|
|
|
USR WCESTAT Error Code
Table |
| |
|
|
| Record
Type |
Starting Position |
Sequence |
Error Number |
Error Description |
| 01 |
001 |
000 |
01001000 |
Carrier Code is
invalid |
| 01 |
001 |
001 |
01001001 |
Carrier
is not approved to file subsequent reports. |
| 01 |
001 |
002 |
01001002 |
Carrier is not
approved to file premium corrections. |
| 01 |
001 |
003 |
01001003 |
Carrier is not
approved to file first reports. |
| 01 |
001 |
004 |
01001004 |
Carrier is not
approved to file loss corrections. |
| 01 |
001 |
005 |
01001005 |
Carrier
is not approved to file first reports in ASWG format. |
| 01 |
001 |
006 |
01001006 |
Carrier
is not approved to file subsequent reports in ASWG format. |
| 01 |
001 |
007 |
01001007 |
Carrier
is not approved to file premium correction reports in ASWG format. |
| 01 |
001 |
008 |
01001008 |
Carrier
is not approved to file loss correction reports in ASWG format. |
| 01 |
001 |
009 |
01001009 |
USR carrier different than
policy carrier |
| 01 |
001 |
010 |
01001010 |
This
carrier code is not an assigned risk carrier |
| 01 |
001 |
011 |
01001011 |
Carrier
is not authorized to submit unit statistical reports electronically. |
| 01 |
001 |
012 |
01001012 |
Carrier
is not approved to report directly to DCO |
| 01 |
006 |
000 |
01006000 |
Matching
policy not found. |
| 01 |
006 |
001 |
01006001 |
Policy
is canceled flat. |
| 01 |
006 |
002 |
01006002 |
Policy
Number is invalid |
| 01 |
006 |
004 |
01006004 |
Key
field changes are not permitted on matched unit. |
| 01 |
006 |
005 |
01006005 |
DCO
Suspended for internal review |
| 01 |
025 |
000 |
01025000 |
Certificated Number Invalid |
| 01 |
031 |
000 |
01031000 |
Exposure
State is invalid |
| 01 |
031 |
001 |
01031001 |
Exposure
State is not the bureau state code. |
| 01 |
031 |
002 |
01031002 |
State
Code is not Acceptable |
| 01 |
033 |
000 |
01033000 |
This
tape has PRE-ASWG USRs with a policy effective date greater than or equal to
the ASWG deadline date. |
| 01 |
033 |
001 |
01033001 |
Policy
Effective Date is invalid. |
| 01 |
033 |
002 |
01033002 |
Policy
Effective Date is greater than policy expiration date. |
| 01 |
033 |
003 |
01033003 |
Policy
Effective Date is invalid for the state. |
| 01 |
033 |
004 |
01033004 |
Policy
Effective Date is not consistent with the ASWG approval date and/or the
effective date of the policy. |
| 01 |
033 |
005 |
01033005 |
There
appears to be an overlap in coverage |
| 01 |
033 |
006 |
01033006 |
There
appears to be a gap in coverage |
| 01 |
033 |
007 |
01033007 |
This
unit should be split. |
| 01 |
033 |
000 |
01033008 |
This
unit should not be split. |
| 01 |
039 |
000 |
01039000 |
A
subsequent USR must have at least 1 loss record. |
| 01 |
039 |
001 |
01039001 |
Report
Number 1 is invalid for a unit report with exposures |
| 01 |
039 |
002 |
01039002 |
USR
must have at least 1 exposure record on a rpt 01 correction 00. |
| 01 |
039 |
003 |
01039003 |
Unit
level previously processed advise correct filing. |
| 01 |
039 |
004 |
01039004 |
First
report was deleted. Submit a new first
report. |
| 01 |
039 |
005 |
01039005 |
Report
is too early for policy entered. |
| 01 |
039 |
006 |
01039006 |
Report
received out of sequence. |
| 01 |
039 |
007 |
01039007 |
Prior
report has priority errors. Subsequent
report is not allowed |
| 01 |
039 |
008 |
01039008 |
Report
Number is invalid. |
| 01 |
039 |
009 |
01039009 |
Report
out of sequence with prior reports. |
| 01 |
039 |
010 |
01039010 |
Report
Number must be 01 or 02 for a three-year fixed rate policy. |
| 01 |
039 |
011 |
01039011 |
Report
received prior to loss valuation date. |
| 01 |
039 |
012 |
01039012 |
This
USR is a replacement report with an invalid NCCI Data Grade. The only option is to file a correction
report. |
| 01 |
039 |
013 |
01039013 |
Multiple
reprts with the same link data received within the same submission; advise
correct filing. |
| 01 |
039 |
014 |
01039014 |
Prior
report contains critical errors. |
| 01 |
040 |
000 |
01040000 |
A
correction must have at least 1 expo record or 1 loss record. |
| 01 |
040 |
001 |
01040001 |
This
is a correction to a USR that has not been received. |
| 01 |
040 |
002 |
01040002 |
Correction
Indicator Sequence is invalid. |
| 01 |
040 |
003 |
01040003 |
Previous
key fields are allowed only on corrections. |
| 01 |
040 |
004 |
01040004 |
Correction
report reduced total payroll or nonpayroll or standard premium to zero. |
| 01 |
041 |
000 |
01041000 |
Record
Type is invalid. |
| 01 |
041 |
001 |
01041001 |
Record
type is invalid or unexpected |
| 01 |
041 |
002 |
01041002 |
Records
are missing from this unit report. |
| 01 |
041 |
003 |
01041003 |
This
report has more than 100 exposures. |
| 01 |
041 |
004 |
01041004 |
Review
exposures and totals records cannot align to new policy effective date. |
| 01 |
041 |
005 |
01041005 |
You
cannot modify more than one loss per report. |
| 01 |
041 |
006 |
01041006 |
Within
one report found multiple claims with amounts or all zero amounts. |
| 01 |
041 |
007 |
01041007 |
Within
one report found multiple changes to the same claim and fields. |
| 01 |
041 |
008 |
01041008 |
USR
has more than 1 header record. |
| 01 |
042 |
001 |
01042001 |
Pre-ASWG
Policy Condition Interstate Rated is not acceptable. |
| 01 |
042 |
002 |
01042002 |
Pre-ASWG
Policy Condition Assigned Risk is not acceptable. |
| 01 |
042 |
003 |
01042003 |
Policy
Condition Assigned Risk is not
consistent with the reported policy. |
| 01 |
042 |
004 |
01042004 |
Pre-ASWG
Policy Condition Canceled Policy is not acceptable. |
| 01 |
042 |
005 |
01042005 |
Pre-ASWG
Policy Condition Estimated Audit is not acceptable. |
| 01 |
042 |
006 |
01042006 |
Pre-ASWG
Policy Condition Disease B Only is not acceptable. |
| 01 |
042 |
007 |
01042007 |
Pre-ASWG
Policy Condition Excluding Disease is not acceptable. |
| 01 |
042 |
008 |
01042008 |
Pre-ASWG
Policy Condition Clerical Error is not acceptable. |
| 01 |
042 |
009 |
01042009 |
Pre-ASWG
Policy Condition Retrospective Rated is not acceptable |
| 01 |
042 |
010 |
01042010 |
Pre-ASWG
Policy Condition No Excess Payroll is not acceptable. |
| 01 |
042 |
011 |
01042011 |
Pre-ASWG
Policy Condition Large Risk Large Deductible is not acceptable. |
| 01 |
042 |
012 |
01042012 |
Pre-ASWG
Policy Condition Approved Managed Care (MCO) is not acceptable. |
| 01 |
042 |
013 |
01042013 |
Policy
Condition must be 0 or 1 when pre-ASWG. |
| 01 |
042 |
014 |
01042014 |
Correction
report with audited exposure is required for Policy Condition indicated. |
| 01 |
055 |
000 |
01055000 |
Policy
Expiration or Cancellation Date is invalid. |
| 01 |
055 |
001 |
01055001 |
Policy
Expiration or Cancellation Date does not match the expiration date of the
reported policy. |
| 01 |
055 |
002 |
01055002 |
Policy
Expiration or Cancellation Date is invalid for state. |
| 01 |
055 |
003 |
