`IN1` - Insurance (HL7 v2.3)

Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1

The IN1 segment (Insurance) has 49 fields in HL7 v2.3. Fields are addressed as IN1-n; composite fields break into components IN1-n.m. Paste a message into the parser to see every field annotated with this table.

#	Name	Type	Len	Opt	Repeats	Table
1	Set ID - Insurance	`SI`	4	Required	No
2	Insurance Plan ID	`CE`	8	Optional	No
3	Insurance Company ID	`CX`	59	Required	No
4	Insurance Company Name	`XON`	130	Optional	No
5	Insurance Company Address	`XAD`	106	Optional	No
6	Insurance Co. Contact Ppers	`XPN`	48	Optional	No
7	Insurance Co Phone Number	`XTN`	40	Optional	Max 3
8	Group Number	`ST`	12	Optional	No
9	Group Name	`XON`	130	Optional	No
10	Insured's group employer ID	`CX`	12	Optional	No
11	Insured's Group Emp Name	`XON`	130	Optional	No
12	Plan Effective Date	`DT`	8	Optional	No
13	Plan Expiration Date	`DT`	8	Optional	No
14	Authorization Information	`CM_AUI`	55	Optional	No
15	Plan Type	`IS`	3	Optional	No	0086
16	Name of Insured	`XPN`	48	Optional	No
17	Insured's Relationship to Patient	`IS`	2	Optional	No	0063
18	Insured's Date of Birth	`TS`	26	Optional	No
19	Insured's Address	`XAD`	106	Optional	No
20	Assignment of Benefits	`IS`	2	Optional	No	0135
21	Coordination of Benefits	`IS`	2	Optional	No	0173
22	Coord of Ben. Priority	`ST`	2	Optional	No
23	Notice of Admission Code	`ID`	2	Optional	No	0136
24	Notice of Admission Date	`DT`	8	Optional	No
25	Rpt of Eigibility Code	`ID`	2	Optional	No	0136
26	Rpt of Eligibility Date	`DT`	8	Optional	No
27	Release Information Code	`IS`	2	Optional	No	0093
28	Pre-Admit Cert	`ST`	15	Optional	No
29	Verification Date/Time	`TS`	26	Optional	No
30	Verification By	`XPN`	60	Optional	No
31	Type of Agreement Code	`IS`	2	Optional	No	0098
32	Billing Status	`IS`	2	Optional	No	0022
33	Lifetime Reserve Days	`NM`	4	Optional	No
34	Delay before lifetime reserve days	`NM`	4	Optional	No
35	Company Plan Code	`IS`	8	Optional	No	0042
36	Policy Number	`ST`	15	Optional	No
37	Policy Deductible	`CP`	12	Optional	No
38	Policy Limit - Amount	`CP`	12	Optional	No
39	Policy Limit - Days	`NM`	4	Optional	No
40	Room Rate - Semi-Private	`CP`	12	Optional	No
41	Room Rate - Private	`CP`	12	Optional	No
42	Insured's Employment Status	`CE`	60	Optional	No
43	Insured's Sex	`IS`	1	Optional	No	0001
44	Insured's Employer Address	`XAD`	106	Optional	No
45	Verification Status	`ST`	2	Optional	No
46	Prior Insurance Plan ID	`IS`	8	Optional	No	0072
47	Coverage Type	`IS`	3	Optional	No	0309
48	Handicap	`IS`	2	Optional	No	0310
49	Insured's ID Number	`CX`	12	Optional	No

Synthetic example

IN1|1|MC^Medicare^HL70072|AUSHIC^Medicare Australia

Open in parser

IN1 - Insurance (HL7 v2.3)

Synthetic example

`IN1` - Insurance (HL7 v2.3)