A Telecommunications Industry Forum TCIF EDI - ATIS

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TCIF/EDI GUIDELINE INDUSTRY CONVENTIONS EDI LSOG MECHANIZATION SPECIFICATION 4 ASC X12 VERSION 004020 CODE DEFINITION Medicare benefits 288 Consolidated Omnibus Budget Reconciliation Act (COBRA) Range of COBRA coverage 289 Premium Paid to Date Range of dates for which premium has been paid 290 Coordination of Benefits Range for which coordination of benefits between insurers applies 291 Plan Range of dates for which the plan is in effect 292 Benefit Range of benefit coverage 293 Education Range of dates when the subscriber or dependent is a student 294 Earnings Effective Date Date on which earnings become effective for applicable benefits 295 Primary Care Provider Range of dates for which the services of the primary care provider are in effect 296 Initial Disability Period Return To Work 297 Initial Disability Period Last Day Worked 298 Latest Absence Latest occurrence of which the subscriber did not report to work 299 Illness 300 Enrollment Signature Date Date subscriber or dependent signed policy enrollment card 301 Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Date of the qualifying event which initiated COBRA benefits 302 Maintenance Date on which the maintenance was performed 303 Maintenance Effective Date on which the maintenance is effective 304 Latest Visit or Consultation Date subscriber or dependent last visited or consulted with a physician 305 Net Credit Service Date Date assigned by the employer to an employee who previously worked for them 306 Adjustment Effective Date CODE DEFINITION Date on which the adjustment went into effect 307 Eligibility Range of dates when the subscriber or dependent were eligible for benefits 308 Pre-Award Survey 309 Plan Termination Date on which the plan terminated 310 Date of Closing The date a property is sold 311 Latest Receiving Date/Cutoff Date 312 Salary Deferral Date on which the subscriber begins to defer a portion of their salary 313 Cycle Range of dates as they pertain to a period of time 314 Disability Range of dates on which the physical or mental condition rendered the subscriber or dependent disabled 315 Offset Range of dates for which the subscriber or dependent will be receiving other income 316 Prior Incorrect Date of Birth The incorrect date of birth that was previously transmitted 317 Corrected Date of Birth Replaces previously transmitted incorrect date of birth 318 Added 319 Failed 320 Date Foreclosure Proceedings Instituted The date the first legal action is taken to terminate an owner's interest in realty begins 321 Purchased Date product/extended coverage was purchased 322 Put into Service Date product, subassembly, or replacement part was put in-service 323 Replaced 324 Returned 325 Disbursement Date 326 Guarantee Date 327 Quarter Ending 328 Changed Changes have been made in the address, routing, administrative contact, etc., of the dealer June 21, 1999 10.3-92
TCIF/EDI GUIDELINE INDUSTRY CONVENTIONS EDI LSOG MECHANIZATION SPECIFICATION 4 ASC X12 VERSION 004020 CODE DEFINITION 329 Terminated Any condition previously reported by the carrier as preventing the completion of a move or service has been terminated 330 Referral Date The date when an educational official or teacher recommends that a student be evaluated for placement in a special education or other program 331 Evaluation Date The date on which a student was assessed for placement in a special education or other program 332 Placement Date The date which identifies when a student was enrolled in a special education or other program 333 Individual Education Plan (IEP) The date on which the plan specifying the special education instruction and services which a student is to receive was approved 334 Re-evaluation Date The date on which the student's placement in special education or other programs will be re-assessed 335 Dismissal Date The date on which the student exited from a special education or other program 336 Employment Begin Date on which the subscriber or dependent became employed 337 Employment End Date on which the subscriber or dependent ceased to be employed 338 Medicare Begin Date on which Medicare benefits went into effect 339 Medicare End Date on which Medicare benefits ceased to be in effect 340 Consolidated Omnibus Budget Reconciliation Act (COBRA) Begin Date on which COBRA benefits begin 341 Consolidated Omnibus Budget Reconciliation Act (COBRA) End Date on which COBRA benefits end 342 Premium Paid to Date Begin Date for which premium began to be applied 343 Premium Paid to Date End Date for which premium is paid through 344 Coordination of Benefits Begin CODE DEFINITION Date on which Coordination of Benefits begin 345 Coordination of Benefits End Date on which Coordination of Benefits end 346 Plan Begin Date on which the plan begins 347 Plan End Date on which plan ends 348 Benefit Begin Date on which the subscriber's or dependent's benefit begin 349 Benefit End Date on which the subscriber's or dependent's benefit ends 350 Education Begin Date on which the subscriber or dependent became a student 351 Education End Date on which the subscriber or dependent ceased to be a student 352 Primary Care Provider Begin Date on which the subscriber's or dependent's primary care provider became effective 353 Primary Care Provider End Date on which the primary care provider's service ended 354 Illness Begin Date on which illness began 355 Illness End Date on which illness ended 356 Eligibility Begin Date on which eligibility begins 357 Eligibility End Date on which eligibility ends 358 Cycle Begin Date on which the cycle begins 359 Cycle End Date on which the cycle ends 360 Initial Disability Period Start Date on which the disability begins 361 Initial Disability Period End Date on which the disability ends 362 Offset Begin Date subscriber or dependent begins receiving other income 363 Offset End Date other income benefits cease 364 Plan Period Election Begin Date on which the pledged contribution begins 365 Plan Period Election End Date on which the pledged contribution ended June 21, 1999 10.3-93
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A Telecommunications Industry Forum TCIF EDI - ATIS

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