01055003 |
Policy
Expiration Date is greater than 1 year and 17 days. |
| 01 |
055 |
004 |
01055004 |
Policy
Expiration Date is missing; calculated as 1 year from effective date. |
| 01 |
055 |
005 |
01055005 |
Policy
Expiration Date is invalid for report 1 unit with exposures. |
| 01 |
061 |
000 |
01061000 |
Risk
ID Account Number is invalid. |
| 01 |
061 |
001 |
01061001 |
Risk
ID Account Number not found. |
| 01 |
071 |
000 |
01071000 |
Pending
File Number does not match unit on database. |
| 01 |
071 |
001 |
01071001 |
Carrier
code is not in carrier group for replacement unit. |
| 01 |
071 |
002 |
01071002 |
Replacement
is not allowed when corrections or submissions on database. |
| 01 |
071 |
003 |
01071003 |
Replacement
not allowed on unit without priority 5 error. |
| 01 |
081 |
000 |
01081000 |
Term
is invalid. |
| 01 |
081 |
001 |
01081001 |
Pre-ASWG
Term is not acceptable |
| 01 |
082 |
000 |
01082000 |
Unit
Report Resubmission Indicator is invalid. |
| 01 |
082 |
001 |
01082001 |
Unit
Report Resubmission Indicator is invalid for state. |
| 01 |
082 |
002 |
01082002 |
Unit
Report Resubmission Indicator is invalid for state. |
| 01 |
083 |
000 |
01083000 |
Policy
Type Identification Code is invalid |
| 01 |
083 |
001 |
01083001 |
Policy
Type Identification Code Type of Coverage is invalid. |
| 01 |
083 |
002 |
01083002 |
Policy
Type Identification Code Plan Indicator is invalid. |
| 01 |
083 |
003 |
01083003 |
Policy
Type Identification Code Plan Indicator indicates Assigned Risk policy is
Voluntary. |
| 01 |
083 |
004 |
01083004 |
Policy
Type Identification Code Plan Indicator indicates Voluntary policy is
Assigned Risk. |
| 01 |
083 |
005 |
01083005 |
Policy
Type Identification Code Non-Standard is invalid. |
| 01 |
083 |
006 |
01083006 |
Replacement
Report Indicator is inconsistent with pending file number. |
| 01 |
083 |
007 |
01083007 |
Replacement
Report Indicator is invalid for report number/correction sequence number. |
| 01 |
083 |
008 |
01083008 |
Replacement
Report Indicator is invalid. |
| 01 |
122 |
000 |
01122000 |
Correction
Type is invalid. |
| 01 |
122 |
001 |
01122001 |
Correction
Type does not match previous fields. |
| 01 |
122 |
002 |
01122002 |
Correction
Type is invalid for report/correction number. |
| 01 |
122 |
003 |
11220039 |
A
correction Type E (Exposure Record Correction) cannot have loss record(s). |
| 01 |
122 |
004 |
01122004 |
There
must be at least 1 exposure record and no loss records on this USR. |
| 01 |
122 |
005 |
01122005 |
A
correction Type L (Loss Record Correction) cannot have exposure records |
| 01 |
122 |
006 |
01122006 |
A
correction Type A (Loss Record Correction due to aggravated inequity) cannot
have exposure records |
| 01 |
122 |
007 |
01122007 |
This
correction type should not have exposure or loss records |
| 01 |
123 |
000 |
01123000 |
State
Effective Date is invalid. |
| 01 |
123 |
001 |
01123001 |
State
Effective Date is outside the policy period. |
| 01 |
123 |
002 |
01123002 |
State
Effective Date does not correspond to current policy data. |
| 01 |
129 |
000 |
01129000 |
FEIN
is invalid. |
| 01 |
129 |
001 |
01129001 |
FEIN
is missing. |
| 01 |
146 |
000 |
01146000 |
Policy
Condition invalid for ASWG. |
| 01 |
146 |
001 |
01146001 |
Policy
Conditions is invalid per state. |
| 01 |
146 |
002 |
01146002 |
Policy
Conditions Three-Year Fixed Rate Policy is invalid. |
| 01 |
146 |
003 |
01146003 |
Policy
Conditions Three-Year Fixed Rate Policy
is not consistent with policy. |
| 01 |
146 |
004 |
01146004 |
Policy
Conditions Multistate Policy is invalid. |
| 01 |
146 |
005 |
01146005 |
Policy
Conditions Multistate Policy is inconsistent with Plan Indicator. |
| 01 |
146 |
006 |
01146006 |
Multistate
indicator is inconsistent with policy condition. |
| 01 |
146 |
007 |
01146007 |
Policy
Conditions Interstate Policy is invalid. |
| 01 |
146 |
008 |
01146008 |
Policy
Conditions Interstate Rated Policy is inconsistent with Plan Indicator. |
| 01 |
146 |
009 |
01146009 |
Policy
Conditions Estimated Exposure Indicator
is invalid. |
| 01 |
146 |
010 |
01146010 |
Policy
Conditions Estimated Exposure Indicator This USR is estimated. |
| 01 |
146 |
011 |
01146011 |
Policy
Conditions Retrospective Rated Policy is invalid. |
| 01 |
146 |
012 |
01146012 |
Policy
Conditions Retrospective Rated Policy is inconsistent with policy. |
| 01 |
146 |
013 |
01146013 |
Policy
Conditions Canceled Mid-Term Policy is invalid. |
| 01 |
146 |
014 |
01146014 |
Policy
Conditions Managed Care organization (MCO) is invalid. |
| 01 |
146 |
015 |
01146015 |
Policy
Conditions Canceled Mid-Term Policy is not consistent with policy. |
| 01 |
146 |
016 |
01146016 |
Assigned
Risk policies cannot have retro revisions |
| 01 |
146 |
017 |
01146017 |
Assigned
Risk policies must be single state |
| 01 |
149 |
001 |
01149001 |
The
estimated exposure indicator has been filed.
Audited data is required. |
| 01 |
157 |
000 |
01157000 |
Policy
Type ID Code is invalid. |
| 01 |
157 |
001 |
01157001 |
Policy
Type ID Code Plan Indicator indicates Assigned Risk policy is
Voluntary. |
| 01 |
157 |
002 |
01157002 |
Policy
Type ID Code Plan Indicator
indicates Voluntary policy is Assigned Risk. |
| 01 |
157 |
003 |
01157003 |
Type
of Coverage does not allow Policy Conditions Retrospective Rated Policy to
be Y. |
| 01 |
157 |
004 |
01157004 |
Type
of Coverage is 05 (Large Risk Rated Option) Policy Conditions Retrospective
Rated Policy should be Y. |
| 01 |
157 |
005 |
01157005 |
Type
of Coverage is not valid for the policy effective date. |
| 01 |
157 |
006 |
01157006 |
Type
of Coverage is not valid for this carrier and policy effective date. |
| 01 |
157 |
007 |
01157007 |
Plan
Indicator is inconsistent with policy. |
| 01 |
157 |
008 |
01157008 |
Expense
Constant must appear on MA single state policy |
| 01 |
165 |
000 |
01165000 |
Deductible
Type is Invalid. |
| 01 |
165 |
001 |
01165001 |
Deductible
Type 1st 2 positions is invalid. |
| 01 |
165 |
002 |
01165002 |
Deductible
Coding is not reasonable |
| 01 |
165 |
003 |
01165003 |
The
Coding for the deductible program is missing or the deductible credit is
missing |
| 01 |
165 |
004 |
01165004 |
Assigned
risk policies cannot have deductible provisions |
| 01 |
169 |
000 |
01169000 |
Deductible
Percent is invalid. |
| 01 |
169 |
001 |
01169001 |
Deductible
Percent is not applicable for the state. |
| 01 |
169 |
002 |
01169002 |
Deductible
Percent is not valid for Deductible Type. |
| 01 |
171 |
000 |
01171000 |
Deductible
Amount per Claim/Accident is invalid. |
| 01 |
171 |
001 |
01171001 |
Deductible
Amount per Claim/Accident is invalid for Deductible Type. |
| 01 |
171 |
002 |
01171002 |
Deductible
Amount per Claim/Accident is invalid for state. |
| 01 |
171 |
003 |
01171003 |
Deductible
Amount is not reasonable |
| 01 |
180 |
000 |
01180000 |
Deductible
Amount Aggregate is invalid. |
