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edi_x12 priv element_values hipaa r5010 maintenance_reason_code.json
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priv/element_values/hipaa/r5010/maintenance_reason_code.json

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