The SGIN2 Business Object is a representation of the HL7 V2.4 SGIN2 segment.
The generic SGIN2 business object is a hierarchical business object. Each of its attributes is either an HL7 datatype business object or a native type.
SGIN2 includes the following attributes:
Name | Type | Key | Cardinality | Comment |
---|---|---|---|---|
Insureds_Employee_ID | DTCX | TRUE | n | contains the employee ID of the insured |
Insureds_Social_Security_Number | String | FALSE | 1 | |
Insureds_Employers_Name_And_ID | DTXCN | FALSE | n | "contains the name and ID of the insured's employer or the person who purchased the insurance for the insured |
Employer_Information_Data | String | FALSE | 1 | contains the required employer information data for UB82 form locator 71. Refer to User-defined Table 0139 - Employer information data |
Mail_Claim_Party | DTArray_IS | FALSE | n | contains the party to which the claim should be mailed. Refer to User-defined Table 0137 - Mail claim party |
Medicare_Health_Ins_Card_Number | String | FALSE | 1 | contains the Medicare Health Insurance Number (HIN) |
Medicaid_Case_Name | DTXPN | FALSE | n | contains the Medicaid case name |
Medicaid_Case_Number | String | FALSE | 1 | contains the Medicaid case number |
Military_Sponsor_Name | DTXPN | FALSE | n | defined by HCFA or other regulatory agencies |
Military_ID_Number | String | FALSE | 1 | contains the military ID number |
Dependent_Of_Military_Recipient | DTCE | FALSE | 1 | defined by HCFA or other regulatory agencies. Refer to User-defined Table 0342 - Military recipient |
Military_Organization | String | FALSE | 1 | defined by HCFA or other regulatory agencies |
Military_Station | String | FALSE | 1 | defined by HCFA or other regulatory agencies |
Military_Service | String | FALSE | 1 | refers to the military branch of service. Refer to User-defined Table 0140 - Military service |
Military_Rank_Grade | String | FALSE | 1 | military rank/grade of the insured. Refer to User-defined Table 0141 - Military rank/grade |
Military_Status | String | FALSE | 1 | Refer to User-defined Table 0142 - Military status |
Military_Retire_Date | String | FALSE | 1 | defined by HCFA or other regulatory agencies |
Military_Non_Avail_Cert_On_File | String | FALSE | 1 | Refer to HL7 table 0136 - Yes/no indicator |
Baby_Coverage | String | FALSE | 1 | Refer to HL7 table 0136 - Yes/no indicator |
Combine_Baby_Bill | String | FALSE | 1 | Refer to HL7 table 0136 - Yes/no indicator |
Blood_Deductible | String | FALSE | 1 | "Use this field instead of UB1-2 - blood deductible |
Special_Coverage_Approval_Name | DTXPN | FALSE | n | contains the name of the individual who approves any special coverage |
Special_Coverage_Approval_Title | String | FALSE | 1 | contains the title of the person who approves special coverage |
Non_Covered_Insurance_Code | DTArray_IS | FALSE | n | contains the code that describes why a service is not covered. Refer to User-defined Table 0143 - Non-covered insurance code |
Payor_ID | DTCX | FALSE | n | "In the US this field is required for ENVOY Corporation (a US claims clearing house) processing |
Payor_Subscriber_ID | DTCX | FALSE | n | "In the US this field is required for ENVOY Corporation processing |
Eligibility_Source | String | FALSE | 1 | "In the US this field is required for ENVOY Corporation processing |
Room_Coverage_Type_Amount | DTCM_RC | FALSE | n | Use this field instead of IN1-40 - room rate-semi-private and IN1-41 - room rate-private |
Policy_Type_Amount | DTCM_PT | FALSE | n | "contains the policy type (e.g. |
Daily_Deductible | DTCM_DD | FALSE | 1 | "contains the number of days after which the daily deductible begins |
Living_Dependency | String | FALSE | 1 | identifies the specific living conditions for the insured. Refer to User-defined Table 0223 - Living dependency |
Ambulatory_Status | DTArray_IS | FALSE | n | field identifies the insured's state of mobility. Refer to User-defined Table 0009 - Ambulatory status |
Citizenship | DTCE | FALSE | n | contains the code that identifies the insured's citizenship. HL7 recommends using ISO table 3166 as the suggested values in User-defined Table 0171 - Citizenship |
Primary_Language | DTCE | FALSE | 1 | identifies the insured's primary speaking language. HL7 recommends using ISO table 639 as the suggested values in User-defined Table 0296 - Primary language |
Living_Arrangement | String | FALSE | 1 | indicates the situation in which the insured person lives at his primary residence. Refer to User-defined Table 0220 - Living arrangement |
Publicity_Code | DTCE | FALSE | 1 | "contains a user-defined code indicating what level of publicity is allowed (e.g. |
Protection_Indicator | String | FALSE | 1 | identifies the insured's protection. Refer to HL7 table 0136 - Yes/no indicator |
Student_Indicator | String | FALSE | 1 | "identifies whether the insured is currently a student or not |
