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18.4.159 RQP/RPI - request for patient demographic data (Event I04) (11.3.4)

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
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

 

 

RQP_I04

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
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