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Data ElementCASECODE
Description

Type of benefit requested

10 = No lost time.
20 = Med only
21 = Temorary Parial Disability
25 = Controvered Med only
30 = Volunteer
40 = Death / no days
50 = Salary Continued
60 = Salary by Mileage

70 = Minimum Weekly Rate
Typetext
Formatvarchar
Length20
Coverage100%
Tip / Notes
Rank42
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