Religion | DTCE | FALSE | 1 | indicates the type of religion practiced by the insured. Refer to User-defined Table 0006 - Religion |
Mothers_Maiden_Name | DTXPN | FALSE | n | indicates the insured's mother's maiden name |
Nationality | DTCE | FALSE | 1 | contains a code that identifies the nation or national grouping to which the insured person belongs. refer User-defined Table 0212 - Nationality |
Ethnic_Group | DTCE | FALSE | n | field indicates the insured's ethnic group. Refer to User-defined Table 0189 - Ethnic group |
Marital_Status | DTCE | FALSE | n | contains the insured's marital status. Refer to User-defined Table 0002 - Marital status |
Insureds_Employment_Start_Date | String | FALSE | 1 | indicates the date on which the insured's employment with a particular employer began. |
Employment_Stop_Date | String | FALSE | 1 | indicates the date on which the person's employment with a particular employer ended. |
Job_Title | String | FALSE | 1 | contains a descriptive name for the insured's occupation |
Job_Code_Class | DTJCC | FALSE | 1 | indicates a code that identifies the insured's job code. Refer to User-defined Tables 0327 - Job code and 0328 - Employee classification |
Job_Status | String | FALSE | 1 | indicates a code that identifies the insured's current job status. Refer to User-defined Table 0311 - Job status |
Employer_Contact_Person_Name | DTXPN | FALSE | n | name of the contact person that should be contacted at the insured's place of employment |
Employer_Contact_Person_Phone_Number | DTXTN | FALSE | n | |
Employer_Contact_Reason | String | FALSE | 1 | "contains the reason(s) that Sue Jones should be contacted on behalf of Joe Smith |
Insureds_Contact_Persons_Name | DTXPN | FALSE | n | contains the contact person for the insured |
Insureds_Contact_Person_Phone_Number | DTXTN | FALSE | n | |
Insureds_Contact_Person_Reason | DTArray_IS | FALSE | n | contains the reason(s) the person should be contacted regarding the insured. Refer to User-defined Table 0222 - Contact reason |
Relationship_To_The_Patient_Start_Date | String | FALSE | 1 | indicates the date on which the insured's patient relationship (defined in IN1-17 - insured's relationship to patient) became effective |
Relationship_To_The_Patient_Stop_Date | String | FALSE | 1 | indicates the date after which the relationship (defined in IN1-17 - insured's relationship to patient) is no longer effective |
Insurance_Co_Contact_Reason | String | FALSE | 1 | contains a user-defined code that specifies how the contact should be used. Refer to User-defined Table 0232 - Insurance company contact reason |
Insurance_Co_Contact_Phone_Number | DTXTN | FALSE | 1 | |
Policy_Scope | String | FALSE | 1 | "contains a user-defined code designating the extent of the coverage for a participating member (e.g. |
Policy_Source | String | FALSE | 1 | user-defined field identifies how the policy information got established. Refer to User-defined Table 0313 - Policy source |
Patient_Member_Number | DTCX | FALSE | 1 | contains an identifying number assigned by the payor for each individual covered by the insurance policy issued to the insured |
Guarantors_Relationship_To_Insured | DTCE | FALSE | 1 | specifies the relationship of the guarantor to the insurance subscriber. Refer to User-defined Table 0063 - Relationship |
Insureds_Phone_Number_Home | DTXTN | FALSE | n | represents the insured's telephone number |
Insureds_Employer_Phone_Number | DTXTN | FALSE | n | represents the insured's employer's telephone number |
Military_Handicapped_Program | DTCE | FALSE | 1 | indicates the military program for the handicapped in which the patient is enrolled. Refer to User-defined Table 0343 - Military handicapped program code |
Suspend_Flag | String | FALSE | 1 | indicates whether charges should be suspended for a patient. Refer to HL7 table 0136 - Yes/no indicator |
Copay_Limit_Flag | String | FALSE | 1 | indicates if the patient has reached the co-pay limit so that no more co-pay charges should be calculated for the patient. Refer to HL7 table 0136 - Yes/no indicator |
Stoploss_Limit_Flag | String | FALSE | 1 | indicates if the patient has reached the stoploss limit established in the Contract Master. Refer to HL7 table 0136 - Yes/no indicator |
Insured_Organization_Name_And_ID | DTXON | FALSE | n | indicates the name of the insured if the insured/subscriber is an organization |
Insured_Employer_Organization_Name_And_ID | DTXON | FALSE | n | "indicates the name of the insured's employer |
Race | DTCE | FALSE | n | Refer to User-defined Table 0005 - Race |
HCFA_Patients_Relationship_To_Insured | DTCE | FALSE | 1 | indicates the relationship of the patient to the insured. Refer to User-defined Table 0344 - Patient's relationship to insured |
ObjectEventId | String | FALSE | 1 |
The generic SGIN2 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: