# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | transaction number(+) | 0;1 | NUMERIC | B | This field is a sequential number used to uniquely identify a record when creating an entry in this file. | |
.02 | patient | 0;2 | POINTER | 2 | E | This is the patient who needs to have insurance identification or verification performed. |
.03 | payer | 0;3 | POINTER | 365.12 | F | This is the Payer to whom the insurance identification or verification is to be submitted to. |
.04 | transmission status | 0;4 | POINTER | 365.14 | AC | This is the current status of a transmission record. |
.05 | buffer entry | 0;5 | POINTER | 355.33 | D | This field will be populated if either the transmission record was created from a buffer entry or if a problem exists with the transmission record, a buffer entry will be created. |
.06 | date/time created | 0;6 | DATE-TIME | AE | This is the date and time that the transmission record was created. | |
.07 | no. of transmissions | 0;7 | NUMERIC | This field is a count of how many HL7 messages have been generated and transmitted. | ||
.08 | no. of retries | 0;8 | NUMERIC | This field contains the number of retry messages that have been created an re-transmitted. | ||
.09 | date of future transmission | 0;9 | DATE-TIME | This field contains the date that if the transmission record status is "hold" that the record should be resent. | ||
.1 | which extract | 0;10 | SET OF CODES | 1:Buffer 2:Appt 3:Non-verified 4:No Insurance | This field identifies which data extract that the transmission record was generated from. | |
.11 | query flag | 0;11 | SET OF CODES | I:Identification V:Verification | This field identifies whether the transmission record is an identification or a verification record. Identification records will be checked against the National Insurance Cache to identify any insurance. | |
.12 | service date | 0;12 | DATE-TIME | This is the date that was determined by the system to submit to the Payer as the date that service was performed. | ||
.13 | insur record ien | 0;13 | NUMERIC | This field is the IEN of the insurance record which the data extract used to determine that a valid payer record was to be placed in the Transmission Queue file. This is used to help retrieve important information for the HL7 message. | ||
.14 | override freshness flag | 0;14 | BOOLEAN | 1:YES 0:NO | The presence of this flag will alert the process that electronically transmits the insurance verification request, that this entry should get transmitted to the Payer - bypassing the National Insurance Cache. This is regardless of the freshness date or of any other data elements. | |
.15 | status date | 0;15 | DATE-TIME | This is the date/time that the status field was changed. | ||
.16 | hl7 subscriber id field | 0;16 | FREE TEXT | This is the data that will be used to populate the Subscriber ID field in the HL7 message for the electronic Insurance Identification and Verification project. | ||
.17 | freshness date | 0;17 | DATE-TIME | |||
.18 | pass buffer? | 0;18 | BOOLEAN | 1:Yes 0:No | This field is a flag on whether to pass the Buffer IEN on to the Response file. | |
.19 | hl7 patient id field | 0;19 | FREE TEXT | This is the data that will be used to populate the Patient ID field in the HL7 message for the outbound 270 inquiry to Austin. | ||
.2 | service type code | 0;20 | POINTER | 365.013 | Service Type code to be sent with eIV insurance inquiry. | |
1.02 | original insur co name | 1;2 | FREE TEXT | If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation. | ||
1.03 | original group number | 1;3 | FREE TEXT | If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation. | ||
1.04 | original group name | 1;4 | FREE TEXT | If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation. | ||
1.05 | original subscriber id | 1;5 | FREE TEXT | If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation. | ||
2 | hl7 messages | 2;0 | MULTIPLE | 365.16 | This is a record of all HL7 messages generated for a transmission record. | |
3.01 | manual request date/time | 3;1 | DATE-TIME | The date and time a service type inquiry was triggered from the option, Request Electronic Inquiry. |