| 01 |
180 |
001 |
01180001 |
Deductible
Amount Aggregate is invalid for Deductible Type. |
| 01 |
180 |
002 |
01180002 |
Deductible
Amount Aggregate is invalid for state. |
| 01 |
180 |
003 |
01180003 |
Deductible
Amount Aggregate is less than Deductible Amount per Claim/Accident. |
| 01 |
180 |
004 |
01180004 |
Aggregate
Deductible amount must be greater than or equal to the Claim Deductible
Amt |
| 01 |
189 |
000 |
01189000 |
Previous
Report Number is not zero |
| 01 |
189 |
001 |
01189001 |
Previous
Report Number is missing for this policy. |
| 01 |
192 |
000 |
01192000 |
Previous
Correction Indicator is invalid. |
| 01 |
192 |
001 |
01192001 |
Previous
Correction Indicator is not blank. |
| 01 |
193 |
000 |
01193000 |
Previous
Carrier Code is invalid. |
| 01 |
193 |
001 |
01193001 |
Previous
Carrier Code is not zero. |
| 01 |
193 |
002 |
01193002 |
Previous
Carrier Code cannot equal current carrier code. |
| 01 |
198 |
000 |
01198000 |
Previous
Policy Number is invalid. |
| 01 |
198 |
001 |
01198001 |
Previous
Policy Number cannot equal current policy number. |
| 01 |
198 |
002 |
01198002 |
Previous
Policy Number is not blank. |
| 01 |
216 |
000 |
01216000 |
Previous
Policy Effective Date is invalid. |
| 01 |
216 |
001 |
01216001 |
Previous
Policy Effective Date is not zero. |
| 01 |
216 |
002 |
01216002 |
Previous
Policy Effective Date cannot equal current policy effective date. |
| 01 |
222 |
000 |
01222000 |
Previous
Exposure State is invalid |
| 01 |
222 |
001 |
01222001 |
Previous
Exposure State is incorrect. |
| 01 |
222 |
002 |
01222002 |
Previous
Exposure State is not zero. |
| 01 |
222 |
003 |
01222003 |
Previous
Exposure State cannot equal current exposure state. |
| 01 |
222 |
004 |
01222004 |
Previous
Exposure State cannot use key field change on state code. |
| 01 |
250 |
000 |
01250000 |
ASWG
Unit Submission Indicator is invalid. |
| 01 |
250 |
001 |
01250001 |
ASWG
Unit Submission Indicator for the subsequent or correction report does not
match the previous reports indicator. |
| 01 |
250 |
002 |
01250002 |
ASWG
Unit Submission Indicator is invalid for the state or effective date. |
| 01 |
250 |
003 |
01250003 |
This
pre-ASWG USR needs to be manually converted to ASWG |
| 01 |
250 |
004 |
01250004 |
ASWG
mandatory fields are missing. |
| 01 |
250 |
005 |
01250005 |
This
unit report is in the wrong format (ASWG or PRE-ASWG). |
| 02 |
041 |
000 |
02041000 |
Name
record (type = 2) either none or more than 1 is reported. |
| 02 |
042 |
000 |
02042000 |
Name
of Insured is either blank or contains nonprintable characters. |
| 03 |
042 |
000 |
03042000 |
Address
of Insured is either blank or contains nonprintable characters. |
| 04 |
041 |
000 |
04041000 |
This
exposure record duplicates another one for this unit report. |
| 04 |
041 |
001 |
04041001 |
Error
matching previous and revised Exposure records. |
| 04 |
041 |
002 |
04041002 |
There
is no matching exposure to replace or delete. |
| 04 |
041 |
003 |
04041003 |
There
is no matching exposure to change. |
| 04 |
041 |
004 |
04041004 |
There
are multiple matching exposures to change. |
| 04 |
041 |
005 |
04041005 |
Multiple
exposure records in same split period with same Class Code and Coverage Code
for this USR. |
| 04 |
041 |
006 |
04041006 |
Multiple
revised exposure records in the same split period with the same non-standard
Class Code. |
| 04 |
041 |
007 |
04041007 |
Multiple
exposure records in the same split period with the same Class Code and
Exposure Coverage Code (ACT) for this USR. |
| 04 |
041 |
008 |
04041008 |
Correction
Type must be compatible with actual Exposure data changed. |
| 04 |
043 |
000 |
04043000 |
Exposure
Class code is invalid or expired. |
| 04 |
043 |
001 |
04043001 |
Exposure
Class code is invalid for State or for Policy Effective Date. |
| 04 |
043 |
002 |
04043002 |
Exposure
class code must be a statistical code. |
| 04 |
043 |
003 |
04043003 |
Exposure
Class Code 1111 inconsistent with Exposure Amount and/or Premium Amount. |
| 04 |
043 |
004 |
04043004 |
Above
the line Exposure Class Code has zero Exposure Amount and zero Premium
Amount. |
| 04 |
043 |
005 |
04043005 |
Company
use only Exposure Class Code is not allowed. |
| 04 |
043 |
006 |
04043006 |
USR
is missing Exposure Class Code 0088 or 7421. |
| 04 |
043 |
007 |
04043007 |
Exposure
Class Code 9880/9890 safety credit is not applied. |
| 04 |
043 |
008 |
04043008 |
Exposure
Class Code 994 Volunteer fire company indicated on unit report. |
| 04 |
043 |
009 |
04043009 |
Exposure
Class Code Firefighter is not included but exists on previous/current
USR. |
| 04 |
043 |
010 |
04043010 |
Exposure
Class Code 994 Population differs from bureau record. |
| 04 |
043 |
011 |
04043011 |
Exposure
Class Code - Codes 0063 and 0064 should not be on the same policy. |
| 04 |
043 |
012 |
04043012 |
Exposure
Class Code 9046 Construction credit not applied. |
| 04 |
043 |
013 |
04043013 |
Exposure
Class Code This class code conflicts with another class code. |
| 04 |
043 |
014 |
04043014 |
Exposure
Class Code Duplicate expense constant class code. |
| 04 |
043 |
015 |
04043015 |
Exposure
Class Code Duplicate loss constant class code. |
| 04 |
043 |
016 |
04043016 |
Exposure
Class Code This report contains both deductible statistical codes. |
| 04 |
043 |
017 |
04043017 |
Exposure
Class Code Payroll needs to be assigned to a different class code. |
| 04 |
043 |
018 |
04043018 |
Associated
non-ratable class code missing. |
| 04 |
043 |
020 |
04043020 |
Approved
deviation not applied. |
| 04 |
043 |
021 |
04043021 |
Carrier
not approved for deviation. |
| 04 |
043 |
022 |
04043022 |
Carrier
not approved for schedule rating. |
| 04 |
043 |
023 |
04043023 |
Merit
adjustment not applied. |
| 04 |
043 |
024 |
04043024 |
Code
0938 Employer Assessment Not Applied. |
| 04 |
043 |
025 |
04043025 |
Code
9848 required for minimum premium increased limits. |
| 04 |
043 |
026 |
04043026 |
Invalid
code XXX (121) See Manual Section I. |
| 04 |
043 |
028 |
04043028 |
Other
errors have been found. Error limit
reached. |
| 04 |
043 |
029 |
04043029 |
Class
not authorized. |
| 04 |
043 |
030 |
04043030 |
Merit
Adjustment code incorrect. |
| 04 |
043 |
031 |
04043031 |
Zero
exposure record submitted incorrectly. |
| 04 |
043 |
032 |
04043032 |
Exposure
Class Code is inconsistent with Deductible Type. |
| 04 |
043 |
033 |
04043033 |
Foreign
Terrorism Premium Charge not applied. |
| 04 |
043 |
034 |
04043034 |
Domestic
Terrorism Premium Charge not applied. |
| 04 |
048 |
000 |
04048000 |
Exposure
Previously Reported Indicator is invalid. |
| 04 |
048 |
001 |
04048001 |
Exposure
Previously Reported Indicator must = 0 on 1st reports. |
| 04 |
048 |
002 |
04048002 |
Exposure
Previously Reported Indicator corresponding data not found. |
| 04 |
048 |
003 |
04048003 |
Exposure
