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Segment
in
X12 Release 003070

CHB Chargeback Information

To define elements associated with a charge to unemployment insurance tax account
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
309
Location Qualifier
Identifier (ID)
Conditional
1
2
-
Code identifying type of location
P0102
Codes (121)
02
Location Identifier
String (AN)
Conditional
1
30
-
Code which identifies a specific location
03
Reason Stopped Work Code
Identifier (ID)
Optional
2
2
-
Code identifying reason claimant stopped working
Codes (37)
04
Claim Type Code
Identifier (ID)
Optional
1
2
-
Code identifying the basis and type of a legal claim
Codes (49)
05
Claim Status Code
Identifier (ID)
Optional
1
2
-
Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization
Codes (40)
06
Entity Identifier Code
Identifier (ID)
Optional
2
3
-
Code identifying an organizational entity, a physical location, property or an individual
CHB06 may be used to identify the type of employer.
Codes (1158)
07
Credit/Debit Flag Code
Identifier (ID)
Optional
1
1
-
Code indicating whether amount is a credit or debit
Codes (2)
08
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
CHB08 is a code assigned by an employment security agency.
09
Allowance or Charge Indicator
Identifier (ID)
Optional
1
1
-
Code which indicates an allowance or charge for the service specified
Codes (6)
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.