GLOBAL MAP DATA DICTIONARY #2264 -- ASISTS COMPENSATION CLAIM (CA7) FILE 3/24/25 PAGE 1
STORED IN ^OOPS(2264, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
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This file will contain claim information filed by an employee for compensation relating to a specific accident incident or illness
previously filed in ASISTS. A pointer to the CA-1 or CA-2 that the CA-7 claim refers to will be stored in this file. Multiple
claims can be filed for each CA-1 or CA-2.
CROSS
REFERENCED BY: ASISTS RECORD(AC), CA7 CASE NUMBER(B), EMPLOYEE NAME(C), EMPLOYEE SSN(SSN)
^OOPS(2264,D0,0)= (#.01) CA7 CASE NUMBER [1F] ^ (#1) OWCP FILE NUMBER [2F] ^ (#.3) DATE CA7 CREATED [3D] ^ (#.5) PERSON THAT
==>CREATED CA7 [4P:200] ^ (#.7) ASISTS RECORD [5P:2260] ^ (#.8) EMPLOYEE SSN [6F] ^ (#.9) EMPLOYEE NAME [7F] ^
^OOPS(2264,D0,CA7S1)= (#2) MAILING STREET ADD [1F] ^ (#3) MAILING CITY ADD [2F] ^ (#4) MAILING STATE ADD [3P:5] ^ (#5) MAILING
==>ZIPCODE ADD [4F] ^ (#6) EMPLOYEE EMAIL [5F] ^ (#7) DATE OF INJURY [6D] ^ (#8) EMPLOYEE PHONE NUMBER [7F] ^
==>(#9) EMPLOYEE FAX NUMBER [8F] ^
^OOPS(2264,D0,CA7S10)= (#67) HLTH BENEFITS WHEN PAY STOPPED [1S] ^ (#68) HLTH BENEFITS CODE [2F] ^ (#69) BASIC LIFE INSURANCE
==>[3S] ^ (#70) OPTIONAL LIFE INSURANCE [4S] ^ (#71) OPT LIFE INSURANCE CLASS [5F] ^ (#72) RETIREMENT SYSTEM
==>[6S] ^ (#73) RETIREMENT SYSTEM PLAN [7S] ^
^OOPS(2264,D0,CA7S11)= (#74) COP RECEIVED START DATE [1D] ^ (#75) COP RECEIVED END DATE [2D] ^ (#76) COP INTERMITTENT [3S] ^
^OOPS(2264,D0,CA7S12,0)=^2264.077SA^^ (#77) PAY STATUS DURING CLAIM
^OOPS(2264,D0,CA7S12,D1,0)= (#.01) PAY STATUS DURING CLAIM [1S] ^ (#1) PAY STATUS START DATE [2D] ^ (#2) PAY STATUS END DATE [3D]
==>^ (#3) PAY STATUS LEAVE INTERMITTENT [4S] ^
^OOPS(2264,D0,CA7S13)= (#78) EMPLOYEE RETURNED TO WORK [1S] ^ (#79) DATE EMPLOYEE RETURNED TO WORK [2D] ^ (#80) RETURNED TO
==>PRE-INJURY JOB [3S] ^
^OOPS(2264,D0,CA7S13A)= (#81) REASON NOT RETURN TO JOB [1F] ^
^OOPS(2264,D0,CA7S14)= (#82) REMARKS [1F] ^
^OOPS(2264,D0,CA7S15)= (#83) WC NAME FOR CA7 [1P:200] ^ (#84) WC CA7 ELECTRONIC SIGNATURE [2F] ^ (#85) WC CA7 DATE OF SIGNATURE
==>[3D] ^ (#86) WC CA7 TITLE [4F] ^ (#87) AGENCY NAME [5F] ^ (#88) OWCP CONTACT NAME [6F] ^ (#89) OWCP
==>CONTACT TITLE [7F] ^ (#90) OWCP CONTACT PHONE [8F] ^ (#91) OWCP CONTACT FAX [9F] ^ (#92) OWCP CONTACT
==>EMAIL [10F] ^ (#97) WC VALIDATION CODE [11N] ^
^OOPS(2264,D0,CA7S15A)= (#98) DATE CA7 RCVD FROM EMP [1D] ^
^OOPS(2264,D0,CA7S2)= (#10) TYPE COMPENSATION [1S] ^ (#11) CLAIM START DATE [2D] ^ (#12) CLAIM END DATE [3D] ^ (#13) CLAIM
==>INTERMITTENT [4S] ^ (#14) OTHER WAGE TYPE [5F] ^
^OOPS(2264,D0,CA7S3)= (#15) EXTERNALLY WORKED [1S] ^ (#16) BUSINESS NAME [2F] ^ (#17) BUSINESS STREET ADD [3F] ^ (#18) BUSINESS
==>CITY ADD [4F] ^ (#19) BUSINESS STATE ADD [5P:5] ^ (#20) BUSINESS ZIPCODE ADD [6F] ^ (#21) DATE BEGAN
==>OUTSIDE WORK [7D] ^ (#22) DATE END OUTSIDE WORK [8D] ^ (#23) OUTSIDE WORK DESCRIPTION [9F] ^