Previously Reported Indicator Exposure record is either a duplicate or the
previous record is missing. |
| 04 |
048 |
004 |
04048004 |
Exposure
Previously Reported Indicator Pre-ASWG must be 0 for originals and 0 or
1 for corrections/subs. |
| 04 |
049 |
000 |
04049000 |
Exposure
Coverage Code is invalid. |
| 04 |
049 |
001 |
04049001 |
Exposure
Coverage Code is invalid for Industry Group. |
| 04 |
049 |
002 |
04049002 |
Exposure
Coverage Code is incorrect for Class Code. |
| 04 |
049 |
003 |
04049003 |
Exposure
Coverage Code indicates ex-medical coverage; it is not allowed for this Class
Code for this State. |
| 04 |
043 |
019 |
04049019 |
Associated
ratable class code missing. |
| 04 |
051 |
000 |
04051000 |
Experience
Modification is invalid. |
| 04 |
051 |
001 |
04051001 |
Experience
Modification is incorrect. |
| 04 |
051 |
002 |
04051002 |
Experience
Modification differs from the calculated experience modification. |
| 04 |
051 |
003 |
04051003 |
Below
the line Exposure Class Code should have zero Experience Modification. |
| 04 |
051 |
004 |
04051004 |
Experience
Modification is not applicable. |
| 04 |
051 |
005 |
04051005 |
Mod
Factor is not reasonable |
| 04 |
051 |
006 |
04051006 |
Premium
Amount suggests the risk qualifies for experience rating but Merit is
reported |
| 04 |
051 |
007 |
04051007 |
Policy
cannot be both Merit and Experience Rated |
| 04 |
051 |
008 |
04051008 |
Multiple
Experience Modification values supplied within the same split period. |
| 04 |
055 |
000 |
04055000 |
Effective
Date of Modification is missing. |
| 04 |
055 |
001 |
04055001 |
Effective
Date of Modification is invalid. |
| 04 |
055 |
002 |
04055002 |
Effective
date of Modification must be within the policy period. |
| 04 |
055 |
003 |
04055003 |
Multiple
Effective Date of Modification values supplied within the same split period. |
| 04 |
061 |
000 |
04061000 |
Effective
Date of Rate is missing. |
| 04 |
061 |
001 |
04061001 |
Effective
Date of Rate is invalid. |
| 04 |
061 |
002 |
04061002 |
Effective
Date of Rate is not within policy period dates. |
| 04 |
061 |
003 |
04061003 |
Multiple
Effective Date of Rate values supplied within the same split period. |
| 04 |
067 |
000 |
04067000 |
Exposure
Amount is invalid. |
| 04 |
067 |
001 |
04067001 |
Exposure
Amount is incorrect. |
| 04 |
067 |
002 |
04067002 |
Either
the Exposure Amount exceeds the threshold amount for change or the previous
exposure has been decreased to zero. |
| 04 |
067 |
003 |
04067003 |
The
previous exposure has been decreased to zero by this change. |
| 04 |
067 |
004 |
04067004 |
Exposure
Amount must be zero for this Class Code. |
| 04 |
067 |
005 |
04067005 |
Exposure
Amount should not be zero when Manual Rate and/or Premium Amount are not. |
| 04 |
077 |
000 |
04077000 |
Premium
Amount is invalid. |
| 04 |
077 |
001 |
04077001 |
Premium
Amount is incorrect. |
| 04 |
077 |
002 |
04077002 |
Premium
Amount exceeds $999 for Exposure Class Code 0990 (balance to minimum premium) |
| 04 |
077 |
003 |
04077003 |
Premium
Amount is incorrect for this Class Code. |
| 04 |
077 |
004 |
04077004 |
Premium
Amount for this Class Code exceeds the maximum percentage allowed. |
| 04 |
077 |
005 |
04077005 |
Short
rate penalty premium incorrect . |
| 04 |
077 |
006 |
04077006 |
Part
II total increased limits premium incorrect. |
| 04 |
077 |
007 |
04077007 |
Deductible
amount is incorrect. |
| 04 |
077 |
008 |
04077008 |
Deductible
amount is not applicable for Class Code 9802 after
1/1/96. |
| 04 |
077 |
009 |
04077009 |
Premium
Discount Amount exceeds the Standard Premium Amount. |
| 04 |
077 |
010 |
04077010 |
Loss
declared and Premium Amount for Class Code is zero. |
| 04 |
077 |
011 |
04077011 |
The
premium for Waiver of Subrogation has been reported incorrectly |
| 04 |
093 |
001 |
04083001 |
Split
Period Indicator exceeds the maximum number of 36. |
| 04 |
086 |
000 |
04086000 |
Manual
Rate is invalid. |
| 04 |
086 |
001 |
04086001 |
Manual
Rate is missing; Class Code requires a value. |
| 04 |
086 |
002 |
04086002 |
Manual
Rate is outside acceptable variance from approved rate. |
| 04 |
086 |
003 |
04086003 |
Exposure
supplied and Manual Rate is zero. |
| 04 |
086 |
004 |
04086004 |
Rate
deviation applicable. |
| 04 |
086 |
005 |
04086005 |
Class
9046 does not match CPAP factor |
| 04 |
086 |
006 |
04086006 |
Manual
Rate and Exposure are not allowed for this class. |
| 04 |
093 |
000 |
04093000 |
Split
Period Indicator is invalid. |
| 04 |
093 |
001 |
04093001 |
Split
Indicator must start with zero and the reported split periods must be in
chronological order |
| 04 |
121 |
000 |
04121000 |
Exposure
Update Type is invalid. |
| 04 |
121 |
001 |
04121001 |
Exposure
Update Type is invalid for 1st Report. |
| 04 |
121 |
002 |
04121002 |
Exposure
Update Type is invalid. |
| 04 |
121 |
003 |
04121003 |
Exposure
Update Type corresponding fields on exposure record are missing or invalid. |
| 04 |
121 |
004 |
04121004 |
Exposure
record is either a duplicate or is missing corresponding Exposure Update
Type. |
| 04 |
121 |
005 |
04121005 |
Exposure
Update Type invalid for ASWG. |
| 04 |
123 |
000 |
04123000 |
Exposure
Coverage Code (ACT) is invalid. |
| 04 |
123 |
001 |
04123001 |
Exposure
Coverage Code (ACT) is invalid for State. |
| 04 |
123 |
002 |
04123002 |
Exposure
Coverage Code (ACT) is invalid for Class Code. |
| 04 |
123 |
003 |
04123003 |
Exposure
Coverage Code (ACT) indicates ex-medical coverage; it is not allowed for this
Class Code for this State. |
| 04 |
123 |
004 |
04123004 |
F
classification without appropriate exposure coverage act |
| 04 |
125 |
000 |
04125000 |
Premium
Discount Amount is greater than 25%. |
| 05 |
041 |
000 |
05041000 |
This
loss record is a duplicate on this report. |
| 05 |
043 |
000 |
05043000 |
Loss
Class Code is invalid. |
| 05 |
043 |
001 |
05043001 |
Loss
Class Code is invalid per State or Policy Effective Date. |
| 05 |
043 |
002 |
05043002 |
Loss
record is not allowed for this Class Code. |
| 05 |
043 |
003 |
05043003 |
Loss
Class Code has changed on a subsequent report. |
| 05 |
043 |
004 |
05043004 |
Company
use only Loss Class Code is not allowed. |
| 05 |
043 |
005 |
05043005 |
Loss
Class Code indicated occupational disease; Loss Coverage Code does not. |
| 05 |
043 |
006 |
05043006 |
Loss
Class Code indicated occupational disease; Loss Conditions Type of Loss is
not 02. |
| 05 |
043 |
007 |
05043007 |
Loss
Class Code is not compatible with Injury Code (Injury Type). |
| 05 |
043 |
008 |
05043008 |
Class
code requires a partner class |
| 05 |
043 |
009 |
05043009 |
Loss
record(s) must have matching exposure record(s) or Exposure Amount. |
| 05 |
043 |
010 |
05043010 |
Cannot
change key fields of a group claim. |
| 05 |
043 |
011 |
05043011 |
Key
fields on loss record are either missing or invalid. |
| 05 |
043 |
012 |
50430129 |
Loss
