IHCEBI Interactive health insurance eligibility and benefits inquiry and
IHCEBI Interactive health insurance eligibility and benefits inquiry and
TBG10 Healthcare
The IHCEBI message is sent from institutional or individual health care providers or those providing related administrative services to a funding institution to obtain health insurance information from a patient's health plan prior to or at the time of admission or treatment.
Position
Segment
Name
Max Use
0010
Mandatory
Max 1
0020
Mandatory
Max 1
To specify the message and business function and to provide a tracking mechanism.
Segment group 1
Mandatory
Repeat 9
0040
Mandatory
Max 1
To provide specific identification number and demographic information regarding the identity of the participating parties.
0050
Conditional
Max 9
To specify the name/address and their related function, either by E082 only and/or unstructured by E058 or structured by E080 through 3207.
0060
Conditional
Max 9
To specify contact communication numbers and names.
0070
Conditional
Max 9
To identify a follow-up action that should occur.
Segment group 2
Mandatory
Repeat 1
0090
Mandatory
Max 1
To specify dates and times, related text and time references.
0100
Conditional
Max 1
To specify a type of insurance, if it is required, and the coverage, limit, and deductible amounts.
0110
Conditional
Max 9
To identify a follow-up action that should occur.
Segment group 3
Mandatory
Repeat 999
0130
Mandatory
Max 1
A segment to identify and provide information about benefit and coverage.
0140
Conditional
Max 9
A segment to provide specific information about covered benefit services, which is used to report a diagnosis to show necessity, the service or procedure being requested or provided, and service delivery instructions.
0150
Conditional
Max 1
To specify dates and times, related text and time references.
0160
Conditional
Max 9
To provide specific identification number and demographic information regarding the identity of the participating parties.
0170
Conditional
Max 9
To identify a follow-up action that should occur.
0180
Mandatory
Max 1