IN2 - Insurance Additional Information (HL7 v2.7.1)
Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1
The IN2 segment (Insurance Additional Information) has 72 fields in HL7 v2.7.1. 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 | Optional | Yes | ||
| 2 | Insured's Social Security Number | ST | Optional | No | ||
| 3 | Insured's Employer's Name and ID | XCN | Optional | Yes | ||
| 4 | Employer Information Data | CWE | Optional | No | 0139 | |
| 5 | Mail Claim Party | CWE | Optional | Yes | 0137 | |
| 6 | Medicare Health Ins Card Number | ST | Optional | No | ||
| 7 | Medicaid Case Name | XPN | Optional | Yes | ||
| 8 | Medicaid Case Number | ST | Optional | No | ||
| 9 | Military Sponsor Name | XPN | Optional | Yes | ||
| 10 | Military ID Number | ST | Optional | No | ||
| 11 | Dependent Of Military Recipient | CWE | Optional | No | 0342 | |
| 12 | Military Organization | ST | Optional | No | ||
| 13 | Military Station | ST | Optional | No | ||
| 14 | Military Service | CWE | Optional | No | 0140 | |
| 15 | Military Rank/Grade | CWE | Optional | No | 0141 | |
| 16 | Military Status | CWE | Optional | No | 0142 | |
| 17 | Military Retire Date | DT | Optional | No | ||
| 18 | Military 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 | Optional | No | ||
| 22 | Special Coverage Approval Name | XPN | Optional | Yes | ||
| 23 | Special Coverage Approval Title | ST | Optional | No | ||
| 24 | Non-Covered Insurance Code | CWE | Optional | Yes | 0143 | |
| 25 | Payor ID | CX | Optional | Yes | ||
| 26 | Payor Subscriber ID | CX | Optional | Yes | ||
| 27 | Eligibility Source | CWE | Optional | No | 0144 | |
| 28 | Room Coverage Type/Amount | RMC | Optional | Yes | ||
| 29 | Policy Type/Amount | PTA | Optional | Yes | ||
| 30 | Daily Deductible | DDI | Optional | No | ||
| 31 | Living Dependency | CWE | Optional | No | 0223 | |
| 32 | Ambulatory Status | CWE | Optional | Yes | 0009 | |
| 33 | Citizenship | CWE | Optional | Yes | 0171 | |
| 34 | Primary Language | CWE | Optional | No | 0296 | |
| 35 | Living Arrangement | CWE | Optional | No | 0220 | |
| 36 | Publicity Code | CWE | Optional | No | 0215 | |
| 37 | Protection Indicator | ID | 1 | Optional | No | 0136 |
| 38 | Student Indicator | CWE | Optional | No | 0231 | |
| 39 | Religion | CWE | Optional | No | 0006 | |
| 40 | Mother's Maiden Name | XPN | Optional | Yes | ||
| 41 | Nationality | CWE | Optional | No | 0212 | |
| 42 | Ethnic Group | CWE | Optional | Yes | 0189 | |
| 43 | Marital Status | CWE | Optional | Yes | 0002 | |
| 44 | Insured's Employment Start Date | DT | Optional | No | ||
| 45 | Employment Stop Date | DT | Optional | No | ||
| 46 | Job Title | ST | Optional | No | ||
| 47 | Job Code/Class | JCC | Optional | No | ||
| 48 | Job Status | CWE | Optional | No | 0311 | |
| 49 | Employer Contact Person Name | XPN | Optional | Yes | ||
| 50 | Employer Contact Person Phone Number | XTN | Optional | Yes | ||
| 51 | Employer Contact Reason | CWE | Optional | No | 0222 | |
| 52 | Insured's Contact Person's Name | XPN | Optional | Yes | ||
| 53 | Insured's Contact Person Phone Number | XTN | Optional | Yes | ||
| 54 | Insured's Contact Person Reason | CWE | Optional | Yes | 0222 | |
| 55 | Relationship to the Patient Start Date | DT | Optional | No | ||
| 56 | Relationship to the Patient Stop Date | DT | Optional | Yes | ||
| 57 | Insurance Co Contact Reason | CWE | Optional | No | 0232 | |
| 58 | Insurance Co Contact Phone Number | XTN | Optional | Yes | ||
| 59 | Policy Scope | CWE | Optional | No | 0312 | |
| 60 | Policy Source | CWE | Optional | No | 0313 | |
| 61 | Patient Member Number | CX | Optional | No | ||
| 62 | Guarantor's Relationship to Insured | CWE | Optional | No | 0063 | |
| 63 | Insured's Phone Number - Home | XTN | Optional | Yes | ||
| 64 | Insured's Employer Phone Number | XTN | Optional | Yes | ||
| 65 | Military Handicapped Program | CWE | Optional | No | 0343 | |
| 66 | Suspend Flag | ID | 1 | Optional | No | 0136 |
| 67 | Copay Limit Flag | ID | 1 | Optional | No | 0136 |
| 68 | Stoploss Limit Flag | ID | 1 | Optional | No | 0136 |
| 69 | Insured Organization Name and ID | XON | Optional | Yes | ||
| 70 | Insured Employer Organization Name and ID | XON | Optional | Yes | ||
| 71 | Race | CWE | Optional | Yes | 0005 | |
| 72 | Patient's Relationship to Insured | CWE | Optional | No | 0344 |