declared There are loss records in accepted with this class code. |
| 05 |
043 |
013 |
05043013 |
Loss
Class Code not reported in exposure Class Codes. |
| 05 |
043 |
014 |
05043014 |
Class
Code and Accident Date do not identify exposure record with premium > 0. |
| 05 |
048 |
000 |
05048000 |
Loss
Previously Reported Indicator is invalid. |
| 05 |
048 |
001 |
05048001 |
Claim
duplicates previously reported claim. |
| 05 |
048 |
002 |
05048002 |
Loss
Previously Reported Indicator must be zero on 1st report. |
| 05 |
048 |
003 |
05048003 |
Loss
Previously Reported Indicator is 1 but key fields are missing or invalid. |
| 05 |
048 |
004 |
05048004 |
Loss
Previously Reported Indicator is 1 but previously reported loss cannot be
found. |
| 05 |
048 |
005 |
05048005 |
Previously
reported claim cannot be found. |
| 05 |
048 |
006 |
05048006 |
Previously
reported claim does not match prior report. |
| 05 |
049 |
000 |
05049000 |
Loss
Coverage Code is invalid. |
| 05 |
049 |
001 |
05049001 |
Loss
Coverage Code is invalid per State. |
| 05 |
049 |
002 |
05049002 |
Loss
Coverage Code indicates Occupational Disease; not allowed with Class Code for
traumatic coal mine. |
| 05 |
049 |
003 |
05049003 |
Loss
Coverage Code is invalid for Injury Code (injury Type). |
| 05 |
051 |
000 |
05051000 |
Number
of Claims is invalid. |
| 05 |
051 |
001 |
05051001 |
Number
of Claims is incorrect. |
| 05 |
051 |
002 |
05051002 |
Average
of Number of Claims is greater than allowed. |
| 05 |
051 |
003 |
05051003 |
Number
of Claims indicates a group claim; Incurred Indemnity must be zero. |
| 05 |
051 |
004 |
05051004 |
Number
of Claims must exceed 1 for a group claim. |
| 05 |
051 |
005 |
05051005 |
This
State does not allow group claims. |
| 05 |
051 |
006 |
05051006 |
Claim
count appears to be large in comparison to loss amount |
| 05 |
051 |
007 |
05051007 |
Claim
count and at least one loss amount are inconsistent |
| 05 |
055 |
000 |
05055000 |
Accident
Date is invalid. |
| 05 |
055 |
001 |
05055001 |
Accident
Date is missing; required for single claims. |
| 05 |
055 |
002 |
05055002 |
Accident
Date is outside of policy period. |
| 05 |
055 |
003 |
05055003 |
Accident
Date is missing on a group claim. |
| 05 |
055 |
004 |
05055004 |
Accident
Date is present on a group claim. |
| 05 |
055 |
005 |
05055005 |
The
Accident Date must be the same for every loss included in the catastrophe. |
| 05 |
061 |
000 |
05061000 |
Claim
Number is invalid. |
| 05 |
061 |
001 |
05061001 |
Claim
has already been filed. |
| 05 |
061 |
002 |
05061002 |
Duplicate
Claim Number is not allowed. |
| 05 |
061 |
003 |
05061003 |
Claim
Number is required when Total Claim Amount for a loss is greater than $2000. |
| 05 |
061 |
004 |
05061004 |
Claim
Number is required if Accident Date is reported. |
| 05 |
061 |
005 |
05061005 |
Claim
Number is required if Number of Claims
indicates a group claim. |
| 05 |
061 |
006 |
05061006 |
Claim
Number and Accident Date are required for a single claim. |
| 05 |
061 |
007 |
05061007 |
Claim
Number exceeds bulking grouped claim limits. |
| 05 |
061 |
008 |
05061008 |
Previous
or Delete Update Type Matching loss not found. |
| 05 |
061 |
009 |
05061009 |
Previous
or Delete Update Type Matching loss is a duplicate. |
| 05 |
061 |
010 |
05061010 |
Error
matching previous and revised loss records. |
| 05 |
061 |
011 |
05061011 |
New
claims have been added to the subsequent report level. Please review and acknowledge that these
claims were not omitted on prior reports in error. If you determine that these claims were
omitted from prior report level(s) in error than a correction report |
| 05 |
073 |
000 |
05073000 |
Claim
Status is invalid. |
| 05 |
073 |
001 |
05073001 |
Claim
Status is invalid for State. |
| 05 |
073 |
002 |
05073002 |
Claim
status of 2 (reopened) is not allowed for this USR. |
| 05 |
073 |
003 |
05073003 |
Claim
closed on non compensable must show 0 incurred loss |
| 05 |
073 |
004 |
05073004 |
Loss
amount conflicts with claim status |
| 05 |
073 |
005 |
05073005 |
Open
claim(s) on previous report not reported on this subsequent report. |
| 05 |
073 |
006 |
05073006 |
Loss
on prior report is open; it is closed on current report. |
| 05 |
074 |
000 |
05074000 |
Average
Weekly Wage is invalid. |
| 05 |
079 |
000 |
05079000 |
Injury
Code (Injury Type) is invalid. |
| 05 |
079 |
001 |
05079001 |
Injury
Code (Injury Type) is invalid for State. |
| 05 |
079 |
002 |
05079002 |
This
Injury Code requires Incurred Indemnity and Incurred Medical amounts; one or
both are missing. |
| 05 |
079 |
003 |
05079003 |
This
Injury Code indicates medical only; Incurred Indemnity must be zero. |
| 05 |
079 |
004 |
05079004 |
Warning
Injury Code (Injury Type) 01 should be subject to reasonableness checks. |
| 05 |
079 |
005 |
05079005 |
Group
Claim is not allowed for Injury Code 07. |
| 05 |
079 |
006 |
05079006 |
Warning
Injury Code 07 (Contract Medical) reported. |
| 05 |
079 |
007 |
05079007 |
Injury
Code (Injury Type) changed from 01 on subsequent report unexpected change. |
| 05 |
079 |
008 |
05079008 |
Death
claim requires additional information provided on an ICR |
| 05 |
079 |
009 |
05079009 |
Permanent
Total claim requires additional information provided on an ICR |
| 05 |
079 |
010 |
05079010 |
Claim
has remained open too long to be coded as a temporary claim |
| 05 |
079 |
011 |
05079011 |
Incurred
Indemnity is too large to be coded as a temporary claim |
| 05 |
079 |
012 |
05079012 |
A
non PT claim that is settled as a lump sum must be coded as injury code 9 |
| 05 |
079 |
013 |
05079013 |
Warning
Injury Code (Injury Type) 02 should be subject to reasonableness checks. |
| 05 |
081 |
000 |
05081000 |
Catastrophe
Number is invalid. |
| 05 |
081 |
001 |
05081001 |
Group
claims may not be included in a Catastrophe. |
| 05 |
081 |
002 |
05081002 |
Catastrophe
Number is greater than zero; requires manual intervention. |
| 05 |
081 |
003 |
05081003 |
No
matching claim found for Catastrophe Number and Accident Date. |
| 05 |
081 |
004 |
05081004 |
There
must be 2 or more claims for each distinct catastrophe. |
| 05 |
081 |
005 |
05081005 |
Catastrophe
numbers are not in sequence. |
| 05 |
081 |
006 |
05081006 |
Death
claims with catastrophe code 48 require injury part and nature equal 90 and
injury cause equal to 89 |
| 05 |
081 |
007 |
05081007 |
Multiple
claims reported with same accident date; catastrophe number may be
applicable. |
| 05 |
083 |
000 |
05083000 |
Incurred
Indemnity (Indemnity Amount) is invalid. |
| 05 |
083 |
001 |
05083001 |
Incurred
Indemnity amount must be zero for this Injury Code. |
| 05 |
083 |
002 |
05083002 |
Incurred
Indemnity amount is greater than $2000 on a group claim. |
| 05 |
083 |
003 |
05083003 |
Incurred
Indemnity amount cannot be 0 when Incurred Medical amount > 0 for this Injury Code. |
| 05 |
083 |
004 |
05083004 |
Incurred
