ASC X12 004010

1203 Maintenance Reason Code
TYPE=ID MIN=2 MAX=3

Code identifying the reason for the maintenance change


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