IN2 segment

The IN2 segment contains additional insurance policy coverage and benefit information necessary for proper billing and reimbursement. Fields used by this segment are defined by CMS or other regulatory agencies. SEQ LEN DT OPT RP/# TBL# ITEM# ELEMENT NAME 1 250 CX O Y 00472 Insured’s Employee ID 2 11 ST O 00473 Insured’s Social Security Number

The shape of one line

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 IN2-2 and its value arrives as IN2-1, so the receiver stores Insured’s Social Security Number as Insured’s Employee ID.

This page carries the IN2 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 IN2.

Every field

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

IN2-1 250 CX O Y 00472 Insured’s Employee ID 0..*

IN2-1 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

IN2-2 11 ST O 00473 Insured’s Social Security Number 0..1

IN2-3 250 XCN O Y 00474 Insured’s Employer’s Name and ID 0..*

IN2-3 is a XCN, which holds 23 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XCN.1	15	ST	O		ID Number
XCN.2	194	FN	O		Family Name
XCN.3	30	ST	O		Given Name
XCN.4	30	ST	O		Second and Further Given Names or Initials Thereof
XCN.5	20	ST	O		Suffix (e.g., JR or III)
XCN.6	20	ST	O		Prefix (e.g., DR)
XCN.7	5	IS	B	0360	Degree (e.g., MD)
XCN.8	4	IS	C	0297	Source Table
XCN.9	227	HD	O	0363	Assigning Authority
XCN.10	1	ID	O	0200	Name Type Code
XCN.11	1	ST	O		Identifier Check Digit
XCN.12	3	ID	C	0061	Check Digit Scheme
XCN.13	5	ID	O	0203	Identifier Type Code
XCN.14	227	HD	O		Assigning Facility
XCN.15	1	ID	O	0465	Name Representation Code
XCN.16	483	CE	O	0448	Name Context
XCN.17	53	DR	B		Name Validity Range
XCN.18	1	ID	O	0444	Name Assembly Order
XCN.19	26	TS	O		Effective Date
XCN.20	26	TS	O		Expiration Date
XCN.21	199	ST	O		Professional Suffix
XCN.22	705	CWE	O		Assigning Jurisdiction
XCN.23	705	CWE	O		Assigning Agency or Department

IN2-4 1 IS O 0139 00475 Employer Information Data 0..1

IN2-5 1 IS O Y 0137 00476 Mail Claim Party 0..*

IN2-6 15 ST O 00477 Medicare Health Ins Card Number 0..1

IN2-7 250 XPN O Y 00478 Medicaid Case Name 0..*

IN2-7 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

IN2-8 15 ST O 00479 Medicaid Case Number 0..1

IN2-9 250 XPN O Y 00480 Military Sponsor Name 0..*

IN2-9 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

IN2-10 20 ST O 00481 Military ID Number 0..1

IN2-11 250 CE O 0342 00482 Dependent Of Military Recipient 0..1

IN2-11 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

IN2-12 25 ST O 00483 Military Organization 0..1

IN2-13 25 ST O 00484 Military Station 0..1

IN2-14 14 IS O 0140 00485 Military Service 0..1

IN2-15 2 IS O 0141 00486 Military Rank/Grade 0..1

IN2-16 3 IS O 0142 00487 Military Status 0..1

IN2-17 8 DT O 00488 Military Retire Date 0..1

IN2-18 1 ID O 0136 00489 Military Non-Avail Cert On File 0..1

IN2-19 1 ID O 0136 00490 Baby Coverage 0..1

IN2-20 1 ID O 0136 00491 Combine Baby Bill 0..1

IN2-21 1 ST O 00492 Blood Deductible 0..1

IN2-22 250 XPN O Y 00493 Special Coverage Approval Name 0..*

IN2-22 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

IN2-23 30 ST O 00494 Special Coverage Approval Title 0..1

IN2-24 8 IS O Y 0143 00495 Non-Covered Insurance Code 0..*

IN2-25 250 CX O Y 00496 Payor ID 0..*

IN2-25 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

IN2-26 250 CX O Y 00497 Payor Subscriber ID 0..*

IN2-26 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

IN2-27 1 IS O 0144 00498 Eligibility Source 0..1

IN2-28 82 RMC O Y 00499 Room Coverage Type/Amount 0..*

IN2-28 is a RMC, which holds 4 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
RMC.1	20	IS	R	0145	Room Type
RMC.2	20	IS	O	0146	Amount Type
RMC.3	16	NM	B		Coverage Amount
RMC.4	23	MOP	R		Money or Percentage

IN2-29 56 PTA O Y 00500 Policy Type/Amount 0..*

IN2-29 is a PTA, which holds 4 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
PTA.1	5	IS	R	0147	Policy Type
PTA.2	9	IS	O	0193	Amount Class
PTA.3	16	NM	B		Money or Percentage Quantity
PTA.4	23	MOP	R		Money or Percentage

IN2-30 25 DDI O 00501 Daily Deductible 0..1

IN2-30 is a DDI, which holds 3 components separated by carets.