Indemnity amount must be zero for Class Code 7699 or 7725. |
| 05 |
083 |
005 |
05083005 |
Incurred
Indemnity amount is outside the range allowed for table and State and/or
Injury Code (Injury Type). |
| 05 |
083 |
006 |
05083006 |
Incurred
Indemnity amount is less than expected for a death claim. |
| 05 |
083 |
007 |
05083007 |
Verify
large Indemnity incurred |
| 05 |
083 |
008 |
05083008 |
Negative
loss amount |
| 05 |
083 |
009 |
05083009 |
Incurred
indemnity amount indicates that additional information is required on an
ICR |
| 05 |
092 |
000 |
05092000 |
Incurred
Medical (Medical Amount) is invalid. |
| 05 |
092 |
001 |
05092001 |
Incurred
Medical amount is outside the acceptable range for the Injury Code (Injury
Type). |
| 05 |
092 |
002 |
05092002 |
Verify
large medical incurred |
| 05 |
101 |
000 |
05101000 |
Social
Security Number is invalid. |
| 05 |
121 |
000 |
05121000 |
Loss
Update Type is invalid |
| 05 |
121 |
001 |
05121001 |
Loss
Update Type invalid for 1st report. |
| 05 |
121 |
002 |
05121002 |
Loss
Update Type invalid for ASWG on a correction or subsequent report. |
| 05 |
121 |
003 |
05121003 |
Loss
Update Type is invalid for State. |
| 05 |
121 |
004 |
05121004 |
Loss
Update Type is previous or delete or change matching loss not found. |
| 05 |
121 |
005 |
05121005 |
Loss
Update Type is previous or delete or change matching report not
found. |
| 05 |
121 |
006 |
05121006 |
Loss
Update Type is previous or delete or change matching loss is zeroed out. |
| 05 |
123 |
000 |
05123000 |
Loss
Conditions ACT is invalid. |
| 05 |
125 |
000 |
05125000 |
Loss
Conditions Type of Loss is
invalid. |
| 05 |
125 |
001 |
05125001 |
Loss
Conditions Type of Loss 02
(Occupational Disease) is not allowed with Class Code for traumatic coal
mine. |
| 05 |
125 |
002 |
05125002 |
There
is a conflict between the nature of injury and type of loss |
| 05 |
125 |
003 |
05125003 |
There
is a conflict between the type of loss and and the cause of accident |
| 05 |
125 |
004 |
05125004 |
There
is a conflict between the type of loss and and the cause of accident |
| 05 |
125 |
005 |
05125005 |
Type
of Loss - Loss Condition code 03 - Workers Compensation including Employers
Liability has been reported with injury code 06 |
| 05 |
127 |
000 |
51270003 |
Loss
Conditions Type of Recovery is
invalid. |
| 05 |
127 |
001 |
05127001 |
Warning
Loss Conditions Type of Recovery indicates suspicious subrogation
activity. Please review. |
| 05 |
127 |
002 |
05127002 |
Indemnity
paid and incurred indicates subrogation but subrogation is not coded in type
of recovery |
| 05 |
127 |
003 |
05127003 |
Medical paid and incurred indicates subrogation but
subrogation is not coded in type of recovery |
| 05 |
129 |
000 |
05129000 |
Loss
Conditions Type of Coverage is
invalid. |
| 05 |
131 |
000 |
05131000 |
Loss
Conditions Type of Settlement is
invalid. |
| 05 |
131 |
001 |
05131001 |
Type
of settlement conflicts with lump sum indicator |
| 05 |
133 |
000 |
05133000 |
Total
Incurred Vocational Rehabilitation is invalid. |
| 05 |
133 |
001 |
05133001 |
Total
Incurred Vocational Rehabilitation is invalid for Injury Code (Injury Type). |
| 05 |
140 |
000 |
05140000 |
Jurisdiction
State is invalid. |
| 05 |
140 |
001 |
05140001 |
Jurisdiction
State must not equal the state that ran this edit. |
| 05 |
142 |
000 |
05142000 |
MCO
Type is either invalid or not compatible with the Policy Condition. |
| 05 |
142 |
001 |
05142001 |
MCO
Type is invalid. |
| 05 |
144 |
000 |
05144000 |
Injury
Description Code (Part) is invalid. |
| 05 |
144 |
001 |
05144001 |
Injury
Description Code (Nature) is invalid. |
| 05 |
144 |
002 |
05144002 |
Injury
Description Code (Cause) is invalid. |
| 05 |
150 |
000 |
05150000 |
Occupation
Description is blank. |
| 05 |
169 |
000 |
05169000 |
Lump
Sum Indicator is invalid. |
| 05 |
169 |
001 |
05169001 |
Loss
amount conflicts with lump sum indicator |
| 05 |
170 |
000 |
05170000 |
Fraudulent
Claim Indicator is either invalid or invalid for State. |
| 05 |
174 |
000 |
05174000 |
Paid
Indemnity (Amount) is invalid |
| 05 |
174 |
001 |
05174001 |
Paid
Indemnity (Amount) cannot be greater than Incurred Indemnity (Indemnity
Amount). |
| 05 |
174 |
002 |
05174002 |
Paid
Indemnity (Amount) should match Incurred Indemnity (Indemnity Amount) if
claim is closed. |
| 05 |
174 |
003 |
05174003 |
Verify
large indemnity paid |
| 05 |
183 |
000 |
05183000 |
Paid
Medical (Amount) is invalid. |
| 05 |
183 |
001 |
05183001 |
Paid
Medical (Amount) cannot be greater
than Incurred Medical (Medical Amount). |
| 05 |
183 |
002 |
05183002 |
Paid
Medical (Amount) should match Incurred Medical (Medical Amount) if claim is
closed. |
| 05 |
183 |
003 |
05183003 |
Verify
large medical paid |
| 05 |
192 |
000 |
05192000 |
Claimants
Attorney Fees Incurred (Amount) is invalid. |
| 05 |
192 |
001 |
05192001 |
Claimants
Attorney Fees Incurred amount exceeds Incurred Indemnity amount. |
| 05 |
192 |
002 |
05192002 |
Verify
lack of claimants attorney fees on this large claim |
| 05 |
192 |
003 |
05192003 |
The
claimants attorney fees reported on this claim must also be recorded as
indemnity loss |
| 05 |
201 |
000 |
05201000 |
Employers
Attorney Fees Incurred amount exceeds ALAE. |
| 05 |
201 |
001 |
05201001 |
The
employers attorney fees reported on this claim must also be recorded as ALAE |
| 05 |
201 |
002 |
05201002 |
Verify
lack of employers attorney fees on this large claim |
| 05 |
210 |
000 |
05210000 |
Deductible
Reimbursement (Amount) is invalid. |
| 05 |
210 |
001 |
05210001 |
Deductible
Reimbursement (Amount) is invalid for State. |
| 05 |
210 |
002 |
05210002 |
Deductible
Reimbursement (Amount) is inconsistent with Deductible Type. |
| 05 |
210 |
003 |
05210003 |
Deductible
Reimbursement (Amount) is greater than the sum of Incurred Indemnity and
Incurred Medical amounts. |
| 05 |
219 |
000 |
05219000 |
Total
Gross Incurred is invalid. |
| 05 |
230 |
000 |
05230000 |
Allocated
Loss Adjustment Expense (ALAE) Paid (Amount) is invalid. |
| 05 |
230 |
001 |
05230001 |
Verify
lack of ALAE on this large claim |
| 05 |
230 |
002 |
05230002 |
Allocated
Loss Adjustment Expense (ALAE) Paid amount is greater than Incurred amount. |
| 05 |
230 |
003 |
05230003 |
Allocated
Loss Adjustment Expense (ALAE) Paid is a required data element. Please verify in writing that no expenses
were incurred. |
| 05 |
239 |
000 |
05239000 |
Allocated
Loss Adjustment Expense (ALAE) Incurred (Amount) is invalid. |
| 05 |
248 |
000 |
05248000 |
Scheduled
Indemnity Percent of Disability is invalid. |
| 06 |
041 |
000 |
06041000 |
USR
must have 1 and only 1 Totals record. |
| 06 |
041 |
001 |
06041001 |
Invalid
numeric or date field in total record |
| 06 |
042 |
000 |
06042000 |
Exposure Total
Payroll is invalid. |
| 06 |
042 |
001 |
06042001 |
Exposure
Total Payroll is incorrect. |
| 06 |
053 |
000 |
