GT1

Guarantor

...

2.2Nov1994

2.3Apr1997

2.3.1May1999

...

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.

Figure 6-5. GT1 attributes

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

		C.Len						Element		v2.2
1	..4	-	SI	R	1	-	00405	GT1-1	Set ID - Guarantor	Name
2	..59	-	CX	O	*	-	00406	GT1-2	Guarantor Number	5
3	..48	-	XPN	R	*	-	00407	GT1-3	Guarantor Name	3
4	..48	-	XPN	O	*	-	00408	GT1-4	Guarantor Spouse Name	4
5	..106	-	XAD	O	*	-	00409	GT1-5	Guarantor Address	4
6	..40	-	XTN	O	*	-	00410	GT1-6	Guarantor Ph Num- Home	4
7	..40	-	XTN	O	*	-	00411	GT1-7	Guarantor Ph Num-Business	4
8	..26	-	TS	O	1	-	00412	GT1-8	Guarantor Date/Time of Birth	4
9	..1	-	IS	O	1	0001	00413	GT1-9	Guarantor Sex	3
10	..2	-	IS	O	1	0068	00414	GT1-10	Guarantor Type	3
11	..2	-	IS	O	1	0063	00415	GT1-11	Guarantor Relationship	3
12	..11	-	ST	O	1	-	00416	GT1-12	Guarantor SSN	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	..130	-	XPN	O	*	-	00420	GT1-16	Guarantor Employer Name	5
17	..106	-	XAD	O	*	-	00421	GT1-17	Guarantor Employer Address	4
18	..40	-	XTN	O	*	-	00422	GT1-18	Guarantor Employ Phone Number	4
19	..20	-	CX	O	*	-	00423	GT1-19	Guarantor Employee ID Number	4
20	..2	-	IS	O	1	0066	00424	GT1-20	Guarantor Employment Status	3
21	..130	-	XON	O	*	-	00425	GT1-21	Guarantor Organization	5
22	..1	-	ID	O	1	0136	00773	GT1-22	Guarantor Billing Hold Flag	NEW
23	..80	-	CE	O	1	-	00774	GT1-23	Guarantor Credit Rating Code	NEW
24	..26	-	TS	O	1	-	00775	GT1-24	Guarantor Death Date And Time	NEW
25	..1	-	ID	O	1	0136	00776	GT1-25	Guarantor Death Flag	NEW
26	..80	-	CE_0218	O	1	0218	00777	GT1-26	Guarantor Charge Adjustment Code	NEW
27	..10	-	CP	O	1	-	00778	GT1-27	Guarantor Household Annual Income	NEW
28	..3	-	NM	O	1	-	00779	GT1-28	Guarantor Household Size	NEW
29	..20	-	CX	O	*	-	00780	GT1-29	Guarantor Employer ID Number	NEW
30	..1	-	IS	O	1	-	00781	GT1-30	Guarantor Marital Status Code	NEW
31	..8	-	DT	O	1	-	00782	GT1-31	Guarantor Hire Effective Date	NEW
32	..8	-	DT	O	1	-	00783	GT1-32	Employment Stop Date	NEW
33	..2	-	IS	O	1	0223	00755	GT1-33	Living Dependency	NEW
34	..2	-	IS	O	1	0009	00145	GT1-34	Ambulatory Status	NEW
35	..4	-	IS	O	1	0171	00129	GT1-35	Citizenship	NEW
36	..60	-	CE_0296	O	1	0296	00118	GT1-36	Primary Language	NEW
37	..2	-	IS	O	1	0220	00742	GT1-37	Living Arrangement	NEW
38	..1	-	CE_0215	O	1	0215	00743	GT1-38	Publicity Indicator	NEW
39	..1	-	ID	O	1	0136	00744	GT1-39	Protection Indicator	NEW
40	..2	-	IS	O	1	0231	00745	GT1-40	Student Indicator	NEW
41	..3	-	IS	O	1	0006	00120	GT1-41	Religion	NEW
42	..48	-	XPN	O	1	-	00746	GT1-42	Mother’s Maiden Name	NEW
43	..80	-	CE_0212	O	1	0212	00739	GT1-43	Nationality Code	NEW
44	..1	-	IS	O	1	0189	00125	GT1-44	Ethnic Group	NEW
45	..48	-	XPN	O	*	-	00748	GT1-45	Contact Person's Name	NEW
46	..40	-	XTN	O	*	-	00749	GT1-46	Contact Person’s Telephone Number	NEW
47	..2	-	CE_0222	O	1	0222	00747	GT1-47	Contact Reason	NEW
48	..2	-	IS	O	1	0063	00784	GT1-48	Contact Relationship Code	NEW
49	..20	-	ST	O	1	-	00785	GT1-49	Job Title	NEW
50	..20	-	JCC	O	1	-	00786	GT1-50	Job Code/Class	NEW
51	..130	-	XON	O	*	-	01299	GT1-51	Guarantor Employer's Organization Name	NEW
52	..2	-	IS	O	1	0295	00753	GT1-52	Handicap	NEW
53	..2	-	IS	O	1	0311	00752	GT1-53	Job Status	NEW
54	..50	-	FC	O	1	0064	01231	GT1-54	Guarantor Financial Class	NEW
55	..1	-	IS	O	1	0005	01291	GT1-55	Guarantor Race	NEW