SEQ	LEN	DT	OPT	Component name
DDI.1	3	NM	O	Delay Days
DDI.2	16	MO	R	Monetary Amount
DDI.3	4	NM	O	Number of Days

IN2-31 2 IS O 0223 00755 Living Dependency 0..1

IN2-32 2 IS O Y 0009 00145 Ambulatory Status 0..*

IN2-33 250 CE O Y 0171 00129 Citizenship 0..*

IN2-33 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

IN2-34 250 CE O 0296 00118 Primary Language 0..1

IN2-34 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

IN2-35 2 IS O 0220 00742 Living Arrangement 0..1

IN2-36 250 CE O 0215 00743 Publicity Code 0..1

IN2-36 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

IN2-37 1 ID O 0136 00744 Protection Indicator 0..1

IN2-38 2 IS O 0231 00745 Student Indicator 0..1

IN2-39 250 CE O 0006 00120 Religion 0..1

IN2-39 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

IN2-40 250 XPN O Y 00109 Mother’s Maiden Name 0..*

IN2-40 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

IN2-41 250 CE O 0212 00739 Nationality 0..1

IN2-41 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

IN2-42 250 CE O Y 0189 00125 Ethnic Group 0..*

IN2-42 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

IN2-43 250 CE O Y 0002 00119 Marital Status 0..*

IN2-43 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

IN2-44 8 DT O 00787 Insured’s Employment Start Date 0..1

IN2-45 8 DT O 00783 Employment Stop Date 0..1

IN2-46 20 ST O 00785 Job Title 0..1

IN2-47 20 JCC O 00786 Job Code/Class 0..1

IN2-47 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

IN2-48 2 IS O 0311 00752 Job Status 0..1

IN2-49 250 XPN O Y 00789 Employer Contact Person Name 0..*

IN2-49 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

IN2-50 250 XTN O Y 00790 Employer Contact Person Phone Number 0..*

IN2-50 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

IN2-51 2 IS O 0222 00791 Employer Contact Reason 0..1

IN2-52 250 XPN O Y 00792 Insured’s Contact Person’s Name 0..*

IN2-52 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

IN2-53 250 XTN O Y 00793 Insured’s Contact Person Phone Number 0..*

IN2-53 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

IN2-54 2 IS O Y 0222 00794 Insured’s Contact Person Reason 0..*

IN2-55 8 DT O 00795 Relationship to the Patient Start Date 0..1

IN2-56 8 DT O Y 00796 Relationship to the Patient Stop Date 0..*

IN2-57 2 IS O 0232 00797 Insurance Co. Contact Reason 0..1

IN2-58 250 XTN O 00798 Insurance Co Contact Phone Number 0..1

IN2-58 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

IN2-59 2 IS O 0312 00799 Policy Scope 0..1

IN2-60 2 IS O 0313 00800 Policy Source 0..1

IN2-61 250 CX O 00801 Patient Member Number 0..1

IN2-61 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

IN2-62 250 CE O 0063 00802 Guarantor’s Relationship to Insured 0..1

IN2-62 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

IN2-63 250 XTN O Y 00803 Insured’s Phone Number - Home 0..*

IN2-63 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

IN2-64 250 XTN O Y 00804 Insured’s Employer Phone Number 0..*

IN2-64 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

IN2-65 250 CE O 0343 00805 Military Handicapped Program 0..1

IN2-65 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

IN2-66 1 ID O 0136 00806 Suspend Flag 0..1

IN2-67 1 ID O 0136 00807 Copay Limit Flag 0..1

IN2-68 1 ID O 0136 00808 Stoploss Limit Flag 0..1

IN2-69 250 XON O Y 00809 Insured Organization Name and ID 0..*

IN2-69 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

IN2-70 250 XON O Y 00810 Insured Employer Organization Name and ID 0..*

IN2-70 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

IN2-71 250 CE O Y 0005 00113 Race 0..*

IN2-71 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

IN2-72 250 CE O 0344 00811 CMS Patient’s Relationship to Insured 0..1

IN2-72 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

Message types carrying IN2

IN2 appears in 30 message structures, belonging to 21 message types.

IN2 segment

The shape of one line

Every field

Related

Message types carrying IN2