06053000 |
Exposure
Other than Payroll is invalid. |
| 06 |
053 |
001 |
06053001 |
Exposure
Other than Payroll is incorrect. |
| 06 |
063 |
000 |
06063000 |
Subject
Premium Total is invalid. |
| 06 |
063 |
001 |
06063001 |
Subject
Premium Total is incorrect. |
| 06 |
063 |
002 |
06063002 |
Subject
Premium Total exceeds $3000 and there are exposure records with class code
0990 with premium > 0. |
| 06 |
063 |
003 |
06063003 |
Subject
Premium Total premium exceeds $50000 and total indemnity and total medical
are 0. |
| 06 |
063 |
004 |
06063004 |
Total
modified premium incorrectly calculated. |
| 06 |
073 |
000 |
06073000 |
Standard
Premium Total is invalid. |
| 06 |
073 |
001 |
06073001 |
Calculated
Standard Premium Total is negative. |
| 06 |
073 |
002 |
06073002 |
Correction
rpt reduced Standard Premium Total to zero. |
| 06 |
073 |
003 |
06073003 |
Standard
Premium Total is incorrect. |
| 06 |
073 |
004 |
06073004 |
Premium
on this single state policy appears to be small for retrospective Rating
revision |
| 06 |
073 |
005 |
06073005 |
Overall premium must be at least
1 |
| 06 |
073 |
006 |
06073006 |
Correction report
reduced standard premium to zero |
| 06 |
073 |
007 |
06073007 |
Possible
incomplete unit report zero losses with premium greater than 50000. |
| 06 |
073 |
008 |
06073008 |
CPAP
credit reduces standard premium below minimum |
| 06 |
084 |
000 |
06084000 |
Number
of Claims Total is invalid. |
| 06 |
084 |
001 |
06084001 |
Number
of Claims Total is incorrect. |
| 06 |
089 |
000 |
06089000 |
Incurred
Indemnity Total is invalid. |
| 06 |
089 |
001 |
06089001 |
Incurred
Indemnity Total is incorrect. |
| 06 |
099 |
000 |
06099000 |
Incurred
Medical Total is invalid. |
| 06 |
099 |
001 |
06099001 |
Incurred
Medical Total is incorrect. |
| 06 |
109 |
000 |
06109000 |
Number
of Records in Unit Report is invalid. |
| 06 |
109 |
001 |
06109001 |
Number
of Records in Unit Report is incorrect. |
| 06 |
114 |
000 |
06114000 |
Unit
Total Previously Reported Indicator is invalid. |
| 06 |
114 |
001 |
06114001 |
Previous
totals record is not acceptable |
| 06 |
123 |
000 |
06123000 |
Total
Paid Indemnity is invalid. |
| 06 |
123 |
001 |
06123001 |
Total
Paid Indemnity is incorrect. |
| 06 |
133 |
000 |
06133000 |
Total
Paid Medical is invalid. |
| 06 |
133 |
001 |
06133001 |
Total
Paid Medical is incorrect. |
| 06 |
143 |
000 |
06143000 |
Total
Claimants Attorney Fees is invalid. |
| 06 |
143 |
001 |
06143001 |
Total
Claimants Attorney Fees is incorrect. |
| 06 |
153 |
000 |
06153000 |
Total
Employers Attorney Fees is invalid. |
| 06 |
153 |
001 |
06153001 |
Total
Employers Attorney Fees is incorrect. |
| 06 |
163 |
000 |
06163000 |
Total
ALAE Paid is invalid. |
| 06 |
163 |
001 |
06163001 |
Total
ALAE Paid is incorrect. |
| 06 |
173 |
000 |
06173000 |
Total
ALAE Incurred is invalid. |
| 06 |
173 |
001 |
06173001 |
Total
ALAE Incurred is incorrect. |
| 09 |
001 |
000 |
09001000 |
Link
Data in submission control record must be filled with 9s. |
| 09 |
041 |
000 |
09041000 |
The
submission must contain a Submission Control record. |
| 09 |
042 |
000 |
09042000 |
Detail
Record Count is invalid. |
| 09 |
042 |
001 |
09042001 |
Detail
Record Count in the submission control record is incorrect. |
| 09 |
042 |
002 |
09042002 |
The
letter of transmittal Detail Record Count must match the actual detail record
count on tape. |
| 09 |
050 |
000 |
09050000 |
Total
Unit Reports Submitted in the submission control record is incorrect. |
| 09 |
250 |
000 |
09250000 |
ASWG
Tape Submission Indicator is either incorrect and/or the carrier is not
approved to submit as indicated. |
| 09 |
041 |
001 |
09410001 |
The
submission contains more than one Submission Control records. |
| 09 |
050 |
001 |
09500001 |
The
letter of transmittal Total Unit Reports Submitted must match the actual unit
reports count on tape. |
| 7A |
039 |
000 |
7A039000 |
ICR
was bypassed because the limit of 10 ICRs per unit was exceeded. |
| 7A |
041 |
000 |
7A041000 |
ICR
was not loaded due to missing sub-type records. |
| 7A |
041 |
001 |
7A041001 |
ICR is Missing Sub Record Type |
| 7A |
041 |
002 |
7A041002 |
ICR
was not loaded due to duplicate sub-type records. |
| 7A |
042 |
000 |
7A042000 |
ICR
Sub-record Type is invalid. |
| 7A |
043 |
000 |
7A043000 |
ICR
7A Claim Number is invalid. |
| 7A |
043 |
001 |
7A043001 |
Unable
to match ICR to Loss record. |
| 7A |
055 |
000 |
7A055000 |
ICR
Reserve Type Code is invalid. |
| 7A |
055 |
001 |
7A055001 |
ICR
Reserve Type Code (all other) needs to be validated. |
| 7A |
055 |
002 |
7A055002 |
ICR
Reserve Type Code is inconsistent with benefit code. |
| 7A |
055 |
003 |
7A055003 |
ICR
Reserve Type Code (second injury) is inconsistent with Loss Conditions Type
of Recovery. |
| 7A |
057 |
000 |
7A057000 |
Year
Last Exposed is invalid. |
| 7A |
069 |
000 |
7A069000 |
ICR
Class Code is invalid. |
| 7A |
069 |
001 |
7A069001 |
ICR
Class Code is different from matched
Loss record Class Code |
| 7A |
069 |
002 |
7A069002 |
ICR
Class Code is different from matched
Loss record Class Code. |
| 7A |
074 |
000 |
7A074000 |
ICR
Injury Code is invalid. |
| 7A |
074 |
001 |
7A074001 |
ICR
Injury Code Medical Only Claims do not require ICRs |
| 7A |
074 |
002 |
7A074002 |
ICR
Injury Code the duration of temporary benefits does not generate indemnity
losses requiring ICR Data. |
| 7A |
076 |
000 |
7A076000 |
ICR
Loss Coverage Code conflicts with Employers Liability or Other Indemnity
Incurred. |
| 7A |
078 |
000 |
7A078000 |
ICR
Transaction Type is invalid. |
| 7A |
080 |
000 |
7A080000 |
ICR
Accident Date is invalid. |
| 7A |
080 |
001 |
7A080001 |
ICR
Accident Date is greater than valuation date. |
| 7A |
080 |
002 |
7A080002 |
ICR
Accident Date is not within the policy period. |
| 7A |
086 |
000 |
7A086000 |
ICR
Date of Death is invalid. |
| 7A |
086 |
001 |
7A086001 |
ICR
Date of Death claims require Date of
Death |
| 7A |
086 |
002 |
7A086002 |
ICR
Date of Death is less than Accident Date or after valuation. |
| 7A |
086 |
003 |
7A086003 |
ICR
Date of Death is required for Injury Code. |
| 7A |
092 |
000 |
7A092000 |
Report
Date is Invalid |
| 7A |
098 |
000 |
7A098000 |
ICR
Date of Birth is invalid. |
| 7A |
098 |
001 |
7A098001 |
ICR
Date of Birth claimant is beneficiary in permanent total claims. Birth date
must be equal. |
| 7A |
098 |
002 |
7A098002 |
ICR
Date of Birth is not reasonable. |
| 7A |
110 |
000 |
7A110000 |
ICR
Date Closed is greater than valuation date. |
| 7A |
110 |
001 |
7A110001 |
ICR
Date Closed is less than Accident Date. |
| 7A |
110 |
002 |
7A110002 |
ICR
Date Closed is invalid. |
| 7A |
110 |
003 |
7A110003 |
ICR
temporary injury should be closed at second report. |
| 7A |
119 |
000 |
7A119000 |
ICR
Status Code is invalid. |
| 7A |
119 |
001 |
7A119001 |
ICR
Status Code indicates closed ICR with reserve reported. |
