GT1 segment

The GT1 segment contains guarantor (e.g., the person or the organization with financial responsibility for payment of a patient account) data for patient and insurance billing applications. SEQ LEN DT OPT RP/# TBL# ITEM# ELEMENT NAME 1 4 SI R 00405 Set ID - GT1 2 250 CX O Y 00406 Guarantor Number 3 250 XPN R Y 00407 Guarantor Name

The shape of one line

required 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 GT1-3 and its value arrives as GT1-2, so the receiver stores Guarantor Name as Guarantor Number.

This page carries the GT1 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 GT1.

Every field

SEQ LEN DT OPT RP/# TBL# ITEM# Element name Cardinality

GT1-1 4 SI R 00405 Set ID - GT1 1..1

GT1-2 250 CX O Y 00406 Guarantor Number 0..*

GT1-2 is a CX, which holds 10 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CX.1	15	ST	R		ID Number
CX.2	1	ST	O		Check Digit
CX.3	3	ID	O	0061	Check Digit Scheme
CX.4	227	HD	O	0363	Assigning Authority
CX.5	5	ID	O	0203	Identifier Type Code
CX.6	227	HD	O		Assigning Facility
CX.7	8	DT	O		Effective Date
CX.8	8	DT	O		Expiration Date
CX.9	705	CWE	O		Assigning Jurisdiction
CX.10	705	CWE	O		Assigning Agency or Department

GT1-3 250 XPN R Y 00407 Guarantor Name 1..*

GT1-3 is a XPN, which holds 14 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XPN.1	194	FN	O		Family Name
XPN.2	30	ST	O		Given Name
XPN.3	30	ST	O		Second and Further Given Names or Initials Thereof
XPN.4	20	ST	O		Suffix (e.g., JR or III)
XPN.5	20	ST	O		Prefix (e.g., DR)
XPN.6	6	IS	B	0360	Degree (e.g., MD)
XPN.7	1	ID	O	0200	Name Type Code
XPN.8	1	ID	O	0465	Name Representation Code
XPN.9	483	CE	O	0448	Name Context
XPN.10	53	DR	B		Name Validity Range
XPN.11	1	ID	O	0444	Name Assembly Order
XPN.12	26	TS	O		Effective Date
XPN.13	26	TS	O		Expiration Date
XPN.14	199	ST	O		Professional Suffix

GT1-4 250 XPN O Y 00408 Guarantor Spouse Name 0..*

GT1-4 is a XPN, which holds 14 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XPN.1	194	FN	O		Family Name
XPN.2	30	ST	O		Given Name
XPN.3	30	ST	O		Second and Further Given Names or Initials Thereof
XPN.4	20	ST	O		Suffix (e.g., JR or III)
XPN.5	20	ST	O		Prefix (e.g., DR)
XPN.6	6	IS	B	0360	Degree (e.g., MD)
XPN.7	1	ID	O	0200	Name Type Code
XPN.8	1	ID	O	0465	Name Representation Code
XPN.9	483	CE	O	0448	Name Context
XPN.10	53	DR	B		Name Validity Range
XPN.11	1	ID	O	0444	Name Assembly Order
XPN.12	26	TS	O		Effective Date
XPN.13	26	TS	O		Expiration Date
XPN.14	199	ST	O		Professional Suffix

GT1-5 250 XAD O Y 00409 Guarantor Address 0..*

GT1-5 is a XAD, which holds 14 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XAD.1	184	SAD	O		Street Address
XAD.2	120	ST	O		Other Designation
XAD.3	50	ST	O		City
XAD.4	50	ST	O		State or Province
XAD.5	12	ST	O		Zip or Postal Code
XAD.6	3	ID	O	0399	Country
XAD.7	3	ID	O	0190	Address Type
XAD.8	50	ST	O		Other Geographic Designation
XAD.9	20	IS	O	0289	County/Parish Code
XAD.10	20	IS	O	0288	Census Tract
XAD.11	1	ID	O	0465	Address Representation Code
XAD.12	53	DR	B		Address Validity Range
XAD.13	26	TS	O		Effective Date
XAD.14	26	TS	O		Expiration Date

