1203 Maintenance Reason Code

Code identifying the reason for the maintenance change

Batch

Element Details

Type ID

LengthMin 2 / Max 3

Codes

<>84
No Eligible Employees
<>XT
Transfer
<>51
Enrollment in Subsequent Benefit Plan
<>73
Deleting a Jurisdiction
<>15
Primary Care Provider (PCP) Change
<>37
Leave of Absence with Benefits
<>48
Fees Processing
<>AE
Unable to Schedule Appointments in a Timely Manner
<>61
Duplicate Coverage
<>4C
Physical or Mailing Address Correction
<>07
Termination of Benefits
<>96
Re-activation of an Out-of-Business Customer
<>25
Change in Identifying Data Elements
<>78
Change Employer Unemployment Insurance (UI) Code
<>43
Change of Location
<>AC
Inconvenient Office Location
<>82
Change Policy Expiration Date
<>28
Initial Enrollment
<>57
Buyout
<>75
Occupational Illness
<>XB
Became Medical Only
<>13
Leave of Absence
<>31
Legal Separation
<>14
Voluntary Withdrawal
<>36
Contribution or Plan Allocation
<>49
Interfund Transfer
<>AD
Dissatisfaction with Office Hours
<>85
Reinstatement - Canceled in Error
<>50
Loan Request
<>72
Adding a Jurisdiction
<>22
Plan Change
<>19
Sabbatical
<>ZZ
Mutually Defined
<>44
Change of Telephone Number
<>66
Revocation of Voluntary Market Acceptance
<>AI
No Reason Given
<>91
Name Synonym Delete
<>88
Parent Identification Change
<>83
Change Insurer Federal Employer Identification Number (FEIN)
<>29
Benefit Selection
<>56
Sub Location Expire
<>12
Lay Off
<>30
Discrimination Test
<>AB
Dissatisfaction with Medical Care/Services Rendered
<>EC
Member Benefit Selection
<>86
Change in Insured Information
<>53
Name Synonym Add
<>71
Rewritten
<>17
Fired
<>35
Loan Repayment
<>68
Exclude Primary Business Management
<>AG
Less Respect and Attention Time Given than to Other Patients
<>45
Went Out of Business
<>67
Include Primary Business Management
<>01
Divorce
<>AH
Patient Moved to a New Location
<>90
Phone Verify Only
<>89
Change to Expiration Date
<>23
Furloughed
<>XI
Indemnity
<>18
Suspended
<>XL
Became Lost Time
<>40
Lay Off without Benefits
<>62
Change in Ownership
<>04
Retirement
<>95
Removal of the Customer Identification File in Error ID
<>26
Declined Coverage
<>59
Non Payment
<>52
Health Care Facility Change
<>70
Misrepresented Information
<>16
Quit
<>34
Investment Elections and Contribution Rates
<>69
Failure to Pay Deductible
<>AF
Dissatisfaction with Physician's Referral Policy
<>87
Change in Employer Information
<>20
Active
<>39
Lay Off with Benefits
<>46
Current Customer Information File in Error
<>64
Underwriting Reason
<>02
Birth
<>93
Removal of the Customer Identification File Merge ID
<>94
Removal of the Customer Identification File Buyout ID
<>58
Merger
<>27
Pre-Enrollment
<>XM
Medical Only
<>41
Re-enrollment
<>63
Business Sold
<>4A
Business Name Change
<>05
Adoption
<>AL
Algorithm Assigned Benefit Selection
<>08
Termination of Employment
<>AA
Dissatisfaction with Office Staff
<>80
Modification without a Specific Operating Unit Location in Jurisdiction
<>55
Sub Location Change
<>77
Change Employer Federal Employer Identification Number (FEIN)
<>11
Surviving Spouse
<>33
Personnel Data
<>38
Leave of Absence without Benefits
<>47
Account Balance Reporting
<>65
No Employees, Exposure or Operations
<>03
Death
<>AJ
Appointment Times not Met in a Timely Manner
<>92
Duplicate Entry on Customer Identification File
<>21
Disability
<>24
Resigned
<>79
Change Policy Number
<>XN
Notification Only
<>42
New Entity
<>60
Coverage Placed Elsewhere
<>4B
Business Name Correction
<>06
Strike
<>97
Sub-location Reinstatement
<>54
Sub Location Add
<>76
Change Insured Federal Employer Identification Number (FEIN)
<>10
Consolidation Omnibus Budget Reconciliation Act (COBRA) Premium Paid
<>32
Marriage
<>09
Consolidation Omnibus Budget Reconciliation Act (COBRA)
<>81
Change Policy Effective Date

EDI Dictionary

1203 Maintenance Reason Code

Element Details