FIELD NAME |
START |
END |
FIELD TYPE |
ACPSREC NAME |
DESCRIPTION |
GROUP
SUBDIVISIONS DEFINITION OF
LEGAL VALUES |
Roll Type
|
1 |
1 |
CHAR/1 |
ROLL TYPE |
Types of payments |
P = Periodic Roll D = Death Roll S = Supplemental Roll |
Case number |
2 |
10 |
CHAR/9 |
CASE-NO |
Unique identifier for each
case. Generated from the Case Management File. |
|
Case Suffix |
11 |
11 |
CHAR/1 |
CASE-SUFFIX |
|
Blank |
Date Entry |
12 |
19 |
Date/8 |
ENTRY-DATE |
Date that the case is
entered into the sequent system for payment |
YYYYMMDD 00000000 = N/A |
Employee Name |
20 |
61 |
CHAR/42 |
EMPLOYEE |
Claimant’s Name |
LAST 20 - 34 FIRSTI 40 MID 41 - 49 |
Date of Birth |
62 |
69 |
Date/8 |
DOB |
Date of birth |
YYYYMMDD 00000000 = N/A |
Social Security NO. |
70 |
78 |
CHAR/9 |
SSN |
Claimant’s Social Security
Number |
|
Payee Name |
79 |
113 |
CHAR/35 |
PAYEE |
Name of Payee |
|
PAYEE
ADDRESS DEFINE |
Payee Address |
114 |
148 |
CHAR/35 |
ADDR1 |
Payee’s mailing address for check |
Street number; PO Box |
Payee Address |
149 |
183 |
CHAR/35 |
ADDR2 |
Additional Mailing address |
|
Payee Address |
184 |
192 |
CHAR/9 |
ADDR2 |
Additional Mailing address |
|
EFT Info |
114 |
148 |
CHAR/35 |
ADDR1 |
|
Direct Deposit |
EFT Info |
149 |
165 |
CHAR/35 |
ACCT-NO |
Payee’s Electronic Funds Transfer (EFT) information |
|
EFT Info |
166 |
166 |
CHAR/1 |
ACCT-TYPE |
|
S=Savings C=Checking |
EFT Info |
167 |
183 |
CHAR/1 |
FILLER |
|
Blank |
EFT Info |
184 |
192 |
NUM/9 |
ROUT-NO |
Account Routing Number |
Used only if Claimant
receives payment by EFT |
RETURN
TO ALL |
Filler |
193 |
216 |
CHAR/34 |
FILLER |
|
Blank |
City |
217 |
243 |
CHAR/35 |
ADDR4 |
City |
|
State |
237 |
238 |
CHAR/2 |
STATE |
State |
|
Zip |
239 |
243 |
NUM/5/9 |
ZIP CODE |
Zip Code |
|
Filler |
244 |
247 |
CHAR/4 |
|
|
Blank |
Payee Relationship Code |
248 |
249 |
CHAR/2 |
PAYEE-REL-CODE |
Code used primarily to indicate a payee’s relationship to
a claimant. Is also used to indicate:
- payment
for a CPI adjustment (CI)
- payment
made to OWCP (CR)
- payment
to an agency on behalf of a claimant (CP)
- Deduction
form compensation to repay OWCP (AR)
- Miscellaneous Deduction Type Code |
CL = Claimant CI = CPI Adjustment CP = Case Payee, payment to a Beneficiary CR = Cash Receipt, indicates recouping of overpayment AR = Accounts Receivable GR = Guardian W = Widow D = Daughter SO = Son F = Father M = Mother B = Brother SI = Sister GP = Grandparent GC = Grandchild SP = Spouse CO = Case Organization FE = FERS Offset GO = Guardian Organization LB = Leave Buy Back LE =Law Enforcement TP = Third Party TC = Long Term Care OP = OPM/CSRF AR = Accounts Receivable XX = Other Offset OB = Option B Freeze Withholding XD = Other Deduction JF = Dental JG = Vision JH = Combo
|
Chargeback Code |
250 |
253 |
CHAR/4 |
CB |
Agency that will be charged
for the payee’s workmen’s compensation costs
|
Valid Chargeback Agency Code |
Date of Injury |
254 |
261 |
DATE/8 |
DOI |
Date the worker was injured |
YYYYMMDD 00000000 = N/A |
District Office Number |
262 |
263 |
CHAR/2 |
