IN1 - Insurance (HL7 v2.7.1)
Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1
The IN1 segment (Insurance) has 54 fields in HL7 v2.7.1. 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 - IN1 | SI | 4 | Required | No | |
| 2 | Health Plan ID | CWE | Required | No | 0072 | |
| 3 | Insurance Company ID | CX | Required | Yes | ||
| 4 | Insurance Company Name | XON | Optional | Yes | ||
| 5 | Insurance Company Address | XAD | Optional | Yes | ||
| 6 | Insurance Co Contact Person | XPN | Optional | Yes | ||
| 7 | Insurance Co Phone Number | XTN | Optional | Yes | ||
| 8 | Group Number | ST | Optional | No | ||
| 9 | Group Name | XON | Optional | Yes | ||
| 10 | Insured's Group Emp ID | CX | Optional | Yes | ||
| 11 | Insured's Group Emp Name | XON | Optional | Yes | ||
| 12 | Plan Effective Date | DT | Optional | No | ||
| 13 | Plan Expiration Date | DT | Optional | No | ||
| 14 | Authorization Information | AUI | Optional | No | ||
| 15 | Plan Type | CWE | Optional | No | 0086 | |
| 16 | Name Of Insured | XPN | Optional | Yes | ||
| 17 | Insured's Relationship To Patient | CWE | Optional | No | 0063 | |
| 18 | Insured's Date Of Birth | DTM | Optional | No | ||
| 19 | Insured's Address | XAD | Optional | Yes | ||
| 20 | Assignment Of Benefits | CWE | Optional | No | 0135 | |
| 21 | Coordination Of Benefits | CWE | Optional | No | 0173 | |
| 22 | Coord Of Ben. Priority | ST | Optional | No | ||
| 23 | Notice Of Admission Flag | ID | 1 | Optional | No | 0136 |
| 24 | Notice Of Admission Date | DT | Optional | No | ||
| 25 | Report Of Eligibility Flag | ID | 1 | Optional | No | 0136 |
| 26 | Report Of Eligibility Date | DT | Optional | No | ||
| 27 | Release Information Code | CWE | Optional | No | 0093 | |
| 28 | Pre-Admit Cert (PAC) | ST | Optional | No | ||
| 29 | Verification Date/Time | DTM | Optional | No | ||
| 30 | Verification By | XCN | Optional | Yes | ||
| 31 | Type Of Agreement Code | CWE | Optional | No | 0098 | |
| 32 | Billing Status | CWE | Optional | No | 0022 | |
| 33 | Lifetime Reserve Days | NM | Optional | No | ||
| 34 | Delay Before L.R. Day | NM | Optional | No | ||
| 35 | Company Plan Code | CWE | Optional | No | 0042 | |
| 36 | Policy Number | ST | Optional | No | ||
| 37 | Policy Deductible | CP | Optional | No | ||
| 38 | Policy Limit - Amount | ST | Backward compatible | No | ||
| 39 | Policy Limit - Days | NM | Optional | No | ||
| 40 | Room Rate - Semi-Private | ST | Backward compatible | No | ||
| 41 | Room Rate - Private | ST | Backward compatible | No | ||
| 42 | Insured's Employment Status | CWE | Optional | No | 0066 | |
| 43 | Insured's Administrative Sex | CWE | Optional | No | 0001 | |
| 44 | Insured's Employer's Address | XAD | Optional | Yes | ||
| 45 | Verification Status | ST | Optional | No | ||
| 46 | Prior Insurance Plan ID | CWE | Optional | No | 0072 | |
| 47 | Coverage Type | CWE | Optional | No | 0309 | |
| 48 | Handicap | CWE | Optional | No | 0295 | |
| 49 | Insured's ID Number | CX | Optional | Yes | ||
| 50 | Signature Code | CWE | Optional | No | 0535 | |
| 51 | Signature Code Date | DT | Optional | No | ||
| 52 | Insured's Birth Place | ST | Optional | No | ||
| 53 | VIP Indicator | CWE | Optional | No | 0099 | |
| 54 | External Health Plan Identifiers | CX | Optional | Yes |
Synthetic example
IN1|1|MC^Medicare^HL70072|AUSHIC^Medicare Australia