HL7® Definition

 

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IN1: Insurance

SEQLENGTHDTOPTRPT / #TBL #NAME
IN1.14SIR1Set ID - Insurance
IN1.28CEO1Insurance Plan ID
IN1.359CXR1Insurance Company ID
IN1.4130XONO1Insurance Company Name
IN1.5106XADO1Insurance Company Address
IN1.648XPNO1Insurance Co. Contact Ppers
IN1.740XTNO3Insurance Co Phone Number
IN1.812STO1Group Number
IN1.9130XONO1Group Name
IN1.1012CXO1Insured's group employer ID
IN1.11130XONO1Insured's Group Emp Name
IN1.128DTO1Plan Effective Date
IN1.138DTO1Plan Expiration Date
IN1.1455CM_AUIO1Authorization Information
IN1.153ISO10086Plan Type
IN1.1648XPNO1Name of Insured
IN1.172ISO10063Insured's Relationship to Patient
IN1.1826TSO1Insured's Date of Birth
IN1.19106XADO1Insured's Address
IN1.202ISO10135Assignment of Benefits
IN1.212ISO10173Coordination of Benefits
IN1.222STO1Coord of Ben. Priority
IN1.232IDO10136Notice of Admission Code
IN1.248DTO1Notice of Admission Date
IN1.252IDO10136Rpt of Eigibility Code
IN1.268DTO1Rpt of Eligibility Date
IN1.272ISO10093Release Information Code
IN1.2815STO1Pre-Admit Cert
IN1.2926TSO1Verification Date/Time
IN1.3060XPNO1Verification By
IN1.312ISO10098Type of Agreement Code
IN1.322ISO10022Billing Status
IN1.334NMO1Lifetime Reserve Days
IN1.344NMO1Delay before lifetime reserve days
IN1.358ISO10042Company Plan Code
IN1.3615STO1Policy Number
IN1.3712CPO1Policy Deductible
IN1.3812CPO1Policy Limit - Amount
IN1.394NMO1Policy Limit - Days
IN1.4012CPO1Room Rate - Semi-Private
IN1.4112CPO1Room Rate - Private
IN1.4260CEO1Insured's Employment Status
IN1.431ISO10001Insured's Sex
IN1.44106XADO1Insured's Employer Address
IN1.452STO1Verification Status
IN1.468ISO10072Prior Insurance Plan ID
IN1.473ISO10309Coverage Type
IN1.482ISO10310Handicap
IN1.4912CXO1Insured's ID Number

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