DIST |
District Office Code |
Boston - 01 New York 02 Philadelphia 03 Jacksonville 06 Cleveland 09 Chicago 10 Kansas City 11 Denver 12 San Francisco 13 Seattle 14 Dallas 16 Washington 25 National Office 50 |
Pay Type |
264 |
264 |
CHAR/1 |
PAY-TYPE |
Payment type |
0 = Adjustment 1 = Disability 2 = Leave Buy Back 3 = WEC 4 = Direct Payment 5 = Incarcerated 6 = Termination Expenses 7 = Death 8 = Manual Payment 9 = Scheduled Award A = Death Lump Sum B = Cash Receipt C = FECS Payments
Adjustment |
Examiner |
265 |
267 |
CHAR/3 |
EXAM |
Claims Examiner initials |
|
Certifier |
268 |
270 |
CHAR/3 |
CERT |
Senior Claims Examiner
Initials |
|
Batch ID |
271 |
276 |
CHAR/5 |
BATCH-ID |
Keying Batch ID number |
DMCS – Cash Receipt
Transactions (ALL) |
Filler |
271 |
276 |
CHAR/3 |
FILLER |
Empty for transactions
after 01/2005. |
Blank |
Pay Rate |
277 |
280 |
NUM/4 |
PAY-RATE |
Pay rate of claimant at the Date of Injury, Date of Recurrence or Start of Disability |
0000/Refer to EXPANDED
RECORD |
Rate Type |
281 |
281 |
CHAR/1 |
RATE-TYPE |
Indicates whether payment is
to be made weekly or monthly |
A = Annual W = Weekly M = Monthly |
Last Pay Rate |
282 |
285 |
NUM/4 |
LAST-PAY-RATE |
Previous different pay rate
of the current rate. |
0000/Refer to EXTENDED
RECORD |
Compensation Rate |
286 |
288 |
NUM/4 |
COMP-RATE |
Percent of pay rate that claimant will be compensated for
based on number of eligible dependents or beneficiaries. |
0000/Refer to EXPANDED
RECORD |
From Date |
289 |
296 |
DATE/8 |
FROM-DATE |
Compensation period starting
date |
YYYYMMDD 00000000 = N/A |
To Date |
297 |
304 |
DATE/8 |
TO-DATE |
Compensation period ending
date |
YYYYMMDD 00000000 = N/A |
Compensation
Amount |
305 |
309 |
NUM/5 |
COMP-AMT |
Pretax, pre-deduction
payment amount. OWCP calculated amount of compensation
prior to deductions and authorized additions |
00000/Refer to EXPANDED
RECORD |
DMS Record |
310 |
314 |
NUM/5 |
ACCT-PAY-RECV |
Repayment amount received
from claimant or other source |
00000/Refer to EXTENDED
RECORD |
Net Compensation |
315 |
319 |
NUM/5 |
NET-COMP |
Payment amount after taxes
and deductions |
00000/Refer to EXPANDED
RECORD |
HBI Code |
320 |
322 |
CHAR/3 |
HBI-CODE |
Valid Health Benefit
Insurance Code |
N/A = No HBI Benefits
applied. |
Employee HBI Cost |
323 |
326 |
NUM/4 |
EMP-HBI-COST |
Deduction form compensation for employee’s contribution
for Health Benefit Insurance |
0000/Refer to EXPANDED
RECORD |
Agency HBI Cost |
327 |
330 |
NUM/4 |
AGY-HBI-COST |
Agency contribution for
employee’s Health Benefit insurance |
0000/Refer to EXPANDED
RECORD |
HBI Date |
331 |
338 |
DATE/8 |
HBI-FROM-DATE |
Health Benefit Insurance coverage beginning date |
YYYYMMDD 00000000 = N/A |
HBI Date |
339 |
346 |
DATE/8 |
HBI-TO-DATE |
Health Benefit Insurance coverage ending date |
YYYYMMDD 00000000 = N/A |
Optional Life Insurance |
347 |
347 |
CHAR/1 |
OI |
Indicates the age group (1-7) of the claimant who has
selected Optional Life Insurance |
N = No A-E |
Optional Life Insurance Cost |
348 |
350 |
NUM/3 |
