When a patient arrives for an appointment, the office staff will frequently need to verify the patient's insurance information. In the following RQI message example, Dr. Blake is sending an insurance information request to the Washington State Insurance Company for her patient, Cary Joe Brown. The response from the payor is shown in a more complete IN1 segment. However, it should be noted that in addition to the IN1 segment, this return information could have been placed in the NTE segment to serve as display data. This strategy would serve a broader community of diverse application systems that might have different levels of ability to process the record-formatted data.

HL7 v2

MSH|^~\&|BLAKEMD|EWHIN|MSC|EWHIN|19940107155043||RQI^I01|BLAKEM7888|P|2.4|||NE|AL
PRD|RP|BLAKE^BEVERLY^^^DR^MD|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021| ^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER|BLAKEM7899
PRD|RT|WSIC||^^^MSC&EWHIN^^^^^WASHINGTON STATE INSURANCE COMPANY
PID|||402941703^9^M10||BROWN^CARY^JOE||19600309||||||||||||402941703
IN1|1|PPO|WA02|WSIC (WA State Code)|
MSH|^~\&|MSC|EWHIN|BLAKEMD|EWHIN|19940107155212||RPI^I01|MSC2112|P|2.4|||ER|ER
MSA|AA|BLAKEM7888|ELIGIBILITY INFORMATION FOUND
PRD|RP|BLAKE^BEVERLY^^^DR^MD|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021| ^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER|BLAKEM7899
PRD|RT|WSIC||^^^MSC&EWHIN^^^^^WASHINGTON STATE INSURANCE COMPANY
PID|||402941703^9^M10||BROWN^CARY^JOE||19600301||||||||||||402941703,CR>
IN1|1|PPO|WA02|WSIC (WA State Code)|11223 FOURTH STREET^^MEAD^WA^99021^USA|ANN MILLER|509)333-1234|987654321||||19901101||||BROWN^CARY^JOE|1|19600309|N. 12345 SOME STREET^^MEAD^WA^99021^USA|||||||||||||||||402941703||||||01|M