875 Maintenance Type Code

Code identifying the specific type of item maintenance.

Type
Identifier (ID)
Length
Min 3 / Max 3
Codes
CodeDescription
001Change
002Delete
003Add Full Item Detail
004Withdraw Item (Temporary)
005Restore Item
006Membership Type
007Purchase Eligibility
008Verified
009Not Verified
010Periodic Report
021Addition
022Change in Status
023Change in Rate Factors
024Cancellation or Termination
025Reinstatement
To place in force again, without the usual probationary or service period, a group contract or an individual's group insurance that for some reason has terminated
026Correction
028Policy Adjustment
029Inquiry
030Audit or Compare
032Employee Information Not Applicable
Certain situations such as military duty and CHAMPUS classify the subscriber ineligible for coverage or benefits. However, dependents of the subscriber are still eligible for coverage or benefits under the subscriber. Subscriber identifying elements are needed to accurately identify dependents
050Original
051Denial
052Initial Payment
053Change in Benefit Amount
054Change in Benefit Type
055Reinstatement of Benefit
056Reduced Earnings
057Final
058Full Salary
059Suspension Medically Determined or Qualified to Return to Work
060No Medical Evidence of Continued Disability
061Non-Compliance of Jurisdiction Requirements
062Claimant Death
063Incarceration
064Claimant's Whereabouts Unknown
065Volunteer
066Upon Request
067Benefits Exhausted
068Jurisdictional Change
069Payment Notification
ZZZMutually Defined

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