008Verified
<>055Reinstatement of Benefit
<>110Transfer Servicing
<>080Partial Suspension, Benefits Exhausted
<>065Volunteer
<>102Mortgagor Change
<>003Add Full Item Detail
<>021Addition
<>079Partial Suspension, Claimant's whereabouts Unknown
<>060Non-compliance of Medical Requirements
<>107Loan Refinanced Termination
<>006Membership Type
<>125Re-Write
<>024Cancellation or Termination
<>009Not Verified
<>054Change in Benefit Type
<>111Assign Servicing
<>081Partial Suspension, Jurisdiction Change
<>076Partial Suspension, Administrative Non-compliance
<>133Addition of Additional Insured Endorsement
<>010Periodic Report
<>032Employee Information Not Applicable
<>108Transfer Due to Interest and Servicing Sold

EDI Dictionary

HD Health Coverage

Elements

Element Details