GT1-6 250 XTN O Y 00410 Guarantor Ph Num - Home 0..*

GT1-6 is a XTN, which holds 12 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XTN.1	199	ST	B		Telephone Number
XTN.2	3	ID	O	0201	Telecommunication Use Code
XTN.3	8	ID	O	0202	Telecommunication Equipment Type
XTN.4	199	ST	O		Email Address
XTN.5	3	NM	O		Country Code
XTN.6	5	NM	O		Area/City Code
XTN.7	9	NM	O		Local Number
XTN.8	5	NM	O		Extension
XTN.9	199	ST	O		Any Text
XTN.10	4	ST	O		Extension Prefix
XTN.11	6	ST	O		Speed Dial Code
XTN.12	199	ST	C		Unformatted Telephone number

GT1-7 250 XTN O Y 00411 Guarantor Ph Num - Business 0..*

GT1-7 is a XTN, which holds 12 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XTN.1	199	ST	B		Telephone Number
XTN.2	3	ID	O	0201	Telecommunication Use Code
XTN.3	8	ID	O	0202	Telecommunication Equipment Type
XTN.4	199	ST	O		Email Address
XTN.5	3	NM	O		Country Code
XTN.6	5	NM	O		Area/City Code
XTN.7	9	NM	O		Local Number
XTN.8	5	NM	O		Extension
XTN.9	199	ST	O		Any Text
XTN.10	4	ST	O		Extension Prefix
XTN.11	6	ST	O		Speed Dial Code
XTN.12	199	ST	C		Unformatted Telephone number

GT1-8 26 TS O 00412 Guarantor Date/Time Of Birth 0..1

GT1-8 is a TS, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
TS.1	24	DTM	R		Time
TS.2	1	ID	B	0529	Degree of Precision

GT1-9 1 IS O 0001 00413 Guarantor Administrative Sex 0..1

GT1-10 2 IS O 0068 00414 Guarantor Type 0..1

GT1-11 250 CE O 0063 00415 Guarantor Relationship 0..1

GT1-11 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-12 11 ST O 00416 Guarantor SSN 0..1

GT1-13 8 DT O 00417 Guarantor Date - Begin 0..1

GT1-14 8 DT O 00418 Guarantor Date - End 0..1

GT1-15 2 NM O 00419 Guarantor Priority 0..1

GT1-16 250 XPN O Y 00420 Guarantor Employer Name 0..*

GT1-16 is a XPN, which holds 14 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XPN.1	194	FN	O		Family Name
XPN.2	30	ST	O		Given Name
XPN.3	30	ST	O		Second and Further Given Names or Initials Thereof
XPN.4	20	ST	O		Suffix (e.g., JR or III)
XPN.5	20	ST	O		Prefix (e.g., DR)
XPN.6	6	IS	B	0360	Degree (e.g., MD)
XPN.7	1	ID	O	0200	Name Type Code
XPN.8	1	ID	O	0465	Name Representation Code
XPN.9	483	CE	O	0448	Name Context
XPN.10	53	DR	B		Name Validity Range
XPN.11	1	ID	O	0444	Name Assembly Order
XPN.12	26	TS	O		Effective Date
XPN.13	26	TS	O		Expiration Date
XPN.14	199	ST	O		Professional Suffix

GT1-17 250 XAD O Y 00421 Guarantor Employer Address 0..*

GT1-17 is a XAD, which holds 14 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XAD.1	184	SAD	O		Street Address
XAD.2	120	ST	O		Other Designation
XAD.3	50	ST	O		City
XAD.4	50	ST	O		State or Province
XAD.5	12	ST	O		Zip or Postal Code
XAD.6	3	ID	O	0399	Country
XAD.7	3	ID	O	0190	Address Type
XAD.8	50	ST	O		Other Geographic Designation
XAD.9	20	IS	O	0289	County/Parish Code
XAD.10	20	IS	O	0288	Census Tract
XAD.11	1	ID	O	0465	Address Representation Code
XAD.12	53	DR	B		Address Validity Range
XAD.13	26	TS	O		Effective Date
XAD.14	26	TS	O		Expiration Date

GT1-18 250 XTN O Y 00422 Guarantor Employer Phone Number 0..*

GT1-18 is a XTN, which holds 12 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XTN.1	199	ST	B		Telephone Number
XTN.2	3	ID	O	0201	Telecommunication Use Code
XTN.3	8	ID	O	0202	Telecommunication Equipment Type
XTN.4	199	ST	O		Email Address
XTN.5	3	NM	O		Country Code
XTN.6	5	NM	O		Area/City Code
XTN.7	9	NM	O		Local Number
XTN.8	5	NM	O		Extension
XTN.9	199	ST	O		Any Text
XTN.10	4	ST	O		Extension Prefix
XTN.11	6	ST	O		Speed Dial Code
XTN.12	199	ST	C		Unformatted Telephone number

