IN1 - HL7 Segment Reference

IN1 - Insurance Segment.

The IN1 segment contains insurance policy coverage information necessary to produce properly pro-rated patient and insurance bills.HL7 Attribute Table - IN1 - Insurance.

SEQ	LEN	DT	ITEM#	ELEMENT NAME
1	4	SI	00426	Set ID - IN1
2	250	CE	00368	Insurance Plan ID
3	250	CX	00428	Insurance Company ID
4	250	XON	00429	Insurance Company Name
5	250	XAD	00430	Insurance Company Address
6	250	XPN	00431	Insurance Co Contact Person
7	250	XTN	00432	Insurance Co Phone Number
8	12	ST	00433	Group Number
9	250	XON	00434	Group Name
10	250	CX	00435	Insured’s Group Emp ID
11	250	XON	00436	Insured’s Group Emp Name
12	8	DT	00437	Plan Effective Date
13	8	DT	00438	Plan Expiration Date
14	250	CM	00439	Authorization Information
15	3	IS	00440	Plan Type
16	250	XPN	00441	Name Of Insured
17	250	CE	00442	Insured’s Relationship To Patient
18	26	TS	00443	Insured’s Date Of Birth
19	250	XAD	00444	Insured’s Address
20	2	IS	00445	Assignment Of Benefits
21	2	IS	00446	Coordination Of Benefits
22	2	ST	00447	Coord Of Ben. Priority
23	1	ID	00448	Notice Of Admission Flag
24	8	DT	00449	Notice Of Admission Date
25	1	ID	00450	Report Of Eligibility Flag
26	8	DT	00451	Report Of Eligibility Date
27	2	IS	00452	Release Information Code
28	15	ST	00453	Pre-Admit Cert (PAC)
29	26	TS	00454	Verification Date/Time
30	250	XCN	00455	Verification By
31	2	IS	00456	Type Of Agreement Code
32	2	IS	00457	Billing Status
33	4	NM	00458	Lifetime Reserve Days
34	4	NM	00459	Delay Before L.R. Day
35	8	IS	00460	Company Plan Code
36	15	ST	00461	Policy Number
37	12	CP	00462	Policy Deductible
38	12	CP	00463	Policy Limit - Amount
39	4	NM	00464	Policy Limit - Days
40	12	CP	00465	Room Rate - Semi-Private
41	12	CP	00466	Room Rate - Private
42	250	CE	00467	Insured’s Employment Status
43	1	IS	00468	Insured’s Administrative Sex
44	250	XAD	00469	Insured’s Employer’s Address
45	2	ST	00470	Verification Status
46	8	IS	00471	Prior Insurance Plan ID
47	3	IS	01227	Coverage Type
48	2	IS	00753	Handicap
49	250	CX	01230	Insured’s ID Number