A = Allowed
B = Benefits exhausted
C = Non-covered care
D = Denied (from BMAD)
G = MSP cost avoided — Secondary Claims Investigation
H = MSP cost avoided — Self Reports
I = Invalid data
J = MSP cost avoided — 411.25
K = MSP cost avoided — Insurer Voluntary Reporting
L = CLIA
M = Multiple submittal-duplicate line item
N = Medically unnecessary
O = Other
P = Physician ownership denial
Q = MSP cost avoided (contractor #88888) — voluntary agreement
R = Reprocessed adjustments based on subsequent reprocessing of claim
S = Secondary payer
T = MSP cost avoided — IEQ contractor
U = MSP cost avoided — HMO rate cell adjustment
V = MSP cost avoided — litigation settlement
X = MSP cost avoided — generic
Y = MSP cost avoided — IRS/SSA data match project
Z = Bundled test, no payment
00 = MSP cost avoided — COB Contractor
12 = MSP cost avoided — BC/BS Voluntary Agreements
13 = MSP cost avoided — Office of Personnel Management
14 = MSP cost avoided — Workman's Compensation (WC) Datamatch
15 = MSP cost avoided — Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)
16 = MSP cost avoided — Liability Insurer VDSA (eff.4/2006)
17 = MSP cost avoided — No-Fault Insurer VDSA (eff.4/2006)
18 = MSP cost avoided — Pharmacy Benefit Manager Data Sharing Agreement (eff.4/2006)
21 = MSP cost avoided — MIR Group Health Plan (eff.1/2009)
22 = MSP cost avoided — MIR non-Group Health Plan (eff.1/2009)
25 = MSP cost avoided — Recovery Audit Contractor — California (eff.10/2005)
26 = MSP cost avoided — Recovery Audit Contractor — Florida (eff.10/2005)

Effective 4/1/2002, the Line Processing Indicator code was expanded to a 2-byte field. The NCH
instituted a crosswalk from the 2-byte code to a 1-byte character code.

Below are the character codes (found in NCH and NMUD). At some point, NMUD will carry the 2-byte
code but NCH will continue to have the 1-byte character code.

! MSP cost avoided — COB Contractor ('00' 2-byte code)
@ MSP cost avoided — BC/BS Voluntary Agreements ('12' 2-byte code)
# MSP cost avoided — Office of Personnel Management ('13' 2-byte code)
$ MSP cost avoided — Workman's Compensation (WC) Datamatch ('14' 2-byte code)
* MSP cost avoided — Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)
( MSP cost avoided — Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)
) MSP cost avoided — No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)
+ MSP cost avoided — Pharmacy Benefit Manager Data Sharing Agreement ('18' 2-byte code) (eff. 4/2006)
< MSP cost avoided — MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)
> MSP cost avoided — MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)
% MSP cost avoided — Recovery Audit Contractor — California ('25' 2-byte code) (eff. 10/2005)
& MSP cost avoided — Recovery Audit Contractor — Florida ('26' 2-byte code) (eff. 10/2005)