GT1-19 250 CX O Y 00423 Guarantor Employee ID Number 0..*

GT1-19 is a CX, which holds 10 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CX.1	15	ST	R		ID Number
CX.2	1	ST	O		Check Digit
CX.3	3	ID	O	0061	Check Digit Scheme
CX.4	227	HD	O	0363	Assigning Authority
CX.5	5	ID	O	0203	Identifier Type Code
CX.6	227	HD	O		Assigning Facility
CX.7	8	DT	O		Effective Date
CX.8	8	DT	O		Expiration Date
CX.9	705	CWE	O		Assigning Jurisdiction
CX.10	705	CWE	O		Assigning Agency or Department

GT1-20 2 IS O 0066 00424 Guarantor Employment Status 0..1

GT1-21 250 XON O Y 00425 Guarantor Organization Name 0..*

GT1-21 is a XON, which holds 10 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XON.1	50	ST	O		Organization Name
XON.2	20	IS	O	0204	Organization Name Type Code
XON.3	4	NM	B		ID Number
XON.4	1	NM	O		Check Digit
XON.5	3	ID	O	0061	Check Digit Scheme
XON.6	227	HD	O	0363	Assigning Authority
XON.7	5	ID	O	0203	Identifier Type Code
XON.8	227	HD	O		Assigning Facility
XON.9	1	ID	O	0465	Name Representation Code
XON.10	20	ST	O		Organization Identifier

GT1-22 1 ID O 0136 00773 Guarantor Billing Hold Flag 0..1

GT1-23 250 CE O 0341 00774 Guarantor Credit Rating Code 0..1

GT1-23 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-24 26 TS O 00775 Guarantor Death Date And Time 0..1

GT1-24 is a TS, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
TS.1	24	DTM	R		Time
TS.2	1	ID	B	0529	Degree of Precision

GT1-25 1 ID O 0136 00776 Guarantor Death Flag 0..1

GT1-26 250 CE O 0218 00777 Guarantor Charge Adjustment Code 0..1

GT1-26 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-27 10 CP O 00778 Guarantor Household Annual Income 0..1

GT1-27 is a CP, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CP.1	20	MO	R		Price
CP.2	2	ID	O	0205	Price Type
CP.3	16	NM	O		From Value
CP.4	16	NM	O		To Value
CP.5	483	CE	O		Range Units
CP.6	1	ID	O	0298	Range Type

GT1-28 3 NM O 00779 Guarantor Household Size 0..1

GT1-29 250 CX O Y 00780 Guarantor Employer ID Number 0..*

GT1-29 is a CX, which holds 10 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CX.1	15	ST	R		ID Number
CX.2	1	ST	O		Check Digit
CX.3	3	ID	O	0061	Check Digit Scheme
CX.4	227	HD	O	0363	Assigning Authority
CX.5	5	ID	O	0203	Identifier Type Code
CX.6	227	HD	O		Assigning Facility
CX.7	8	DT	O		Effective Date
CX.8	8	DT	O		Expiration Date
CX.9	705	CWE	O		Assigning Jurisdiction
CX.10	705	CWE	O		Assigning Agency or Department

GT1-30 250 CE O 0002 00781 Guarantor Marital Status Code 0..1

GT1-30 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-31 8 DT O 00782 Guarantor Hire Effective Date 0..1

GT1-32 8 DT O 00783 Employment Stop Date 0..1

GT1-33 2 IS O 0223 00755 Living Dependency 0..1

GT1-34 2 IS O Y 0009 00145 Ambulatory Status 0..*

GT1-35 250 CE O Y 0171 00129 Citizenship 0..*

GT1-35 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-36 250 CE O 0296 00118 Primary Language 0..1

GT1-36 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-37 2 IS O 0220 00742 Living Arrangement 0..1

GT1-38 250 CE O 0215 00743 Publicity Code 0..1

GT1-38 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-39 1 ID O 0136 00744 Protection Indicator 0..1

GT1-40 2 IS O 0231 00745 Student Indicator 0..1

GT1-41 250 CE O 0006 00120 Religion 0..1

GT1-41 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-42 250 XPN O Y 00109 Mother’s Maiden Name 0..*

