| CoverageCd | A code that identifies a type of coverage. This element uses the Coverages code list. |
| EmployeeInfo | This aggregate provides additional information about an employee. This information is typically used in Workers' Compensation claims reporting and/or management to capture information about the employee at the time of the injury or illness. |
| EmployerInfo | This aggregate describes Employer related information typically used in Workers' Compensation claims processing and/or management. |
| FraudulentClaimCd | An industry code, used in Workers Comp claims and only from a finding of fraud in accordance with the applicable state law, to indicate the involvement of fraud in the claim. The source of this code is the Workers Compensation Insurance Organization (WCIO). |
| ItemIdInfo | The Item ID Information Aggregate is architectural in nature. It is used to identify an aggregate uniquely across transactions. |
| JurisdictionCd | The state that has jurisdiction. There are multiple sources for this code list. |
| JurisdictionDesc | The organization, state, province, canton, or similar geographic location that has jurisdiction. This is used only when it is not contained within the U.S. Postal Service or Workers' Compensation Insurance Organizations (WCIO) code list. |
| LossCondition | This aggregate contains information on the loss conditions of a claim. |
| OtherInsuranceInd | Indicates if there is other insurance applicable to this item. |
| SecondInjuryFundInd | Indicates if the employer was reimbursed by a second injury fund. |
| VesselCallId | A unique assigned radio call sign for a vessel. In the US, this is typically assigned by the Federal Communications Commission (FCC). |
| WCClaimTypeCd | A code indicating the current benefit classification of the claim as interpreted by the jurisdiction. This element uses the WCClaimType code list. |