| 7A |
119 |
002 |
7A119002 |
ICR
Status Code indicates open with incurred equal paid. |
| 7A |
120 |
000 |
7A120000 |
Method
of Settlement is invalid. |
| 7A |
123 |
000 |
7A123000 |
Loss
Conditions Act/Type of Loss/Type of Recovery/Type of Coverage/Type of
Settlement is invalid |
| 7A |
140 |
000 |
7A140000 |
ICR
Jurisdiction State is invalid. |
| 7A |
142 |
000 |
7A142000 |
Managed
Care Organization Type is Invalid |
| 7A |
144 |
000 |
7A144000 |
ICR
Lump Sum Indicator is invalid . |
| 7A |
250 |
000 |
7A250000 |
ASWG
Indicator is Invalid |
| 7B |
043 |
000 |
7B043000 |
ICR
7B Claim Number is invalid. |
| 7B |
043 |
001 |
7B043001 |
ICR
7B Claim Number is required. |
| 7B |
055 |
000 |
7B055000 |
ICR
Average Weekly Wage must be reported. |
| 7B |
060 |
000 |
7B060000 |
Injury
Description Code Body Code is Invalid |
| 7B |
062 |
000 |
7B062000 |
Injury
Description Code Nature of Injury is Invalid |
| 7B |
064 |
000 |
7B064000 |
Injury
Description Code Cause of Injury is Invalid |
| 7B |
066 |
000 |
7B066000 |
Incurred
Cost of Temporary Indemnity exceeds maximum benefit. |
| 7B |
066 |
001 |
7B066001 |
Incurred
Cost of Temporary Indemnity does not match benefit calculation. |
| 7B |
075 |
000 |
7B075000 |
Scheduled
Indemnity Percent Disability is invalid |
| 7B |
078 |
000 |
7B078000 |
ICR
Scheduled Indemnity Body Member Code is invalid. |
| 7B |
078 |
001 |
7B078001 |
ICR
Scheduled Indemnity Body Member Code is required when Scheduled Indemnity
Incurred Loss is greater than zero. |
| 7B |
080 |
000 |
7B080000 |
ICR
Scheduled Indemnity Number of Weeks is required. |
| 7B |
080 |
001 |
7B080001 |
ICR
Scheduled Indemnity Number of Weeks is greater than benefit level. |
| 7B |
084 |
000 |
7B084000 |
Scheduled
Indemnity (loss of use) benefits are
unusual on death claim or temporary claim. |
| 7B |
084 |
001 |
7B084001 |
Scheduled
Indemnity Incurred Loss is greater than maximum benefit. |
| 7B |
103 |
000 |
7B103000 |
Scheduled
Indemnity Percent of Disability is required when Scheduled Indemnity
Incurred Loss is greater than zero. |
| 7C |
055 |
000 |
7C055000 |
Nonscheduled
Indemnity Percent Disability is invalid. |
| 7C |
055 |
001 |
7C055001 |
Nonscheduled
Indemnity Percent Disability is required when Nonscheduled Indemnity
Incurred Loss is greater than zero. |
| 7C |
058 |
000 |
7C058000 |
Nonscheduled
Indemnity Incurred Loss is different from calculated amount. |
| 7C |
058 |
001 |
7C058001 |
Nonscheduled
Indemnity Incurred Loss is greater than maximum. |
| 7C |
076 |
000 |
7C076000 |
Vocational
Rehabilitation Total Incurred is required. |
| 7C |
085 |
000 |
7C085000 |
Pension
Indemnity Benefits Paid to Valuation Date has been calculated. |
| 7C |
085 |
001 |
7C085001 |
Pension
Indemnity Benefits Paid to Valuation Date conflicts with ICR Injury Type. |
| 7C |
085 |
002 |
7C085002 |
Pension
Indemnity Benefits Paid to Valuation Date does not agree with
calculation. |
| 7C |
094 |
000 |
7C094000 |
Present
Value of Future Indemnity Payments conflicts with ICR Status Code or ICR
Injury Code. |
| 7C |
094 |
001 |
7C094001 |
Present
Value of Future Indemnity Payments zero value conflicts with ICR Status Code or ICR Injury Code. |
| 7C |
103 |
000 |
7C103000 |
Funeral
Allowance exceeds maximum. |
| 7C |
103 |
001 |
7C103001 |
Funeral
Allowance is required or invalid if Injury Type is not 1. |
| 7C |
112 |
000 |
7C112000 |
Lump
Sum Remarriage Payment is greater than zero. |
| 7D |
055 |
000 |
7D055000 |
ICR
Total Indemnity Incurred is greater than Total Indemnity Paid to Valuation
Date. |
| 7D |
055 |
001 |
7D055001 |
ICR
Total Indemnity Incurred does not match calculation. |
| 7D |
065 |
000 |
7D065000 |
ICR
Total Medical Incurred is greater than 1500000. |
| 7D |
065 |
001 |
7D065001 |
ICR
Total Medical Incurred is greater than Total medical paid and ICR is closed. |
| 7D |
095 |
000 |
7D095000 |
Social
Security Offset Amount is required. |
| 7D |
104 |
000 |
7D104000 |
Pension
Indemnity previously Reserved Not Paid conflicts with Injury Type. |
| 7D |
104 |
001 |
7D104001 |
Pension
Indemnity previously Reserved Not Paid conflicts with pension paid to
valuation. |
| 7E |
055 |
000 |
7E055000 |
Beneficiary
Code Dependency is invalid. |
| 7E |
057 |
000 |
7E057000 |
ICR
Beneficiary Date of Birth is invalid. |
| 7E |
057 |
001 |
7E057001 |
ICR
Beneficiary Date of Birth is required. |
| 7E |
057 |
002 |
7E057002 |
ICR
Beneficiary Date of Birth is greater than Date of Death. |
| 7E |
063 |
000 |
7E063000 |
ICR
Beneficiary Code Relationship is invalid. |
| 7E |
064 |
000 |
7E064000 |
ICR
Beneficiary Code Dependency may not be Partial. |
| 7H |
063 |
001 |
7H053001 |
Temporary
Disability benefits Paid to Validation Date conflicts with ICR Status Code
and Incurred Cost of Temporary Indemnity. |
| 7H |
063 |
000 |
7H063000 |
Temporary
Disability benefits Paid to Validation Date is provided for claim with no
reported temporary benefits. |
| 7H |
073 |
000 |
7H073000 |
Permanent
Partial Benefits Paid to Valuation Date conflicts with ICR Status Code and
Nonscheduled Indemnity - Incurred Loss. |
| 7H |
083 |
000 |
7H083000 |
Vocational
Rehabilitation Benefits Paid to Valuation Date is required. |
| 7H |
083 |
001 |
7H083001 |
Vocational
Rehabilitation Benefits Paid to Valuation Date conflicts with ICR Status Code
and Vocational Rehabilitation Total Incurred. |
| 7H |
083 |
002 |
7H083002 |
Vocational
Rehabilitation Benefits Paid to Valuation Date conflicts with Total Indemnity
Paid. |
| 7H |
093 |
000 |
7H093000 |
Permanent
Total Benefits Paid to Valuation Date conflicts with ICR Injury code. |
| 7H |
093 |
001 |
7H093001 |
Permanent
Total Benefits Paid to Valuation Date conflicts with ICR Status Code and
Total Indemnity Paid. |
| 7H |
093 |
002 |
7H093002 |
Permanent
Total Benefits Paid to Valuation Date exceeds the maximum allowed. |
| 7H |
093 |
003 |
7H093003 |
Permanent
Total Benefits Paid to Valuation Date does not equal calculated date. |
| 7H |
103 |
000 |
7H103000 |
Death
Benefits Paid to Valuation Date conflicts with ICR Injury code. |
| 7H |
103 |
001 |
7H103001 |
Death
Benefits Paid to Valuation Date conflicts with ICR Status Code and Total
Indemnity Paid. |
| 7H |
103 |
002 |
7H103002 |
Death
Benefits Paid to Valuation Date does not equal calculated date. |
| 7I |
055 |
000 |
7I055000 |
Single
Sum Settlement Amount Paid to Valuation Date is required. |
| 7I |
055 |
001 |
7I055001 |
Single
Sum Settlement Amount Paid to Valuation Date is inconsistent with Total
Indemnity Paid. |
| 7I |
055 |
002 |
7I055002 |
Single
Sum Settlement Amount Paid to Valuation Date is either before the Accident
Date or after the evaluation dates. |
| 7J |
075 |
000 |
7J075000 |
Date
Single Sum Paid is invalid. |
| 7J |
075 |
001 |
7J075001 |
Date
Single Sum Paid is required on lump sum claims. |
|
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