HL7 - Version 2.7.1


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 1..4

R
00502 SI 6.5.8.1
2 Certification Number



O
00503 CX 6.5.8.2
3 Certified By



O Y 00504 XCN 6.5.8.3
4 Certification Required
1..1
0136 O
00505 ID 6.5.8.4
5 Penalty



O
00506 MOP 6.5.8.5
6 Certification Date/Time



O
00507 DTM 6.5.8.6
7 Certification Modify Date/Time



O
00508 DTM 6.5.8.7
8 Operator



O Y 00509 XCN 6.5.8.8
9 Certification Begin Date



O
00510 DT 6.5.8.9
10 Certification End Date



O
00511 DT 6.5.8.10
11 Days



O
00512 DTN 6.5.8.11
12 Non-Concur Code/Description


0233 O
00513 CWE 6.5.8.12
13 Non-Concur Effective Date/Time



O
00514 DTM 6.5.8.13
14 Physician Reviewer


0010 O Y 00515 XCN 6.5.8.14
15 Certification Contact

48#
O
00516 ST 6.5.8.15
16 Certification Contact Phone Number



O Y 00517 XTN 6.5.8.16
17 Appeal Reason


0345 O
00518 CWE 6.5.8.17
18 Certification Agency


0346 O
00519 CWE 6.5.8.18
19 Certification Agency Phone Number



O Y 00520 XTN 6.5.8.19
20 Pre-Certification Requirement



O Y 00521 ICD 6.5.8.20
21 Case Manager

48#
O
00522 ST 6.5.8.21
22 Second Opinion Date



O
00523 DT 6.5.8.22
23 Second Opinion Status


0151 O
00524 CWE 6.5.8.23
24 Second Opinion Documentation Received


0152 O Y 00525 CWE 6.5.8.24
25 Second Opinion Physician


0010 O Y 00526 XCN 6.5.8.25

Used within following Message Structures:

ADT_A01 ADT Admission Message (3.3.1)
ADT_A03 ADT Discharge Message (3.3.3)
ADT_A05 ADT Message (3.3.5)
ADT_A06 ADT Message (3.3.6)
ADT_A16 Pending Discharge (3.3.16)
BAR_P01 Add Billing Account (6.4.1)
BAR_P05 Update Billing Account (6.4.5)
CCI_I22 Collaborative Care Information (11.6.2)
CCM_I21 Collaborative Care Message (11.5.1)
CCR_I16 Collaborative Care Referral (11.5.2)
CCU_I20 Collaborative Care Referral (11.5.6)
CQU_I19 Collaborative Care Referral (11.6.1)
DFT_P03 Detail Financial Transaction (6.4.3)
DFT_P11 Detail Financial Transaction - Expanded (6.4.8)
DFT_P11 Detail Financial Transaction - Expanded (6.4.8)
OMB_O27 Blood Product Order Message (4.12.1)
OMD_O03 Dietary Order (4.6.1)
OMG_O19 General Clinical Order Message (4.3.4)
OMI_O23 Imaging Order Message (4.3.14)
OML_O21 Laboratory Order Message (4.3.6)
OML_O33 Laboratory Order - Multiple Order Per Specimen Mes (4.3.8)
OML_O35 Laboratory Order - Multiple Order Per Container of (4.3.10)
OML_O39 Specimen Shipment Centric Laboratory Order Message (4.3.12)
OMN_O07 Nonstock Requisition Order Message (4.9.3)
OMP_O09 Pharmacy/treatment Order Message (4.A.3)
OMS_O05 Stock Requisition Order Message (4.9.1)
OPL_O37 Population/Location-Based Laboratory Order Message (4.3.16)
RDE_O11 Pharmacy/Treatment Refill Authorization Request (4.A.5)
REF_I12 Patient Referral (11.4.1)
RPA_I08 Return Patient Authorization (11.3.1)
RPI_I01 Return Patient Information (11.2.1)
RPI_I04 Return Patient Information (11.2.4)
RQA_I08 Request Patient Authorization (11.3.1)
RQI_I01 Patient Insurance Information (11.2.1)
VXU_V04 Unsolicited Vaccination Update (4.A.6)