Zenbridge
EDI Dictionary

LC Life Coverage

Batch

To provide information on life coverage

Elements

PositionElementNameTypeMin/MaxRepeat
1875Maintenance Type CodeMandatoryID3/31
21203Maintenance Reason CodeOptID2/31
31205Insurance Line CodeOptID2/31
41204Plan Coverage DescriptionOptAlphanumeric1/501
5380QuantityOptDecimal1/151
61161Product Option CodeOptID1/21
71073Yes/No Condition or Response CodeOptID1/11

Element Details

ID875
NameMaintenance Type Code
LengthMin 3 / Max 3
Position1
RequirementMandatory
Codes
  • <>150
    Impairment Report
  • <>051
    Denial
  • <>114
    Acquisition
  • <>084
    Lump Sum Benefit Payment
  • <>149
    First Report on an Acquired Claim
  • <>073
    Partial Denial
  • <>136
    Change of Additional Insured Endorsement
  • <>015
    Suspended Pending Appeal or Judicial Review
  • <>078
    Partial Suspension, Incarceration
  • <>061
    Non-compliance of Administrative Requirements
  • <>106
    Voluntary Action Termination
  • <>007
    Purchase Eligibility
  • <>124
    Canceled by Insured
  • <>025
    Reinstatement
  • <>142
    Employer Paid
  • <>130
    Termination of Lienholder or Loss Payee
  • <>075
    Partial Suspension, Medical Non-compliance
  • <>013
    Administrative Noncompliance
  • <>031
    Medical Examination Authorization
  • <>156
    Endorsement Validation
  • <>129
    Termination of Additional Insured Interest
  • <>ZZZ
    Mutually Defined
  • <>057
    Final
  • <>112
    Servicer Loan Number Change
  • <>028
    Policy Adjustment
  • <>082
    Partially Suspended, Benefits Pending Settlement Approval
  • <>085
    Suspension Denial
  • <>148
    First Payment on an Acquired Claim
  • <>072
    Suspension Due to Claimant Death
  • <>137
    Acquired Unallocated
  • <>014
    Suspended Pending Settlement Approval
  • <>151
    Return to Work Report
  • <>050
    Original
  • <>115
    Receivership
  • <>066
    Status Request
  • <>101
    Servicer Change
  • <>123
    Canceled by Administrator
  • <>118
    New Policy
  • <>022
    Change in Status
  • <>145
    Occupational Safety and Health Administration Injury and Illness Log (OSHA-300)
  • <>019
    Record Security Instrument
  • <>TBV
    To Be Verified
  • <>128
    Termination of Lessor Interest
  • <>029
    Inquiry
  • <>056
    Reduced Earnings
  • <>113
    Merger
  • <>PRI
    Price Change Only
  • <>083
    Partially Suspended, Pending Appeal or Judicial Review
  • <>131
    Addition of Lessor Endorsement
  • <>074
    Partial Suspension, Returned to Work, or Medically Determined or Qualified to Return to Work
  • <>012
    Medical Noncompliance
  • <>030
    Audit or Compare
  • <>017
    Illness Report Creation
  • <>068
    Jurisdictional Change
  • <>152
    Office of Workers Compensation Program Injury Claim Report (OWCP CA-1)
  • <>116
    Loan Maturity Maintenance
  • <>CEP
    Change Excluding Price
  • <>053
    Change in Benefit Amount
  • <>071
    Re-issue Identification Card(s)
  • <>134
    Change of Lessor Endorsement
  • <>018
    Transfer of Beneficial Rights
  • <>067
    Benefits Exhausted
  • <>100
    Sale of Mortgage Change
  • <>001
    Change
  • <>119
    Renewal Policy
  • <>023
    Change in Rate Factors
  • <>144
    Suspension Directed by Agency
  • <>141
    Abbreviated First Report on an Acquired Claim
  • <>062
    Compensable Death
  • <>105
    Non-conveyance Termination
  • <>004
    Withdraw Item (Temporary)
  • <>127
    Termination of All Endorsements
  • <>026
    Correction
  • <>059
    Suspension Medically Determined or Qualified to Return to Work
  • <>070
    Status Request Response
  • <>135
    Change of Lienholder Endorsement
  • <>016
    Injury Report Creation
  • <>069
    Payment Notification
  • <>153
    Office of Workers Compensation Program Illness Claim Report (OWCP CA-2)
  • <>117
    Binder
  • <>052
    Initial Payment
  • <>064
    Claimant's Whereabouts Unknown
  • <>002
    Delete
  • <>020
    Assignment
  • <>147
    Bureau of Labor and Statistics Survey
  • <>138
    Acquired Payment
  • <>063
    Incarceration
  • <>104
    Prepayment Termination
  • <>005
    Restore Item
  • <>126
    Non-renewal
  • <>140
    Concurrent Benefit
  • <>077
    Partial Suspension, Claimant Death
  • <>132
    Addition of Lienholder Endorsement
  • <>011
    All Items Refresh
  • <>033
    Release of Interim Funding Interest
  • <>154
    Occupational Safety and Health Administration Injury and Illness Record (OSHA-301)
  • <>109
    Retain Servicing
  • <>008
    Verified
  • <>055
    Reinstatement of Benefit
  • <>110
    Transfer Servicing
  • <>080
    Partial Suspension, Benefits Exhausted
  • <>146
    Occupational Injury Survey
  • <>139
    Investigation Pending
  • <>065
    Volunteer
  • <>102
    Mortgagor Change
  • <>003
    Add Full Item Detail
  • <>021
    Addition
  • <>143
    Employer Reinstatement
  • <>079
    Partial Suspension, Claimant's whereabouts Unknown
  • <>060
    Non-compliance of Medical Requirements
  • <>107
    Loan Refinanced Termination
  • <>006
    Membership Type
  • <>125
    Re-Write
  • <>024
    Cancellation or Termination
  • <>009
    Not Verified
  • <>054
    Change in Benefit Type
  • <>111
    Assign Servicing
  • <>081
    Partial Suspension, Jurisdiction Change
  • <>076
    Partial Suspension, Administrative Non-compliance
  • <>133
    Addition of Additional Insured Endorsement
  • <>010
    Periodic Report
  • <>032
    Employee Information Not Applicable
  • <>155
    First Aid Injury Only
  • <>108
    Transfer Due to Interest and Servicing Sold