HL7 Segment : GT1 : Gaurantor Information

GT1 Fields

  Field   Type  Len  Description
  =====   ====  ===  ===========================================
  GT1-1   SI      4  Set ID - GT1
  GT1-2   CX     59  Guarantor Number
  GT1-3   XPN    48  Guarantor Name
  GT1-4   XPN    48  Guarantor Spouse Name
  GT1-5   XAD   106  Guarantor Address
  GT1-6   XTN    40  Guarantor Ph Num- Home
  GT1-7   XTN    40  Guarantor Ph Num-Business
  GT1-8   TS     26  Guarantor Date/Time of Birth
  GT1-9   IS      1  Guarantor Sex
  GT1-10  IS      2  Guarantor Type
  GT1-11  IS      2  Guarantor Relationship
  GT1-12  ST     11  Guarantor SSN
  GT1-13  DT      8  Guarantor Date - Begin
  GT1-14  DT      8  Guarantor Date - End
  GT1-15  NM      2  Guarantor Priority
  GT1-16  XPN   130  Guarantor Employer Name
  GT1-17  XAD   106  Guarantor Employer Address
  GT1-18  XTN    40  Guarantor Employ Phone Number
  GT1-19  CX     20  Guarantor Employee ID Number
  GT1-20  IS      2  Guarantor Employment Status
  GT1-21  XON   130  Guarantor Organization
  GT1-22  ID      1  Guarantor Billing Hold Flag
  GT1-23  CE     80  Guarantor Credit Rating Code
  GT1-24  TS     26  Guarantor Death Date And Time
  GT1-25  ID      1  Guarantor Death Flag
  GT1-26  CE     80  Guarantor Charge Adjustment Code
  GT1-27  CP     10  Guarantor Household Annual Income
  GT1-28  NM      3  Guarantor Household Size
  GT1-29  CX     20  Guarantor Employer ID Number
  GT1-30  IS      1  Guarantor Marital Status Code
  GT1-31  DT      8  Guarantor Hire Effective Date
  GT1-32  DT      8  Employment Stop Date
  GT1-33  IS      2  Living Dependency
  GT1-34  IS      2  Ambulatory Status
  GT1-35  IS      4  Citizenship
  GT1-36  CE     60  Primary Language
  GT1-37  IS      2  Living Arrangement
  GT1-38  CE     80  Publicity Indicator
  GT1-39  ID      1  Protection Indicator
  GT1-40  IS      2  Student Indicator
  GT1-41  IS      3  Religion
  GT1-42  XPN    48  Mother’s Maiden Name
  GT1-43  CE     80  Nationality
  GT1-44  IS      3  Ethnic Group
  GT1-45  XPN    48  Contact Person's Name
  GT1-46  XTN    40  Contact Person’s Telephone Number
  GT1-47  CE     80  Contact Reason
  GT1-48  IS      2  Contact Relationship Code
  GT1-49  ST     20  Job Title
  GT1-50  CM     20  Job Code/Class
  GT1-51  XON   130  Guarantor Employer's Organization Name
  GT1-52  IS      2  Handicap
  GT1-53  IS      2  Job Status
  GT1-54  CM      0  Guarantor Financial Class
  GT1-55  IS      1  Guarantor Race

Notes