HL7 Segment : IN2 : Insurance Information, Segment 2

IN2 Fields

  Field   Type  Len  Description
  =====   ====  ===  ===========================================
  IN2-1   CX     59  Insured's Employee ID
  IN2-2   ST     11  Insured's Social Security Number
  IN2-3   XCN   130  Insured's Employer Name
  IN2-4   IS      1  Employer Information Data
  IN2-5   IS      1  Mail Claim Party
  IN2-6   ST     15  Medicare Health Ins Card Number
  IN2-7   XPN    48  Medicaid Case Name
  IN2-8   ST     15  Medicaid Case Number
  IN2-9   XPN    48  Champus Sponsor Name
  IN2-10  ST     20  Champus ID Number
  IN2-11  CE     80  Dependent of Champus Recipient
  IN2-12  ST     25  Champus Organization
  IN2-13  ST     25  Champus Station
  IN2-14  IS     14  Champus Service
  IN2-15  IS      2  Champus Rank/Grade
  IN2-16  IS      3  Champus Status
  IN2-17  DT      8  Champus Retire Date
  IN2-18  ID      1  Champus Non-Avail Cert on File
  IN2-19  ID      1  Baby Coverage
  IN2-20  ID      1  Combine Baby Bill
  IN2-21  ST      1  Blood Deductible
  IN2-22  XPN    48  Special Coverage Approval Name
  IN2-23  ST     30  Special Coverage Approval Title
  IN2-24  IS      8  Non-Covered Insurance Code
  IN2-25  CX     59  Payor ID
  IN2-26  CX     59  Payor Subscriber ID
  IN2-27  IS      1  Eligibility Source
  IN2-28  CM     25  Room Coverage Type/Amount
  IN2-29  CM     25  Policy Type/Amount
  IN2-30  CM     25  Daily Deductible
  IN2-31  IS      2  Living Dependency
  IN2-32  IS      2  Ambulatory Status
  IN2-33  IS      4  Citizenship 
  IN2-34  CE     60  Primary Language
  IN2-35  IS      2  Living Arrangement 
  IN2-36  CE     80  Publicity Indicator
  IN2-37  ID      1  Protection Indicator
  IN2-38  IS      2  Student Indicator 
  IN2-39  IS      3  Religion 
  IN2-40  XPN    48  Mother’s Maiden Name
  IN2-41  CE     80  Nationality 
  IN2-42  IS      3  Ethnic Group 
  IN2-43  IS      1  Marital Status 
  IN2-44  DT      8  Employment Start Date
  IN2-45  DT      8  Employment Stop Date
  IN2-46  ST     20  Job Title
  IN2-47  CM     20  Job Code/Class
  IN2-48  IS      2  Job Status 
  IN2-49  XPN    48  Employer Contact Person Name
  IN2-50  XTN    40  Employer Contact Person Phone Number
  IN2-51  IS      2  Employer Contact Reason 
  IN2-52  XPN    48  Insured’s Contact Person’s Name
  IN2-53  XTN    40  Insured’s Contact Person Telephone Number
  IN2-54  IS      2  Insured’s Contact Person Reason 
  IN2-55  DT      8  Relationship To The Patient Start Date
  IN2-56  DT      8  Relationship To The Patient Stop Date
  IN2-57  IS      2  Insurance Co. Contact Reason 
  IN2-58  XTN    40  Insurance Co Contact Phone Number
  IN2-59  IS      2  Policy Scope 
  IN2-60  IS      2  Policy Source 
  IN2-61  CX     60  Patient Member Number
  IN2-62  IS      2  Guarantor’s Relationship To Insured
  IN2-63  XTN    40  Insured’s Telephone Number - Home
  IN2-64  XTN    40  Insured’s Employer Telephone Number
  IN2-65  CE     60  Military Handicapped Program 
  IN2-66  ID      2  Suspend Flag
  IN2-67  ID      2  Copay Limit Flag
  IN2-68  ID      2  Stoploss Limit Flag
  IN2-69  XON   130  Insured Organization Name And ID
  IN2-70  XON   130  Insured Employer Organization Name And ID
  IN2-71  IS      1  Race
  IN2-72  CE     60  HCFA Patient Relationship to Insured

Notes