Generic SGIN1 Business Object

The SGIN1 Business Object is a representation of the HL7 V2.4 SGIN1 segment.

Business object structure

The generic SGIN1 business object is a hierarchical business object. Each of its attributes is either an HL7 datatype business object or a native type.

SGIN1 includes the following attributes:  

Business object attributes
Name Type Key Cardinality Comment
Set_ID_IN1 String TRUE 1 the number that identifies this transaction
Insurance_Plan_ID DTCE FALSE 1 the number that identifies this transaction
Insurance_Company_ID DTCX FALSE n unique identifiers for the insurance company
Insurance_Company_Name DTXON FALSE n
Insurance_Company_Address DTXAD FALSE n
Insurance_Co_Contact_Person DTXPN FALSE n name of the person who should be contacted at the insurance company
Insurance_Co_Phone_Number DTXTN FALSE n
Group_Number String FALSE 1 group number of the insured's insurance
Group_Name DTXON FALSE n group name of the insured's insurance
Insureds_Group_Emp_ID DTCX FALSE n group employer ID for the insured's insurance
Insureds_Group_Emp_Name DTXON FALSE n name of the employer that provides the employee's insurance
Plan_Effective_Date String FALSE 1 date that the insurance goes into effect
Plan_Expiration_Date String FALSE 1 last date of service that the insurance will cover
Authorization_Information DTCM_IN1 FALSE 1 date and source of authorization are the components of this field
Plan_Type String FALSE 1 "coding structure that identifies the various plan types
Name_Of_Insured DTXPN FALSE n name of the insured person
Insureds_Relationship_To_Patient DTCE FALSE 1 insured's relationship to the patient
Insureds_Date_Of_Birth DTTS FALSE 1
Insureds_Address DTXAD FALSE n
Assignment_Of_Benefits String FALSE 1 indicates whether the insured agreed to assign the insurance benefits to the healthcare provider
Coordination_Of_Benefits String FALSE 1 "indicates whether this insurance works in conjunction with other insurance plans
Coord_Of_Ben_Priority String FALSE 1 "insurance works in conjunction with other insurance plans
Notice_Of_Admission_Flag String FALSE 1 indicates whether the insurance company requires a written notice of admission from the healthcare provider
Notice_Of_Admission_Date String FALSE 1 "If a notice is required
Report_Of_Eligibility_Flag String FALSE 1 indicates whether this insurance carrier sends a report that indicates that the patient is eligible for benefits and whether it identifies those benefits
Report_Of_Eligibility_Date String FALSE 1 "indicates whether a report of eligibility (ROE) was received
Release_Information_Code String FALSE 1 "indicates whether the healthcare provider can release information about the patient
Pre_Admit_Cert String FALSE 1 pre admission certification code
Verification_Date_Time DTTS FALSE 1 date/time that the healthcare provider verified that the patient has the indicated benefits
Verification_By DTXCN FALSE n person who verified the benefits
Type_Of_Agreement_Code String FALSE 1 used to further identify an insurance plan
Billing_Status String FALSE 1 "indicates whether the particular insurance has been billed and
Lifetime_Reserve_Days Float FALSE 1 of days left for a certain service to be provided or covered under an insurance policy
Delay_Before_LR_Day Float FALSE 1 indicates the delay before lifetime reserve days
Company_Plan_Code String FALSE 1 contains optional information to further define the data in IN1-3 - insurance company ID. Refer to User-defined Table 0042 - Company plan code
Policy_Number String FALSE 1 contains the individual policy number of the insured to uniquely identify this patient's plan
Policy_Deductible DTCP FALSE 1 amount specified by the insurance plan that is the responsibility of the guarantor
Policy_Limit_Amount DTCP FALSE 1 retained for backward compatibility only. Use IN2-29 policy type/amount instead of this field
Policy_Limit_Days Float FALSE 1 maximum number of days that the insurance policy will cover
Room_Rate_Semi_Private DTCP FALSE 1 retained for backward compatibility only. Use IN2-28 - room coverage type/amount instead
Room_Rate_Private DTCP FALSE 1 retained for backward compatibility only. Use IN2-28 - room coverage type/amount instead of this field
Insureds_Employment_Status DTCE FALSE 1 employment status of the insured. Refer to User-defined Table 0066 - Employment status
InsuredS_Administrative_Sex String FALSE 1 gender of the insured. Refer to User-defined Table 0001 - Administrative sex
Insureds_Employers_Address DTXAD FALSE n address of the insured employee's employer
Verification_Status String FALSE 1 status of this patient's relationship with this insurance carrier
Prior_Insurance_Plan_ID String FALSE 1 uniquely identifies the prior insurance plan when the plan ID changes. Refer to User-defined Table 0072 - Insurance plan ID
Coverage_Type String FALSE 1 contains the coding structure that identifies the type of insurance coverage. Refer to User-defined Table 0309 - Coverage type
Handicap String FALSE 1 contains a code to describe the insured's disability. Refer to User-defined Table 0295 - Handicap
Insureds_ID_Number DTCX FALSE n contains a healthcare institution's identifiers for the insured
ObjectEventId String FALSE 1

Supported verbs

The generic SGIN1 business object supports the following verbs:

Examining the object

To examine a listing of the attributes of the generic business object, use IBM WebSphere Interchange Server System Manager or IBM WebSphere Interchange Server Business Object Designer.

Related reference

For more information on related business objects, see the following documents:

  • Generic DTCE Business Object
  • Generic DTCX Business Object
  • Generic DTXON Business Object
  • Generic DTXAD Business Object
  • Generic DTXPN Business Object
  • Generic DTXTN Business Object
  • Generic DTCM_IN1 Business Object
  • Generic DTTS Business Object
  • Generic DTXCN Business Object
  • Generic DTCP Business Object
  • Copyright IBM Corp. 2002, 2003