HL7 - Version 2.3.1


Segment IN3: Insurance Additional Information, Certification (Versicherungsinformationen - Kostenübernahme)

Seq Description German Interpretation Length C.LEN Table r/o/c Rep# Item Data Structure Section
1 Set ID - IN3 IN3-Segmentnummer ..4

R
00502 SI 6.4.8.1
2 Certification Number nicht verwendet ..59

O
00503 CX 6.4.8.2
3 Certified By nicht verwendet ..60

O Y 00504 XCN 6.4.8.3
4 Certification Required nicht verwendet ..1
0136 O
00505 ID 6.4.8.4
5 Penalty nicht verwendet ..10
0148 O
00506 MOP 6.4.8.5
6 Certification Date/Time nicht verwendet ..26

O
00507 TS 6.4.8.6
7 Certification Modify Date/Time nicht verwendet ..26

O
00508 TS 6.4.8.7
8 Operator nicht verwendet ..60

O Y 00509 XCN 6.4.8.8
9 Certification Begin Date nicht verwendet ..8

O
00510 DT 6.4.8.9
10 Certification End Date nicht verwendet ..8

O
00511 DT 6.4.8.10
11 Days nicht verwendet ..3
0149 O
00512 DTN 6.4.8.11
12 Non-Concur Code/Description nicht verwendet ..60
0233 O
00513 CE_0233 6.4.8.12
13 Non-Concur Effective Date/Time nicht verwendet ..26

O
00514 TS 6.4.8.13
14 Physician Reviewer nicht verwendet ..60
0010 O Y 00515 XCN 6.4.8.14
15 Certification Contact nicht verwendet ..48

O
00516 ST 6.4.8.15
16 Certification Contact Phone Number nicht verwendet ..40

O Y 00517 XTN 6.4.8.16
17 Appeal Reason nicht verwendet ..60
0345 O
00518 CE_0345 6.4.8.17
18 Certification Agency nicht verwendet ..60
0346 O
00519 CE_0346 6.4.8.18
19 Certification Agency Phone Number nicht verwendet ..40

O Y 00520 XTN 6.4.8.19
20 Pre-Certification Req/Window nicht verwendet ..40
0150 O Y 00521 PCF 6.4.8.20
21 Case Manager nicht verwendet ..48

O
00522 ST 6.4.8.21
22 Second Opinion Date nicht verwendet ..8

O
00523 DT 6.4.8.22
23 Second Opinion Status nicht verwendet ..1
0151 O
00524 IS 6.4.8.23
24 Second Opinion Documentation Received nicht verwendet ..1
0152 O Y 00525 IS 6.4.8.24
25 Second Opinion Physician nicht verwendet ..60
0010 O Y 00526 XCN 6.4.8.25

Used within the following Events:

A01 ADT/ACK - Admit / visit notification (3.2.1)
A04 ADT/ACK - Register a patient (3.2.4)
A05 ADT/ACK - Pre-admit a patient (3.2.5)
A06 ADT/ACK - Change an outpatient to an inpatient (3.2.6)
A07 ADT/ACK - Change an inpatient to an outpatient (3.2.7)
A08 ADT/ACK - Update patient information (3.2.8)
A13 ADT/ACK - Cancel discharge/end visit (3.2.13)
A14 ADT/ACK - Pending admit (3.2.14)
A19 QRY/ADR - Patient query (3.2.19)
A28 ADT/ACK - Add person information (3.2.28)
A31 ADT/ACK - Update person information (3.2.31)
I01 RQI/RPI - Request for insurance information (11.2.1)
I01 RQI/RPI - Request for insurance information (11.2.1)
I02 RQI/RPL - Request/receipt of patient selection display list (11.2.2)
I03 RQI/RPR - Request/receipt of patient selection list (11.2.3)
I04 RQD/RPI - Request for patient demographic data (11.2.4)
I07 PIN/ACK - Unsolicited insurance information (11.2.7)
O01 ORM - Order message (also RDE, RDS, RGV, RAS) (4.8.13)
P01 BAR/ACK - Add patient accounts (6.3.1)
P03 DFT/ACK - Post detail financial transaction (6.3.3)
P05 BAR/ACK - Update account (6.3.5)
V03 VXR - Vaccination record response (4.12.3)
V04 VXU - Unsolicited vaccination record update (4.12.4)

Used within following Message Structures:

OMD_O01 Diet Order Message (4.6)
OMN_O01 Non-Stock Supply Order Message (4.7)
OMS_O01 Stock Supply Order Message (4.7)
ORM_O01 General Order Message (4.2.1)
RDO_O01 Pharmacy/Treatment Order Message (4.8.1)
REF_I12 Patient Referral
RPA_I08 Return Patient Authorization
RQA_I08 Request Patient Authorization