CODE	DESCRIPTION	ADD_DATE	TERM_DATE	CHANGE_DATE
0	Nonpayment/zero claim	09-SEP-08		09-SEP-08
1	Original claim	09-SEP-08		09-SEP-08
2	Interim - first claim	09-SEP-08		09-SEP-08
3	Interim - Continuing claim	09-SEP-08		09-SEP-08
4	Interim - Last claim	09-SEP-08		09-SEP-08
5	Late charge (s) only	09-SEP-08		09-SEP-08
6	Reserved for assignment by the NUBC	09-SEP-08		09-SEP-08
7	Replacement	09-SEP-08		09-SEP-08
8	Void/cancel of prior claim	09-SEP-08		09-SEP-08
9	Final claim for a home health PPS episode	10-SEP-08		10-SEP-08
A	Admission/election notice	09-SEP-08		09-SEP-08
B	Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/Centers of Excellence Demonstration/Provider Partnerships Demonstration - Termination/Revocation Notice	09-SEP-08		09-SEP-08
C	Hospice change of provider notice	09-SEP-08		09-SEP-08
D	Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/ Centers of Excellence Demonstration/ Provider Partnerships Demonstration - Void/Cancel	09-SEP-08		09-SEP-08
E	Hospice change of ownership	09-SEP-08		09-SEP-08
F	Beneficiary initiated adjustment claim	09-SEP-08		09-SEP-08
G	CWF initiated adjustment claim	09-SEP-08		09-SEP-08
H	CMS initiated adjustment claim	09-SEP-08		09-SEP-08
I	Intermediary adjustment claim (other then QIO or provider)	09-SEP-08		09-SEP-08
J	Initiated adjustment claim - other	09-SEP-08		09-SEP-08
K	OIG initiated adjustment claim	09-SEP-08		09-SEP-08
L	Reserved for assignment by the NUBC	01-JAN-09		01-JAN-09
M	MSP initiated adjustment claim	09-SEP-08		09-SEP-08
N	Reserved for assignment by the NUBC	09-SEP-08		09-SEP-08
O	Nonpayment/zero claim	01-MAR-07		01-MAR-07
P	QIO adjustment claim	01-MAR-07		01-MAR-07
Q	Claim Submitted for Reconsideration/Reopening Outside of Timely Limits	09-SEP-08		01-APR-15
R	Reserved for assignment by the NUBC	09-SEP-08		09-SEP-08
S	Reserved for assignment by the NUBC	09-SEP-08		09-SEP-08
U	Reserved for assignment by the NUBC	09-SEP-08		09-SEP-08
V	Reserved for assignment by the NUBC	09-SEP-08		09-SEP-08
W	Reserved for assignment by the NUBC	09-SEP-08		09-SEP-08
X	Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	09-SEP-08		09-SEP-08
Y	Replacement of prior abbreviated encounter submission (Medicare Advantage only)	09-SEP-08		09-SEP-08
Z	New abbreviated encounter submission (Medicare Advantage only)	09-SEP-08		09-SEP-08
