IN3 - HL7 Segment Reference

IN3 - Insurance Additional Information, Certification Segment.

The IN3 segment contains additional insurance information for certifying the need for patient care.  Fields used by this segment are defined by HCFA, or other regulatory agencies. HL7 Attribute Table - IN3 – Insurance Additional Information, Certification.

SEQ	LEN	DT	ITEM#	ELEMENT NAME
1	4	SI	00502	Set ID - IN3
2	250	CX	00503	Certification Number
3	250	XCN	00504	Certified By
4	1	ID	00505	Certification Required
5	10	CM	00506	Penalty
6	26	TS	00507	Certification Date/Time
7	26	TS	00508	Certification Modify Date/Time
8	250	XCN	00509	Operator
9	8	DT	00510	Certification Begin Date
10	8	DT	00511	Certification End Date
11	3	CM	00512	Days
12	250	CE	00513	Non-Concur Code/Description
13	26	TS	00514	Non-Concur Effective Date/Time
14	250	XCN	00515	Physician Reviewer
15	48	ST	00516	Certification Contact
16	250	XTN	00517	Certification Contact Phone Number
17	250	CE	00518	Appeal Reason
18	250	CE	00519	Certification Agency
19	250	XTN	00520	Certification Agency Phone Number
20	40	CM	00521	Pre-Certification Req/Window
21	48	ST	00522	Case Manager
22	8	DT	00523	Second Opinion Date
23	1	IS	00524	Second Opinion Status
24	1	IS	00525	Second Opinion Documentation Received
25	250	XCN	00526	Second Opinion Physician