GT1-42 is a XPN, which holds 14 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XPN.1	194	FN	O		Family Name
XPN.2	30	ST	O		Given Name
XPN.3	30	ST	O		Second and Further Given Names or Initials Thereof
XPN.4	20	ST	O		Suffix (e.g., JR or III)
XPN.5	20	ST	O		Prefix (e.g., DR)
XPN.6	6	IS	B	0360	Degree (e.g., MD)
XPN.7	1	ID	O	0200	Name Type Code
XPN.8	1	ID	O	0465	Name Representation Code
XPN.9	483	CE	O	0448	Name Context
XPN.10	53	DR	B		Name Validity Range
XPN.11	1	ID	O	0444	Name Assembly Order
XPN.12	26	TS	O		Effective Date
XPN.13	26	TS	O		Expiration Date
XPN.14	199	ST	O		Professional Suffix

GT1-43 250 CE O 0212 00739 Nationality 0..1

GT1-43 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-44 250 CE O Y 0189 00125 Ethnic Group 0..*

GT1-44 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-45 250 XPN O Y 00748 Contact Person’s Name 0..*

GT1-45 is a XPN, which holds 14 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XPN.1	194	FN	O		Family Name
XPN.2	30	ST	O		Given Name
XPN.3	30	ST	O		Second and Further Given Names or Initials Thereof
XPN.4	20	ST	O		Suffix (e.g., JR or III)
XPN.5	20	ST	O		Prefix (e.g., DR)
XPN.6	6	IS	B	0360	Degree (e.g., MD)
XPN.7	1	ID	O	0200	Name Type Code
XPN.8	1	ID	O	0465	Name Representation Code
XPN.9	483	CE	O	0448	Name Context
XPN.10	53	DR	B		Name Validity Range
XPN.11	1	ID	O	0444	Name Assembly Order
XPN.12	26	TS	O		Effective Date
XPN.13	26	TS	O		Expiration Date
XPN.14	199	ST	O		Professional Suffix

GT1-46 250 XTN O Y 00749 Contact Person’s Telephone Number 0..*

GT1-46 is a XTN, which holds 12 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XTN.1	199	ST	B		Telephone Number
XTN.2	3	ID	O	0201	Telecommunication Use Code
XTN.3	8	ID	O	0202	Telecommunication Equipment Type
XTN.4	199	ST	O		Email Address
XTN.5	3	NM	O		Country Code
XTN.6	5	NM	O		Area/City Code
XTN.7	9	NM	O		Local Number
XTN.8	5	NM	O		Extension
XTN.9	199	ST	O		Any Text
XTN.10	4	ST	O		Extension Prefix
XTN.11	6	ST	O		Speed Dial Code
XTN.12	199	ST	C		Unformatted Telephone number

GT1-47 250 CE O 0222 00747 Contact Reason 0..1

GT1-47 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-48 3 IS O 0063 00784 Contact Relationship 0..1

GT1-49 20 ST O 00785 Job Title 0..1

GT1-50 20 JCC O 00786 Job Code/Class 0..1

GT1-50 is a JCC, which holds 3 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
JCC.1	20	IS	O	0327	Job Code
JCC.2	20	IS	O	0328	Job Class
JCC.3	250	TX	O		Job Description Text

GT1-51 250 XON O Y 01299 Guarantor Employer’s Organization Name 0..*

GT1-51 is a XON, which holds 10 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XON.1	50	ST	O		Organization Name
XON.2	20	IS	O	0204	Organization Name Type Code
XON.3	4	NM	B		ID Number
XON.4	1	NM	O		Check Digit
XON.5	3	ID	O	0061	Check Digit Scheme
XON.6	227	HD	O	0363	Assigning Authority
XON.7	5	ID	O	0203	Identifier Type Code
XON.8	227	HD	O		Assigning Facility
XON.9	1	ID	O	0465	Name Representation Code
XON.10	20	ST	O		Organization Identifier

GT1-52 2 IS O 0295 00753 Handicap 0..1

GT1-53 2 IS O 0311 00752 Job Status 0..1

GT1-54 50 FC O 01231 Guarantor Financial Class 0..1

GT1-54 is a FC, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
FC.1	20	IS	R	0064	Financial Class Code
FC.2	26	TS	O		Effective Date

GT1-55 250 CE O Y 0005 01291 Guarantor Race 0..*

GT1-55 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

GT1-56 250 ST O 01851 Guarantor Birth Place 0..1

GT1-57 2 IS O 0099 00146 VIP Indicator 0..1

Message types carrying GT1

GT1 appears in 32 message structures, belonging to 23 message types.

GT1 segment

The shape of one line

Every field

Related

Message types carrying GT1