1129Adjustment Reason Code Characteristic

Batch

Code specifying an additional characteristic of the adjustment reason

Element Details

Type ID
LengthMin 1 / Max 2
Codes
  • <>84
    Bodily Injury Payment
  • <>C7
    Penalties Paid on Medical Benefits
  • <>73
    Chiropractor
  • <>E1
    Radiology
  • <>15
    Defense Medical Evaluation
  • <>G3
    Vocational Rehabilitation Training
  • <>37
    Employer's Legal Expenses
  • <>A5
    Hospital Bill Audit
  • <>H4
    Employer Paid Temporary Total Disability
  • <>D8
    Property Adjustment
  • <>AE
    Durable Medical Costs
  • <>61
    Additional Living Expense
  • <>D3
    Pharmacy
  • <>F1
    Testing Lab
  • <>96
    Commercial Photographers
  • <>7
    Permanent
  • <>25
    Permanent Total Supplemental
  • <>78
    Indemnity Payments
  • <>B5
    Major Case of Individual Case Reporting
  • <>43
    Vocational Rehabilitation Education
  • <>H2
    Federal Supplemental Fund
  • <>AC
    Physical Therapy Costs
  • <>82
    Claim Payment
  • <>C1
    Medical Rehabilitation
  • <>28
    Temporary Total
  • <>57
    Vocational Rehabilitation Maintenance
  • <>E7
    Supplemental Permanent Total Benefits
  • <>75
    Medical Reserves
  • <>B8
    Medical Management Services
  • <>G5
    Autopsy Fees
  • <>13
    Applied
  • <>A3
    Hospital - Inpatient Charges
  • <>31
    Permanent Partial Disfigurement
  • <>14
    Receiving
  • <>G2
    Witness Fees and Expenses - Other than Expert Witness
  • <>36
    Interest
  • <>A4
    Hospital - Outpatient Charges
  • <>H5
    Employer Paid Temporary Partial Disability
  • <>D9
    Provider Bill Audit Expense
  • <>AD
    Pharmaceutical Costs
  • <>85
    Bodily Injury Reserve
  • <>C6
    State Fund - Other
  • <>72
    Central Index Bureau Filing Fees
  • <>22
    Fee Schedule Savings
  • <>B2
    Life Pension
  • <>19
    Expert Fees and Expenses (excluding tests and testimony)
  • <>A9
    Legal Expenses - Miscellaneous
  • <>44
    Other Vocational Rehabilitation
  • <>66
    Attorney Fees
  • <>D4
    Photographs other than Commercial
  • <>F6
    Utilization Review - Hospital
  • <>AI
    Agreed upon or Directed Medical-Legal Costs
  • <>91
    Collision Reserve
  • <>88
    Comprehensive Payment
  • <>83
    Claim Reserve
  • <>29
    Temporary Partial
  • <>E6
    State Supplemental Fund
  • <>74
    Indemnity Reserves
  • <>B9
    Medical Records or Reports
  • <>G4
    Appraisal Fees
  • <>12
    Eligible
  • <>30
    Employer Liability
  • <>A2
    Hearing Attendance or Representation Fees
  • <>H3
    Flat Rate
  • <>AB
    Dental Expenses
  • <>86
    Property Damage Payment
  • <>C5
    Extended Care Facility
  • <>71
    Catastrophic Benefits
  • <>E3
    Scheduled Award
  • <>17
    Engineering Services
  • <>35
    Penalties
  • <>A7
    Independent Adjustor Expense
  • <>H6
    Court Reporter Fees
  • <>F8
    Unallocated Indemnity
  • <>AG
    Employee Medical-Legal Costs
  • <>45
    Total Temporary Catastrophic
  • <>67
    Auto Liability Subrogation
  • <>D5
    Physiotherapy
  • <>F7
    Utilization Review - Physician
  • <>AH
    Employer-Claim Administrator Medical-Legal Costs
  • <>90
    Collision Payment
  • <>89
    Comprehensive Reserve
  • <>1
    Primary Disability - Frozen
  • <>23
    Fatal
  • <>B3
    Lump Sum Remarriage Payment
  • <>18
    Expert Test (Trial)
  • <>A8
    Independent Medical Exam
  • <>40
    Hospital Costs
  • <>62
    Alternative Dispute Resolution Services
  • <>F2
    Third Party Contribution
  • <>95
    Claimant Medical Evaluation
  • <>4
    Dependent Disability - Non-frozen
  • <>26
    Permanent Partial Scheduled
  • <>E9
    Employee Interest
  • <>B6
    Medical Equipment
  • <>E2
    Time and Expense Fees
  • <>16
    Delayed Reporting Penalty (Insured)
  • <>34
    Funeral Expenses
  • <>A6
    Impairment Income Benefits
  • <>H7
    Private Investigator Fees
  • <>69
    Not Eligible
  • <>F9
    Unallocated Medical
  • <>AF
    Medical Travel Costs
  • <>87
    Property Damage Reserve
  • <>C4
    Nursing Care
  • <>C9
    Pension Indemnity Benefit
  • <>2
    Primary Disability - Non-frozen
  • <>39
    Payments to Physicians
  • <>46
    Unknown Payment Type
  • <>64
    Annuity
  • <>D6
    PPO (Preferred Provider Organization) Fees or Expenses
  • <>F4
    Transportation - Medical Treatment
  • <>AK
    Future Credit Recovery
  • <>93
    Expert Witness Fees
  • <>94
    Claimant Legal Expense
  • <>5
    Retirement - Frozen
  • <>58
    Claim Value Recovery
  • <>27
    Permanent Partial Unscheduled
  • <>B7
    Peer Review Board Expenses
  • <>41
    Other Medical
  • <>63
    Anesthesiologist
  • <>F3
    Transportation - Other
  • <>AA
    Chiropractic Expenses
  • <>99
    Defense Attorney Fees and Expenses
  • <>80
    Expense Payments
  • <>C3
    No-fault benefit or expense (Non-Workers Compensation)
  • <>8
    Temporary
  • <>77
    Vocational Rehabilitation Reserves
  • <>E5
    State Second Injury Fund
  • <>11
    Deferred
  • <>G7
    Temporary Income Benefits
  • <>A1
    Funeral Benefits
  • <>38
    Claimant's Legal Expenses
  • <>65
    Attorney Expenses
  • <>D7
    Product Liability Subrogation
  • <>F5
    Treating or Panel Physician
  • <>AJ
    Unallocated Funds
  • <>92
    Salvage
  • <>C8
    Penalties Paid on Indemnity Benefits
  • <>3
    Dependent Disability - Frozen
  • <>B1
    Liability Settlement
  • <>24
    Permanent Total
  • <>79
    Medical Payments
  • <>B4
    Lump Sum Settlement Amount
  • <>G9
    Federal Second Injury Fund
  • <>42
    Vocational Rehabilitation Evaluation
  • <>60
    Deductible Recovery
  • <>D2
    Personal Property or Contents
  • <>97
    Mandated Medical Exam
  • <>6
    Retirement - Non-frozen
  • <>9
    Canadian
  • <>76
    Expense Reserves
  • <>E4
    Social Security
  • <>G6
    Surveillance Special Investigation Fees and Expenses
  • <>10
    Joint
  • <>32
    Unspecified Employer Payments
  • <>98
    Death Benefits
  • <>81
    Vocational Rehabilitation Payments
  • <>C2
    Medical Test (Trial)