^OOPS(2264,D0,CA7S4)= (#24) 1ST CLAIM FILED FOR INCIDENT [1S] ^ (#25) CHANGES SINCE LAST CLAIM [2S] ^
^OOPS(2264,D0,CA7S5,0)=^2264.026A^^ (#26) DEPENDENT INFORMATION
^OOPS(2264,D0,CA7S5,D1,0)= (#.01) DEP SSN [1N] ^ (#1) DEP NAME [2F] ^ (#2) DEP DATE OF BIRTH [3D] ^ (#3) DEP RELATIONSHIP [4F] ^
==>(#4) DEP LIVING WITH YOU [5S] ^
^OOPS(2264,D0,CA7S5A)= (#27) DEP SUPPORT PAYMENT [1S] ^ (#28) DEP SUPPORT COURT ORDERED [2S] ^ (#29) SUPPORT PAY RECIPIENT [3F] ^
==>(#30) SUPPORT PAY STREET ADD [4F] ^ (#31) SUPPORT PAY CITY ADD [5F] ^ (#32) SUPPORT PAY STATE ADD [6P:5] ^
==>(#33) SUPPORT PAY ZIPCODE ADD [7F] ^
^OOPS(2264,D0,CA7S6)= (#34) THIRD PARTY CLAIM [1S] ^ (#35) PRIOR VA DISABILITY BENEFIT [2S] ^ (#36) PRIOR DISABILITY CLAIM NUMBER
==>[3N] ^ (#37) PRIOR DISABILITY VA OFFICE [4F] ^ (#38) PRIOR DISABILITY STREET ADD [5F] ^ (#39) PRIOR
==>DISABILITY CITY ADD [6F] ^ (#40) PRIOR DISABILITY STATE ADD [7P:5] ^ (#41) PRIOR DISABILITY ZIPCODE ADD
==>[8F] ^ (#42) PREV BEN FED RET/DISA LAW [9S] ^ (#43) PREV BEN FED CLAIM NUMBER [10F] ^ (#44) PREV BEN FED
==>ANNUITY START DTE [11D] ^ (#45) PREV BEN FED PAY AMOUNT [12N] ^ (#46) PREV BEN FED RETIREMENT SYS [13F] ^
==>(#41.3) PRIOR DISABILITY DESCRIPTION [14F] ^ (#41.6) PRIOR DISABILITY MONTHLY AMT [15N] ^
^OOPS(2264,D0,CA7S7)= (#47) EMP NAME FOR CA7 [1P:200] ^ (#48) EMP CA7 SIGNATURE BLOCK [2F] ^ (#49) EMP CA7 DATE OF SIGNATURE [3D]
==>^ (#95) EMP VALIDATION CODE [4N] ^ (#96) VALIDATION VERSION [5N] ^
^OOPS(2264,D0,CA7S8)= (#50) DATE OF INJURY (PAGE 2) [1D] ^ (#51) BASE PAY TIME OF INCIDENT [2N] ^ (#52) PAY RATE TIME OF INCIDENT
==>[3S] ^ (#53) GRADE AT TIME OF INCIDENT [4N] ^ (#54) STEP AT TIME OF INCIDENT [5N] ^ (#56) DATE EMPLOYEE
==>STOPPED WORK [6D] ^ (#57) BASE PAY WHEN STOPPED WORK [7N] ^ (#58) PAY RATE WHEN STOPPED WORK [8S] ^ (#59)
==>GRADE WHEN STOPPED WORK [9N] ^ (#60) STEP WHEN STOPPED WORK [10N] ^
^OOPS(2264,D0,CA7S8A,0)=^2264.055P^^ (#55) ADD PAY TYPE
^OOPS(2264,D0,CA7S8A,D1,0)= (#.01) ADD PAY TYPE [1P:2262.5] ^ (#1) ADD PAY BASE AMT [2N] ^ (#2) ADD PAY PAY RATE [3S] ^
^OOPS(2264,D0,CA7S8B,0)=^2264.061PA^^ (#61) ADD PAY WHEN WORK STOPPED
^OOPS(2264,D0,CA7S8B,D1,0)= (#.01) ADD PAY WHEN WORK STOPPED [1P:2262.5] ^ (#1) ADD PAY AMT WHEN WORK STOPPED [2N] ^ (#2) ADD PAY
==>RATE WHEN WORK STOPPED [3S] ^
^OOPS(2264,D0,CA7S9)= (#62) REGULAR WKLY 40 HR SCHEDULE [1S] ^ (#63) REGULAR WORK SCHEDULE [2F] ^ (#64) LENGTH TIME IN POSITION
==>[3S] ^ (#65) POSITION AVAILABLE [4S] ^ (#93) WEEK WORK STOPPED [5N] ^ (#94) DAY OF WEEK WORK STOPPED [6N] ^
^OOPS(2264,D0,CA7S9A,0)=^2264.066^^ (#66) IRREGULAR WORK SCHEDULE
^OOPS(2264,D0,CA7S9A,D1,0)= (#.01) IRREGULAR WORK SCHEDULE WEEK [1N] ^ (#1) IRR WK SCH START DATE [2D] ^ (#2) IRR WK SCH LAST
==>DATE [3D] ^ (#3) SUNDAY HOURS [4N] ^ (#4) MONDAY HOURS [5N] ^ (#5) TUESDAY HOURS [6N] ^ (#6)
==>WEDNESDAY HOURS [7N] ^ (#7) THURSDAY HOURS [8N] ^ (#8) FRIDAY HOURS [9N] ^ (#9) SATURDAY [10N] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):