The SGIN1 Business Object is a representation of the HL7 V2.4 SGIN1 segment.
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:
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 |
The generic SGIN1 business object supports the following verbs:
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.
For more information on related business objects, see the following documents: