ADT - Insurance
This is a detailed breakdown of the IN1 segment of the ADT HL7 message.
Type ID
This is a hospital code that identifies of the insurance is self pay, primary, etc
IN1.1.1
string
Plan ID
A code the insurance company uses to identify the plan
IN1.2.1
string
Plan Name
The name of the plan
IN1.2.2
string
Company ID
A code of the insurance company
IN1.3.1
string
Company Name
The insurance company name
IN1.4.1
string
Company Address - Street
The insurance company street address
IN1.5.1
string
Company Address - Line 2
The insurance company address line 2 (ex PO Box)
IN1.5.2
string
Company Address - City
The insurance company city
IN1.5.3
string
Company Address - Province
The insurance company state or province
IN1.5.4
string
Company Address - Postal Code
The insurance company postal code
IN1.5.5
string
Company - Contact Name
The name of the contact at the insurance company
IN1.6.1
string
Company - Contact Phone
The phone number of the contact at the insurance company
IN1.7.1
string
Group Number
The insurance company group number
IN1.8.1
string
Group Name
The name of the group
IN1.9.1
string
Employer ID
The ID for the employer
IN1.10.1
string
Employer Name
The name of the employer
IN1.11.1
string
Employer Code
The code for the employer
IN1.11.2
string
Plan Effective Date
The date insurance started coverage
IN1.12.1
YYYYMMDD
Plan Expiration Date
The date coverage ends
IN1.13.1
YYYYMMDD
Authorization Number
The authorization number for payment
IN1.14.1
string
Plan Type
The code for the type of insurance plan
IN1.15.1
string
Insured First Name
The first name of the insurance holder
IN1.16.2
string
Insured Middle Name
The middle name of the insurance holder
IN1.16.3
string
Insured Last Name
The last name of the insurance holder
IN1.16.1
string
Insured Relationship to Patient
The relationship between the insurance holder and the patient
IN1.17.1
string
Insured Date of Birth
The date of birth for the insurance holder
IN1.18.1
YYYYMMDD
Insured Address - Street
The street address of the insurance holder
IN1.19.1
string
Insured Address - Line 2
The second line of the address of the insurance holder
IN1.19.2
string
Insured Address - City
The city of the insurance holder
IN1.19.3
string
Insured Address - Province
The state or province of the insurance holder
IN1.19.4
string
Insured Address - Postal Code
The postal code of the insurance holder
IN1.19.5
string
Insured Policy Number
The policy number
IN1.36.1
string
Insured Gender
The gender of the insurance holder
IN1.43.1
string
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