This event triggers a request from one healthcare provider to another for patient demographic information, including insurance and billing information. Typically, this transaction would occur between one provider to another, but it could also be directed to a payor.
Segment | Cardinality | Implement | Status |
---|---|---|---|
RQP^I04^RQP_I04 | |||
MSH Message Header |
[1..1] | SHALL | |
ARV Access Restriction |
v2.9 | ||
SFT Software Segment |
|||
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 |
|||
GT1 Guarantor |
|||
NTE Notes and Comments |
MSH-15 | MSH-16 | Immediate ACK | Application Ack |
---|---|---|---|
Blank | Blank | - | RPI^I04^RPI_I04 |
NE | AL | - | RPI^I04^RPI_I04 |
AL, SU, ER | AL | ACK^I04^ACK | RPI^I04^RPI_I04 |