OI-COST |
Cost to be deducted from compensation to pay for Optional
Life Insurance
|
000/Refer to EXTENDED RECORD |
UNIQUE
TO TEMPORARY DISABILITY REDEFINE AREA |
Date of Disability |
351 |
358 |
DATE/8 |
DOI-DIS-RCR |
Date claimant was disabled; pay rate effective date. |
YYYYMMDD 00000000 = N/A |
Calendar \ Work |
359 |
359 |
CHAR/1 |
CALEN-WORK-DAY |
Distinguishes if payment
corresponds to days of the week(calendar) or number of hours worked(work
days) |
C=Calendar W=Week Blank |
Intermittent |
360 |
360 |
CHAR/1 |
INTERMITTENT |
Indicates discontinuous
periods of disability; Distinguishes if payment is calculated based on
weekly or daily basis. |
Y=Yes N=No |
Hours worked in a day |
361 |
374 |
CHAR/14 |
HOURS-IN-DAY-TABLE |
Indicates hours worked each day for claimant with
irregular work schedule; Corresponds with
calendar /work day field. Shows hour and days worked |
0=No Hours worked
|
Time Lost |
375 |
378 |
CHAR/3 |
TIME-LOST |
Accounting for time lost day
s
|
|
Time Lost |
379 |
380 |
CHAR/3 |
HOURS-LOST |
Accounting for time lost
hours
|
|
Supplemental |
375 |
378 |
CHAR/4 |
SUP-DAY-WHOLE |
Conversion of time not at
work |
|
Supplemental |
379 |
380 |
CHAR/2 |
SUP-DAY-FRACTION |
Conversion of time not at
work |
|
Filler |
381 |
384 |
CHAR/4 |
|
|
Blank |
Expiration Date |
385 |
392 |
DATE/8 |
EXPIRE-DATE |
Date compensation will be terminated |
YYYYMMDD 00000000 = N/A |
Days to go
|
393 |
396 |
CHAR/4 |
DAYS-TOGO |
Days of compensation
remaining; |
0000/Refer to EXTENDED
RECORD |
Attendant Rate |
397 |
400 |
NUM/4 |
ATTEND-RATE |
Rate per week for a health
care assistant |
0000/Refer to EXTENDED
RECORD |
Attendant Date |
401 |
408 |
DATE/8 |
ATTEND-DATE |
Date compensation for health
care attendant began |
YYYYMMDD 00000000 = N/A |
Attendant Allowance |
409 |
412 |
NUM/4 |
ATTEND-ALLOW |
Amount reimbursed for a
health care attendant |
0000/Refer to EXTENDED
RECORD |
WEC Rate |
413 |
416 |
NUM/4 |
AE-WEC-RATE |
Estimation done by
rehabilitation specialist of injured worker’s earning capacity; Estimated pay
rate based on employee’s calculated wage earning capacity. |
0000/Refer to EXTENDED
RECORD |
WEC Date |
417 |
424 |
DATE/8 |
AE-WEC-DATE |
Effective pay rate date for
actual earning or calculated wage earning capacity. |
YYYYMMDD 00000000 = N/A |
WEC Amount |
425 |
428 |
NUM/4 |
AE-WEC |
Actual pay rate or
calculated pay rate (wage earning capacity) |
0000/Refer to EXTENDED
RECORD |
UNIQUE
TO SCHEDULED AWARDS REDEFINE AREA |
Scheduled payment effective
date |
351 |
358 |
DATE/8 |
SCHE-EFF-DATE |
Pay rate effective date |
YYYYMMDD 00000000 = N/A |
Days of Compensation |
359 |
364 |
CHAR/4 |
DAYS-OF-COMP |
Number of days paid
according to schedule |
|
Percent of disability |
365 |
367 |
CHAR/3 |
DESC-AMT1 |
Percent of disability |
|
Member affected |
368 |
381 |
CHAR/14 |
DESC-1 |
Not used |
Blank |
2nd Disability |
382 |
382 |
CHAR/1 |
DESC-2 |
Not used |
Blank |
Attendant Rate |
383 |
386 |
CHAR/4 |
SCHE-ATTEND-RATE |
Weekly rate for a health
care assistant |
0000/Refer to EXTENDED
RECORD |
