Table : Authorisation Information Sub Components Sub Component Type Notes <authorisation number> ST The number or code issued by the insurance company giving authorisation. <date> DT The date, if known, on which the authorisation was issued. <source> ST The insurance company issuing the authorisation number. IN1-16 - Name of Insured, (XPN) This field contains the name of the insured person. The insured is the person who has an agreement with the insurance company to provide health care services to persons covered by the insurance policy. Multiple names for the same insured person may be sent in this field. The legal name is assumed to be in the first repetition. When the legal name is not sent, a repeat delimiter must be sent first for the first repetition. IN1-17 - Insured's Relationship to Patient, (CE) This field indicates the insured's relationship to the patient. Table : User Defined Table 99NZREL - Relationship Value Description 01 Mother 02 Father 03 Sister 04 Brother 05 Son 06 Daughter 07 Uncle 08 Aunt 09 Nephew 10 Niece 11 Cousin 12 Grandfather 13 Grandmother 14 Employer
Table : Authorisation Information Sub Components Sub Component Type Notes <authorisation number> ST The number or code issued by the insurance company giving authorisation. <date> DT The date, if known, on which the authorisation was issued. <source> ST The insurance company issuing the authorisation number. IN1-16 - Name of Insured, (XPN) This field contains the name of the insured person. The insured is the person who has an agreement with the insurance company to provide health care services to persons covered by the insurance policy. Multiple names for the same insured person may be sent in this field. The legal name is assumed to be in the first repetition. When the legal name is not sent, a repeat delimiter must be sent first for the first repetition. IN1-17 - Insured's Relationship to Patient, (CE) This field indicates the insured's relationship to the patient. Table : User Defined Table 99NZREL - Relationship Value Description 01 Mother 02 Father 03 Sister 04 Brother 05 Son 06 Daughter 07 Uncle 08 Aunt 09 Nephew 10 Niece 11 Cousin 12 Grandfather 13 Grandmother 14 Employer