IN2 - Insurance additional info (HL7 v2.3)
Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1
The IN2 segment (Insurance additional info) has 72 fields in HL7 v2.3. Fields are addressed as
IN2-n; composite fields break into components IN2-n.m. Paste a message into the
parser to see every field annotated with this table.
| # | Name | Type | Len | Opt | Repeats | Table |
|---|---|---|---|---|---|---|
| 1 | Insured's Employee ID | CX | 59 | Optional | No | |
| 2 | Insured's Social Security Number | ST | 11 | Optional | No | |
| 3 | Insured's Employer Name | XCN | 130 | Optional | No | |
| 4 | Employer Information Data | IS | 1 | Optional | No | 0139 |
| 5 | Mail Claim Party | IS | 1 | Optional | No | 0137 |
| 6 | Medicare Health Ins Card Number | ST | 15 | Optional | No | |
| 7 | Medicaid Case Name | XPN | 48 | Optional | No | |
| 8 | Medicaid Case Number | ST | 15 | Optional | No | |
| 9 | Champus Sponsor Name | XPN | 48 | Optional | No | |
| 10 | Champus ID Number | ST | 20 | Optional | No | |
| 11 | Dependent of Champus Recipient | CE | 80 | Optional | No | |
| 12 | Champus Organization | ST | 25 | Optional | No | |
| 13 | Champus Station | ST | 25 | Optional | No | |
| 14 | Champus Service | IS | 14 | Optional | No | 0140 |
| 15 | Champus Rank/Grade | IS | 2 | Optional | No | 0141 |
| 16 | Champus Status | IS | 3 | Optional | No | 0142 |
| 17 | Champus Retire Date | DT | 8 | Optional | No | |
| 18 | Champus Non-Avail Cert on File | ID | 1 | Optional | No | 0136 |
| 19 | Baby Coverage | ID | 1 | Optional | No | 0136 |
| 20 | Combine Baby Bill | ID | 1 | Optional | No | 0136 |
| 21 | Blood Deductible | ST | 1 | Optional | No | |
| 22 | Special Coverage Approval Name | XPN | 48 | Optional | No | |
| 23 | Special Coverage Approval Title | ST | 30 | Optional | No | |
| 24 | Non-Covered Insurance Code | ST | 8 | Optional | Yes | |
| 25 | Payor ID | CX | 59 | Optional | No | |
| 26 | Payor Subscriber ID | CX | 59 | Optional | No | |
| 27 | Eligibility Source | IS | 1 | Optional | No | 0144 |
| 28 | Room Coverage Type/Amount | CM_RMC | 25 | Optional | Yes | |
| 29 | Policy Type/Amount | CM_PTA | 25 | Optional | Yes | |
| 30 | Daily Deductible | CM_DDI | 25 | Optional | No | |
| 31 | Living Dependency | IS | 2 | Optional | No | 0223 |
| 32 | Ambulatory Status | IS | 2 | Optional | No | 0009 |
| 33 | Citizenship | IS | 4 | Optional | No | 0171 |
| 34 | Primary Language | CE | 60 | Optional | No | |
| 35 | Living Arrangement | IS | 2 | Optional | No | 0220 |
| 36 | Publicity Indicator | CE | 1 | Optional | No | |
| 37 | Protection Indicator | ID | 1 | Optional | No | 0136 |
| 38 | Student Indicator | IS | 2 | Optional | No | 0231 |
| 39 | Religion | IS | 3 | Optional | No | 0006 |
| 40 | Mother s Maiden Name | XPN | 48 | Optional | No | |
| 41 | Nationality Code | CE | 80 | Optional | No | |
| 42 | Ethnic Group | IS | 1 | Optional | No | 0189 |
| 43 | Marital Status | IS | 1 | Optional | Yes | 0002 |
| 44 | Employment Start Date | DT | 8 | Optional | No | |
| 45 | Employment Stop Date | DT | 8 | Optional | No | |
| 46 | Job Title | ST | 20 | Optional | No | |
| 47 | Job Code/Class | JCC | 20 | Optional | No | |
| 48 | Job Status | IS | 2 | Optional | No | 0311 |
| 49 | Employer Contact Person Name | XPN | 48 | Optional | Yes | |
| 50 | Employer Contact Person Phone Number | XTN | 40 | Optional | Yes | |
| 51 | Employer Contact Reason | IS | 2 | Optional | No | 0222 |
| 52 | Insured s Contact Person s Name | XPN | 48 | Optional | Yes | |
| 53 | Insured s Contact Person Telephone Number | XTN | 40 | Optional | Yes | |
| 54 | Insured s Contact Person Reason | IS | 2 | Optional | Yes | 0222 |
| 55 | Relationship To The Patient Start Date | DT | 8 | Optional | No | |
| 56 | Relationship To The Patient Stop Date | DT | 8 | Optional | Yes | |
| 57 | Insurance Co. Contact Reason | IS | 2 | Optional | No | 0232 |
| 58 | Insurance Co. Contact Phone Number | XTN | 40 | Optional | No | |
| 59 | Policy Scope | IS | 2 | Optional | No | 0312 |
| 60 | Policy Source | IS | 2 | Optional | No | 0313 |
| 61 | Patient Member Number | CX | 60 | Optional | No | |
| 62 | Guarantor s Relationship To Insured | IS | 2 | Optional | No | 0063 |
| 63 | Insured s Telephone Number - Home | XTN | 40 | Optional | Yes | |
| 64 | Insured s Employer Telephone Number | XTN | 40 | Optional | Yes | |
| 65 | Military Handicapped Program | CE | 2 | Optional | No | |
| 66 | Suspend Flag | ID | 2 | Optional | No | 0136 |
| 67 | Co-pay Limit Flag | ID | 2 | Optional | No | 0136 |
| 68 | Stoploss Limit Flag | ID | 2 | Optional | No | 0136 |
| 69 | Insured Organization Name And ID | XON | 130 | Optional | Yes | |
| 70 | Insured Employer Organization Name And ID | XON | 130 | Optional | Yes | |
| 71 | Race | IS | 1 | Optional | No | 0005 |
| 72 | Patient Relationship to Insured | ID | 1 | Optional | No |