GT1

GUARANTOR

...

The GT1 segment contains guarantor (e.g., person with financial responsibility for payment of a patient account) data for patient and insurance billing applications.

Figure 6-4 GT1 attributes

RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler

		C.Len						Element		v2.1
1	..4	-	SI	R	1	-	00405	GT1-1	Set ID - guarantor	Name
2	..20	-	COMP_ID_DIGIT	O	1	-	00406	GT1-2	Guarantor number	3
3	..48	-	PN	R	1	-	00407	GT1-3	Guarantor name	Name
4	..48	-	PN	O	1	-	00408	GT1-4	Guarantor spouse name	2
5	..106	-	AD	O	1	-	00409	GT1-5	Guarantor address	2
6	..40	-	TN	O	3	-	00410	GT1-6	Guarantor phone number - home	3
7	..40	-	TN	O	3	-	00411	GT1-7	Guarantor phone number - business	3
8	..8	-	DT	O	1	-	00412	GT1-8	Guarantor date of birth	2
9	..1	-	ID	O	1	0001	00413	GT1-9	Guarantor sex	2
10	..2	-	ID	O	1	0068	00414	GT1-10	Guarantor type	2
11	..2	-	ID	O	1	0063	00415	GT1-11	Guarantor relationship	2
12	..11	-	ST	O	1	-	00416	GT1-12	Guarantor social security number	2
13	..8	-	DT	O	1	-	00417	GT1-13	Guarantor date - begin	2
14	..8	-	DT	O	1	-	00418	GT1-14	Guarantor date - end	2
15	..2	-	NM	O	1	-	00419	GT1-15	Guarantor priority	2
16	..45	-	ST	O	1	-	00420	GT1-16	Guarantor employer name	2
17	..106	-	AD	O	1	-	00421	GT1-17	Guarantor employer address	2
18	..40	-	TN	O	3	-	00422	GT1-18	Guarantor employ phone number	3
19	..20	-	ST	O	1	-	00423	GT1-19	Guarantor employee ID number	2
20	..2	-	ID	O	1	0066	00424	GT1-20	Guarantor employment status	2
21	..60	-	ST	O	1	-	00425	GT1-21	Guarantor organization	NEW

Editorial Comments for GT13

Field 19

see IN2-1 --> 6.4.4.19

BSW

Field 11

see IN1-17, NK1-3

BSW Wit

Field 20

see IN1-42

BSW