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18.4.153 RQI/RPI - Request for Insurance Information (Event I01) (11.3.1)

This event triggers a message to be sent from one healthcare provider to another to request insurance information for a specified patient.

Segment Cardinality Implement Status
RQI^I01^RQI_I01
MSH

Message Header

[1..1] SHALL
ARV

Access Restriction

  v2.9
UAC

User Authentication Credential Segment

[0..1]  
PROVIDER [1..*] SHALL
PRD

Provider Data

[1..1] SHALL
CTD

Contact Data

 
PID

Patient Identification

[1..1] SHALL
NK1

Next of Kin / Associated Parties

 
GUARANTOR_INSURANCE [0..1]  
GT1

Guarantor

 
INSURANCE [1..*] SHALL
IN1

Insurance

[1..1] SHALL
IN2

Insurance Additional Information

[0..1]  
IN3

Insurance Additional Information, Certification

[0..1]  
NTE

Notes and Comments

 

 

RQI_I01

MSH-15 MSH-16 Immediate ACK Application Ack
Blank Blank - ACK^I07^ACK
Blank Blank - RPR^I03^RPR_I03
Blank Blank - RPL^I02^RPL_I02
Blank Blank - RPI^I01^RPI_I01
NE NE - -
NE AL - RPR^I03^RPR_I03
NE AL - RPL^I02^RPL_I02
NE AL - RPI^I01^RPI_I01
AL NE ACK^I07^ACK -
AL, SU, ER AL ACK^I03^ACK RPR^I03^RPR_I03
AL, SU, ER AL ACK^I02^ACK RPL^I02^RPL_I02
AL, SU, ER AL ACK^I01^ACK RPI^I01^RPI_I01
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