CHB Chargeback Information

To define elements associated with a charge to unemployment insurance tax account

Position: CHB-01 · Element: 309 · Name: Location Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 1 · Max: 2 · Repeat: -

Code identifying type of location

P0102: If either CHB-01 or CHB-02 is present, then the other is required

Position: CHB-02 · Element: 310 · Name: Location Identifier · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 30 · Repeat: -

Code which identifies a specific location

Position: CHB-03 · Element: 1468 · Name: Reason Stopped Work Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code identifying reason claimant stopped working

Position: CHB-04 · Element: 1017 · Name: Claim Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: -

Code identifying the basis and type of a legal claim

Position: CHB-05 · Element: 1029 · Name: Claim Status Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: -

Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization

Position: CHB-06 · Element: 98 · Name: Entity Identifier Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 3 · Repeat: -

Code identifying an organizational entity, a physical location, property or an individual

CHB06 may be used to identify the type of employer.

Position: CHB-07 · Element: 478 · Name: Credit/Debit Flag Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating whether amount is a credit or debit

Position: CHB-08 · Element: 1271 · Name: Industry Code · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 30 · Repeat: -

Code indicating a code from a specific industry code list

CHB08 is a code assigned by an employment security agency.

Position: CHB-09 · Element: 248 · Name: Allowance or Charge Indicator · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code which indicates an allowance or charge for the service specified