HL7 - Version 2.3


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 - Insurance Certification (Segment IN3 wird nicht verwendet) ..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 CM_PEN 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



00508 TS 6.4.8.7
8 Operator nicht verwendet ..60


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



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



00511 DT 6.4.8.10
11 Days nicht verwendet ..3
0149

00512 CM_DTN 6.4.8.11
12 Non-Concur Code/Description nicht verwendet ..60
0233

00513 CE_0233 6.4.8.12
13 Non-Concur Effective Date/Time nicht verwendet ..26



00514 TS 6.4.8.13
14 Physician Reviewer nicht verwendet ..60


Y 00515 XCN 6.4.8.14
15 Certification Contact nicht verwendet ..48



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


Y 00517 XTN 6.4.8.16
17 Appeal Reason nicht verwendet ..60



00518 CE 6.4.8.17
18 Certification Agency nicht verwendet ..60



00519 CE 6.4.8.18
19 Certification Agency Phone Number nicht verwendet ..40


Y 00520 XTN 6.4.8.19
20 Pre-Certification required/Window nicht verwendet ..40


Y 00521 CM_PCF 6.4.8.20
21 Case Manager nicht verwendet ..48



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



00523 DT 6.4.8.22
23 Second Opinion Status nicht verwendet ..1
0151

00524 IS 6.4.8.23
24 Second Opinion Documentation Received nicht verwendet ..1
0152
Y 00525 IS 6.4.8.24
25 Second Opinion Physician nicht verwendet ..60


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 - Preadmit a patient (3.2.5)
A06 ADT/ACK - Transfer an outpatient to inpatient (3.2.6)
A07 ADT/ACK - Transfer an inpatient to outpatient (3.2.7)
A08 ADT/ACK - Update patient information (3.2.8)
A13 ADT/ACK - Cancel discharge (3.2.13)
A14 ADT/ACK - Pending admit (3.2.14)
A19 QRY/ACK - 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 RQP/RPI - Request for patient demographic data (11.2.4)
I07 PIN/ACK - Unsolicited insurance information (11.2.7)
I08 RQA/RPA - Request for treatment authorization information (11.3.2)
I08 RQA/RPA - Request for treatment authorization information (11.3.2)
I09 RQA/RPA - Request for modification to an authorization (11.3.3)
I09 RQA/RPA - Request for modification to an authorization (11.3.3)
I10 RQA/RPA - Request for resubmission of an authorization (11.3.4)
I10 RQA/RPA - Request for resubmission of an authorization (11.3.4)
I11 RQA/RPA - Request for cancellation of an authorization (11.4)
I11 RQA/RPA - Request for cancellation of an authorization (11.4)
I12 REF/RRI - Patient referral (11.4.2)
I13 REF/RRI - Modify patient referral (11.4.3)
I14 REF/RRI - Cancel patient referral (11.4.4)
I15 REF/RRI - Request patient referral status (11.4.5)
O01 ORM - Order message (also RDE, RDS, RGV, RAS, (4.2.1)
P01 BAR/ACK - Add patient account (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 (4.8.1)