Attendant Date |
387 |
394 |
DAE/8 |
SCHE-ATTEND-DATE |
Start Date compensation for
an attendant; date payment started. |
YYYYMMDD 00000000 = N/A |
Attendant Allowance |
395 |
398 |
NUM/4 |
SCHE-ATTEND-ALLOW |
Amount paid for an attendant |
0000/Refer to EXTENDED
RECORD |
FILLER |
399 |
401 |
CHAR/3 |
|
|
Blank |
Supplemental Payment flag |
402 |
402 |
CHAR/1 |
SCHE-SUP-FLAG |
Indicates payment for a
partial payment period; Indicates a supplemental payment for a schedule award |
Y = Yes N, Blank = No |
Days to go |
403 |
406 |
CHAR/4 |
DAYS-TO-GO |
Number of days remaining for
compensation
|
0000/Refer to EXTENDED
RECORD |
Start date |
407 |
414 |
DATE/8 |
SCHE-START-DATE |
Initiation of schedule award |
YYYYMMDD 00000000 = N/A |
Award Expiration Date |
415 |
422 |
DATE/8 |
SCHE-AWD-EXP-DATE |
Termination of schedule
award |
YYYYMMDD 00000000 = N/A |
Compensation Paid |
423 |
427 |
DATE/6 |
COMP-PAID-TO-DATE |
Total compensation paid |
000000 |
FILLER |
428 |
428 |
CHAR/1 |
|
|
Blank |
UNIQUE
TO DEATH REDEFINE AREA |
Date of death |
351 |
358 |
DATE/8 |
DOI-DIS-RCR-DOD |
Date of reported injury resulting in death |
YYYYMMDD 00000000 = N/A |
Number of beneficiaries |
359 |
360 |
CHAR/2 |
NUM-BENE |
Number of beneficiaries receiving benefits |
|
Beneficiary type |
361 |
364 |
CHAR/1 |
WIDOW |
Number of Widows entitled to
payments. |
0-9 |
Beneficiary type |
362 |
362 |
CHAR/1 |
CHILDREN |
Number of Children entitled
to payments. |
0-9 |
Beneficiary type |
363 |
363 |
CHAR/1 |
PARENTS |
Number of Parents entitled
to payments. |
0-9 |
Beneficiary type |
364 |
364 |
CHAR/1 |
SIBLINGS |
Number of Siblings entitled
to payments. |
0-9 |
Parent’s percentage |
365 |
366 |
NUM/2 |
PARENT-PERCENT |
Percentage of compensation
that parent’s receive |
|
Parent whole |
367 |
367 |
CHAR/1 |
PARENT-WHOLE |
Parent as sole beneficiary |
0,1
|
Sibling(s) whole |
368 |
368 |
CHAR/1 |
BROSIS-WHOLE |
Sibling as sole beneficiary |
0,1
|
Beneficiary Expiration date |
369 |
376 |
DATE/8 |
BENE-EXP-DATE |
Date next beneficiary
expires |
YYYYMMDD 00000000 = N/A |
Burial expenses |
377 |
380 |
NUM/4 |
BURIAL-EXP |
Compensation for burial |
0000/Refer to EXTENDED
RECORD |
Transportation Expenses |
381 |
384 |
NUM/6 |
TRANSPORT-EXP |
Compensation for transport
of body |
0000/Refer to EXTENDED
RECORD |
Termination |
385 |
387 |
NUM/3 |
TERMINATION |
Compensation for termination
of permanent employment status |
000/Refer to EXTENDED RECORD |
Date of death |
388 |
395 |
DATE/8 |
DOD |
Employee’s Date of Death |
YYYYMMDD 00000000 = N/A |
Old compensation rate |
396 |
400 |
NUM//5 |
OLD-COMP-RATE |
Used for recalculated cases |
0000/Refer to EXTENDED
RECORD |
Beneficiary Name |
401 |
419 |
CHAR/19 |
BENE-NAME |
Not used |
Blank |
Comp rate at LS |
420 |
422 |
CHAR/3 |
COMP-RATE |
Percent of pay rate that claimant will be compensated for
based on number of eligible dependents or beneficiaries. |
000/Refer to EXTENDED RECORD |
Comp Pay Rate at LS |
423 |
426 |
CHAR/4 |
COMP-PAY-RATE |
Compensation pay rate at last serviced |
