HL7 Segment : IN3 : Insurance Information, segment 3

IN3 Fields

  Field   Type  Len  Description
  =====   ====  ===  ===========================================
  IN3-1   SI      4  Set ID - IN3
  IN3-2   CX     59  Certification Number
  IN3-3   XCN    60  Certified By
  IN3-4   ID      1  Certification Required
  IN3-5   CM     10  Penalty
  IN3-6   TS     26  Certification Date/Time
  IN3-7   TS     26  Certification Modify Date/Time
  IN3-8   XCN    60  Operator
  IN3-9   DT      8  Certification Begin Date
  IN3-10  DT      8  Certification End Date
  IN3-11  CM      3  Days
  IN3-12  CE     60  Non-Concur Code/Description
  IN3-13  TS     26  Non-Concur Effective Date/Time
  IN3-14  XCN    60  Physician Reviewer
  IN3-15  ST     48  Certification Contact
  IN3-16  XTN    40  Certification Contact Phone Number
  IN3-17  CE     60  Appeal Reason
  IN3-18  CE     60  Certification Agency
  IN3-19  XTN    40  Certification Agency Phone Number
  IN3-20  CM     40  Pre-Certification Req/Window
  IN3-21  ST     48  Case Manager
  IN3-22  DT      8  Second Opinion Date
  IN3-23  IS      1  Second Opinion Status 
  IN3-24  IS      1  Second Opinion Documentation Received
  IN3-25  XCN    60  Second Opinion Physician

Notes