HL7 v2.5.1 Specificationsv2.5.1

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AUT segment

This segment represents an authorization or a pre-authorization for a referred procedure or requested service by the payor covering the patient’s health care. 11.6.2.0 AUT - Field Definitions 11.6.2.1 AUT-1 Authorizing Payor, Plan ID (CE) 01146 Definition: This field contains the ID of the coverage plan authorizing treatment. Values should be entries in a locally-defined table of plan codes. User defined Table 0072- Insurance plan ID is used as the HL7

The shape of one line

segmentAUT|AUT-1Authorizing Payor, Plan ID|AUT-2Authorizing Payor, Company ID|AUT-3Authorizing Payor, Company Name|AUT-4Authorization Effective…|AUT-5Authorization Expiration…|AUT-6Authorization Identifier|AUT-7Reimbursement Limit|AUT-8Requested Number of…|AUT-9Authorized Number of…|AUT-10Process Date

required required in some cases optional

Count the pipes to find a field, and count the empty ones too: an empty field still holds its place. Leave out the separator before AUT-2 and its value arrives as AUT-1, so the receiver stores Authorizing Payor as Authorizing Payor.

This page carries the AUT field table as published and nothing beyond it. The field notes, vendor behaviour, FHIR mapping and parsing guidance that thePID page has are still to be written for AUT.

Every field

SEQLENDTOPTRP/#TBL#ITEM#Element nameCardinality
250CEO007201146Authorizing Payor, Plan ID0..1

AUT-1 is a CE, which holds 6 components separated by carets.

SEQLENDTOPTTBL#Component name
CE.120STOIdentifier
CE.2199STOText
CE.320IDO0396Name of Coding System
CE.420STOAlternate Identifier
CE.5199STOAlternate Text
CE.620IDO0396Name of Alternate Coding System
250CER028501147Authorizing Payor, Company ID1..1

AUT-2 is a CE, which holds 6 components separated by carets.

SEQLENDTOPTTBL#Component name
CE.120STOIdentifier
CE.2199STOText
CE.320IDO0396Name of Coding System
CE.420STOAlternate Identifier
CE.5199STOAlternate Text
CE.620IDO0396Name of Alternate Coding System
AUT-345STO01148Authorizing Payor, Company Name0..1
26TSO01149Authorization Effective Date0..1

AUT-4 is a TS, which holds 2 components separated by carets.

SEQLENDTOPTTBL#Component name
TS.124DTMRTime
TS.21IDB0529Degree of Precision
26TSO01150Authorization Expiration Date0..1

AUT-5 is a TS, which holds 2 components separated by carets.

SEQLENDTOPTTBL#Component name
TS.124DTMRTime
TS.21IDB0529Degree of Precision
30EIC01151Authorization Identifier0..1

AUT-6 is a EI, which holds 4 components separated by carets.

SEQLENDTOPTTBL#Component name
EI.1199STOEntity Identifier
EI.220ISO0363Namespace ID
EI.3199STCUniversal ID
EI.46IDC0301Universal ID Type
25CPO01152Reimbursement Limit0..1

AUT-7 is a CP, which holds 6 components separated by carets.

SEQLENDTOPTTBL#Component name
CP.120MORPrice
CP.22IDO0205Price Type
CP.316NMOFrom Value
CP.416NMOTo Value
CP.5483CEORange Units
CP.61IDO0298Range Type
AUT-82NMO01153Requested Number of Treatments0..1
AUT-92NMO01154Authorized Number of Treatments0..1
26TSO01145Process Date0..1

AUT-10 is a TS, which holds 2 components separated by carets.

SEQLENDTOPTTBL#Component name
TS.124DTMRTime
TS.21IDB0529Degree of Precision

Message types carrying AUT

AUT appears in 4 message structures, belonging to 4 message types.