0000/Refer to EXTENDED
RECORD |
Filler |
427 |
428 |
CHAR/2 |
|
|
Blank |
RETURN
TO ALL |
First time flag |
429 |
429 |
CHAR/1 |
OI-TEMP |
Not used |
Blank |
Adjustment Indicator |
430 |
430 |
CHAR/1 |
ADJ-IND
|
Not used |
Blank |
Payment Date |
431 |
438 |
DATE/8 |
CHECK-DATE |
Date of check that was
issued; Payment date |
YYYYMMDD 00000000 = N/A |
Check Number |
439 |
446 |
CHAR/8 |
CHECK-NUM |
Sequential number unique to
each District Office for a particular check run |
|
Treasury Check Indicator |
447 |
447 |
CHAR/1 |
TRCHECK-IND |
Not used |
Blank |
Activity |
448 |
449 |
CHAR/2 |
ACTIVITY |
Indicating coverage by FECA
or by Fringe Acts |
01 = Federal Civilian 02 = Reservists(no mins, no CPI’s) 03 = Civil Air Patrol 04 = Reserve Officer Training 05 = Maritime War Risk 06 = Federal Officer
Training 07 = War – Connected 08 = Civilian War
Benefits 09 = Total Benefits, War Claims 10 = Poverty Programs 11 = Law Enforcement
Officers 12 = Coast Guard Aux 13 = Job Corps 14 = Neighborhood youth Enrollees 15 = Military reservist survivors 16 = Members of the woman’s army auxiliary corps 17 =
Peace corps voluntary leaders 00, Blank = Null |
Postal Service HBI beginning
date |
450 |
457 |
DATE/8 |
HBI-USPS-START-DATE |
Start date for Health
Benefits Insurance deductions for postal employees. |
YYYYMMDD 00000000 = N/A |
Postal Service Funding Amount |
458 |
461 |
NUM/4 |
HBI-USPS-FUNDING |
Additional compensation for
Health Benefits Insurance made by USPS workers |
0000/Refer to EXTENDED
RECORD |
Pay Occurrence |
462 |
462 |
CHAR/1 |
PAY-OCCURRENCE |
Not used |
Blank |
Expired Benefit Match Code |
463 |
463 |
CHAR/1 |
BENE-MATCH-CODE |
Not used |
Blank |
Historical Type Flag |
464 |
464 |
CHAR/1 |
HIST-TYPE-FLAG |
Flag used to indicate that
payment was manual; not system calculated |
H = Manual Blank = system |
Cancel Check Flag |
465 |
465 |
CHAR/1 |
CANCEL-CHECK-FLAG |
Indicates that compensation
check has been/will be cancelled. |
P = Initial Check to be
cancelled(earlier check data) Y = Cancellation
entry(later check date) U = Original payment has
been un-cancelled. |
Recalculation Flag |
466 |
466 |
CHAR/1 |
DTH-RECALC-FLAG |
Not used |
Blank |
Cash Receipt |
467 |
471 |
NUM/5 |
CASH-RECEIPT |
Overpayment reimbursed, and other payments made to OWCP, i.e., a third party payment. |
00000/Refer to EXTENDED
RECORD |
Gross Override |
472 |
476 |
NUM/5 |
GROSS-OVERIDE |
Override calculated gross
amount of compensation, amount that compensation should be |
00000/Refer to EXTENDED
RECORD |
Gross Override Date |
477 |
484 |
DATE/8 |
OVERRIDE-DATE |
Date of override |
YYYYMMDD 00000000 = N/A |
Not Historical Type Flag |
485 |
485 |
CHAR/1 |
NOT-HIST |
|
A |
Health Benefits Transfer
flag |
486 |
486 |
CHAR/1 |
HBI-TRANSFER-FLAG |
Indicates transfer of Health
benefits from employing agency to DFEC |
Y=Yes N=No Blank = N/A |
Optional Life Insurance
Class Codes |
487 |
487 |
CHAR/1 |
OI-CLASS |
Optional Life insurance
class codes Only if Optional Life
Insurance = Y
|
Blank = N/A C = Retired Coverage D = Basic life + Std.
