1129 Adjustment Reason Code Characteristic
TYPE=ID MIN=1 MAX=2
Specifies an additional characteristic of the adjustment reason
1 Primary Disability - Frozen
2 Primary Disability - Non-frozen
3 Dependent Disability - Frozen
4 Dependent Disability - Non-frozen
5 Retirement - Frozen
6 Retirement - Non-frozen
7 Permanent
8 Temporary
9 Canadian
10 Joint
11 Deferred
12 Eligible
13 Applied
14 Receiving
15 Defense Medical Evaluation
16 Delayed Reporting Penalty (Insured)
17 Engineering Services
18 Expert Test (Trial)
19 Expert Fees and Expenses (excluding tests and testimony)
22 Fee Schedule Savings
23 Fatal
24 Permanent Total
25 Permanent Total Supplemental
26 Permanent Partial Scheduled
27 Permanent Partial Unscheduled
28 Temporary Total
29 Temporary Partial
30 Employer Liability
31 Permanent Partial Disfigurement
32 Employer Paid
34 Funeral Expenses
35 Penalties
36 Interest
37 Employer's Legal Expenses
38 Claimant's Legal Expenses
39 Payments to Physicians
40 Hospital Costs
41 Other Medical
42 Vocational Rehabilitation Evaluation
43 Vocational Rehabilitation Education
44 Other Vocational Rehabilitation
45 Total Temporary Catastrophic
46 Unknown Payment Type
57 Vocational Rehabilitation Maintenance
58 Claim Value Recovery
60 Deductible Recovery
61 Additional Living Expense
62 Alternative Dispute Resolution Services
63 Anesthesiologist
64 Annuity
65 Attorney Expenses
66 Attorney Fees
67 Auto Liability Subrogation
69 Not Eligible
71 Catastrophic Benefits
72 Central Index Bureau Filing Fees
73 Chiropractor
74 Indemnity Reserves
75 Medical Reserves
76 Expense Reserves
77 Vocational Rehabilitation Reserves
78 Indemnity Payments
79 Medical Payments
80 Expense Payments
81 Vocational Rehabilitation Payments
82 Claim Payment
83 Claim Reserve
84 Bodily Injury Payment
85 Bodily Injury Reserve
86 Property Damage Payment
87 Property Damage Reserve
88 Comprehensive Payment
89 Comprehensive Reserve
90 Collision Payment
91 Collision Reserve
92 Salvage
93 Expert Witness Fees
94 Claimant Legal Expense
95 Claimant Medical Evaluation
96 Commercial Photographers
97 Mandated Medical Exam
98 Death Benefits
99 Defense Attorney Fees and Expenses
A1 Funeral Benefits
A2 Hearing Attendance or Representation Fees
A3 Hospital - Inpatient Charges
A4 Hospital - Outpatient Charges
A5 Hospital Bill Audit
A6 Impairment Income Benefits
A7 Independent Adjustor Expense
A8 Independent Medical Exam
A9 Legal Expenses - Miscellaneous
B1 Liability Settlement
B2 Life Pension
B3 Lump Sum Remarriage Payment
B4 Lump Sum Settlement Amount
B5 Major Case of Individual Case Reporting
B6 Medical Equipment
B7 Peer Review Board Expenses
B8 Medical Management Services
B9 Medical Records or Reports
C1 Medical Rehabilitation
C2 Medical Test (Trial)
C3 No-fault benefit or expense (Non-Workers Compensation)
C4 Nursing Care
C5 Extended Care Facility
C6 State Fund - Other
C7 Penalties Paid on Medical Benefits
C8 Penalties Paid on Indemnity Benefits
C9 Pension Indemnity Benefit
D1 Permanent Partial Disfigurement
D2 Personal Property or Contents
D3 Pharmacy
D4 Photographs other than Commercial
D5 Physiotherapy
D6 PPO (Preferred Provider Organization) Fees or Expenses
D7 Product Liability Subrogation
D8 Property Adjustment
D9 Provider Bill Audit Expense
E1 Radiology
E2 Time and Expense Fees
E3 Scheduled Award
E4 Social Security
E5 State Second Injury Fund
E6 State Supplemental Fund
E7 Supplemental Permanent Total Benefits
F1 Testing Lab
F2 Third Party Contribution
F3 Transportation - Other
F4 Transportation - Medical Treatment
F5 Treating or Panel Physician
F6 Utilization Review - Hospital
F7 Utilization Review - Physician
F8 Unallocated Indemnity
F9 Unallocated Medical
G2 Witness Fees and Expenses - Other than Expert Witness
G3 Vocational Rehabilitation Training
G4 Appraisal Fees
G5 Autopsy Fees
G6 Surveillance Special Investigation Fees and Expenses
G7 Temporary Income Benefits
G8 State Fund - Other
G9 Federal Second Injury Fund
H2 Federal Supplemental Fund
H3 Flat Rate