HL7® Definition

 

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IN1: Insurance

SEQLENGTHDTOPTRPT / #TBL #NAME
IN1.14SIR1Set Id - Insurance
IN1.28IDR10072Insurance Plan Id
IN1.39STR1Insurance Company Id
IN1.445STO1Insurance Company Name
IN1.5106ADO1Insurance Company Address
IN1.648PNO1Insurance Company Contact Pers
IN1.740TNO3Insurance Company Phone Number
IN1.812STO1Group Number
IN1.935STO1Group Name
IN1.1012STO1Insured's Group Employer Id
IN1.1145STO1Insured's Group Employer Name
IN1.128DTO1Plan Effective Date
IN1.138DTO1Plan Expiration Date
IN1.1455CM_AUIO1Authorization Information
IN1.155IDO10086Plan Type
IN1.1648PNO1Name Of Insured
IN1.172IDO10063Insured's Relationship To Patient
IN1.188DTO1Insured's Date Of Birth
IN1.19106ADO1Insured's Address
IN1.202IDO10135Assignment Of Benefits
IN1.212IDO10173Coordination Of Benefits
IN1.222STO1Coordination Of Benefits - Priority
IN1.232IDO10136Notice Of Admission Code
IN1.248DTO1Notice Of Admission Date
IN1.254IDO1Report Of Eligibility Code
IN1.268DTO1Report Of Eligibility Date
IN1.272IDO10093Release Information Code
IN1.2815STO1Pre-admit Certification (pac)
IN1.2926TSO1Verification Date / Time
IN1.3060CN_PERSONO1Verification By
IN1.312IDO10098Type Of Agreement Code
IN1.322IDO10022Billing Status
IN1.334NMO1Lifetime Reserve Days
IN1.344NMO1Delay Before Lifetime Reserve Days
IN1.358IDO10042Company Plan Code
IN1.3615STO1Policy Number
IN1.3712NMO1Policy Deductible
IN1.3812NMO1Policy Limit - Amount
IN1.394NMO1Policy Limit - Days
IN1.4012NMO1Room Rate - Semi-private
IN1.4112NMO1Room Rate - Private
IN1.4260CE_0066O10066Insured's Employment Status
IN1.431IDO10001Insured's Sex
IN1.44106ADO1Insured's Employer Address
IN1.452STO1Verification Status
IN1.468IDO10072Prior Insurance Plan Id

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