| Effective
10/13/2008 |
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 |
Code 9740 Premium Charge Not
Applied |
| 04 |
043 |
034 |
04043034 |
Code 9741 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%. |
| 04 |
125 |
001 |
04125001 |
Class 9046 (CPAP Credit) not
authorized. |
| 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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