Option A E = Basic Life + Family
Option C F = Basic Life A&C Basic Life + Additional
Option x1 G = x1 H = x1+ Standard Option A I = x1 + Family Option C J = x1 + A&C Basic Life Additional Option
x2 K = x2 only L = x2+ Standard Option A M = x2 + Family Option C N = x2 + A&C Basic Life + Additional
Option x3 O = x3only P = x3 Standard Option A Q = x3+ Family Option C R = x3+ A&C Basic Life Additional Option
x4 S = x4 only T = x4+ Standard Option A U = x4 + Family Option C V = x4 + A&C Basic Life Additional Option
x5 W = x5 only X = x5+ Standard Option A Y = x5 + Family Option C Z = x5 + A&C |
Optional Life Insurance –
Salary |
488 |
491 |
CHAR/4 |
SALARY |
Not used |
0000 |
Optional Life Insurance –
Premium |
492 |
494 |
CHAR/3 |
RETIRED-PREM |
Not used |
000 |
Optional Life Insurance From
Date |
495 |
502 |
DATE/8 |
OI-FROM-DATE |
Date optional life insurance
coverage began |
YYYYMMDD 00000000 = N/A |
Optional Life Insurance To
Date |
503 |
510 |
DATE/8 |
OI-TO-DATE |
Date optional life insurance
coverage ended |
YYYYMMDD 00000000 = N/A |
Third Party Flag |
511 |
511 |
CHAR/3 |
THIRD-PARTY-FLAG |
Third Party Payment |
Y = Yes Blank = No |
Direct Payment |
512 |
512 |
CHAR/1 |
DIR-PAYM |
Indicates less previously
paid, forces system to pay even when payment duplicates or overlaps |
Y = Yes Blank = No |
Chargeback Adjustment Code |
513 |
513 |
CHAR/1 |
CBADJ-CODE |
Not used |
Blank |
Adjustment Code |
514 |
514 |
CHAR/1 |
ADJ-CODE |
Not used |
Blank |
Ret OI Code |
515 |
515 |
CHAR/1 |
RET-OI-CODE |
Code indicates type of optional insurance selected by
claimant over 65 |
C = Claimant accepted PRBLI |
Total OI Cost |
516 |
518 |
CHAR/3 |
TOT-OI-COST |
Total deduction for OI class
= cost + retired premium + basic life premium |
000/Refer to EXPANDED RECORD |
Basic Life Insurance Premium |
519 |
521 |
CHAR/3 |
BASIC-LIFE-PREM |
Not used |
000 |
Basic Life Total |
522 |
524 |
CHAR/3 |
BASIC-LIFE-TOT |
Not used |
000 |
District Office Code |
525 |
525 |
CHAR/1 |
UNIQUE-DIST |
Alphabetic code associated
with the district office |
A-P |
FILLER |
526 |
532 |
CHAR/4 |
|
|
Blank |
Pay Rate |
533 |
539 |
NUM/7 |
EXPANDED-PAY-RATE |
Pay rate of claimant at the
date of injury, date of recurrence or start of disability. |
|
Compensation Rate |
540 |
544 |
NUM/5 |
EXPANDED-COMP-RATE |
Percent of pay rate that
claimant will be compensated for based on number of eligible dependents or
beneficiaries. |
04000 06666 07500 00000 |
Compensation Amount |
545 |
552 |
NUM/8 |
EXPANDED-GROSS |
Pretax, pre-deduction
payment amount. OWCP calculated amount of
compensation prior to deductions and authorized additions. |
|
Net Comp |
553 |
560 |
NUM/8 |
EXPANDED-NET-COMP |
Payment amount after taxes
and deductions |
|
Gross Override |
561 |
569 |
NUM/9 |
EXPANDED-GROSS-OVERRIDE |
Override calculated gross
amount of compensation. |
|
Employee HBI Cost |
570 |
575 |
NUM/6 |
EXPANDED-EMP-HBI |
Deduction form compensation for employee’s contribution
for Health Benefit Insurance |
|
Agency HBI Cost |
576 |
581 |
NUM/6 |
EXPANDED-AGY-HBI |
Agency contribution for employee’s Health Benefit
Insurance |
|
Total OLI |
582 |
586 |
NUM/5 |
EXPANDED-TOT-OLI |
Total Optional Life
Insurance |
|