RQI^I01
RQI/RPI - Request for insurance information
Patient Referral
This event triggers a message to be sent from one healthcare provider to another to request insurance information for a specified patient.
Message Types
Message Type
Trigger Structure
Return Structure
Event Flow
TriggerI01
SendRQI_I01
ReceiveRPI_I01
Worked Examples
RQI Message Using an I01 Event with an Immediate Response
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. EVERYMAN is sending an insurance information request to the EVERY INSURANCE COMPANY for her patient, ADAM A EVERYMAN. 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|^~\&|EVERYMANMD|EWHIN|MSC|EWHIN|19940107155043||RQI^I01|EVERYMANM7888|P|2.5.1|||NE|AL
PRD|RP|EVERYMAN^ADAM^^^DR^MD|4444 HOME STREET^^MEAD^WA^99999| ^^^EVERYMANMD&EWHIN^^^^^GOOD HEALTH HOSPITAL|EVERYMANM7899
PRD|RT|WSIC||^^^MSC&EWHIN^^^^^EVERY INSURANCE COMPANY
PID|||402941703^9^M10||EVERYMAN^ADAM^A||19600309||||||||||||
IN1|1|PPO|WA02|WSIC (WA State Code)|
MSH|^~\&|MSC|EWHIN|EVERYMANMD|EWHIN|19940107155212||RPI^I01|MSC2112|P|2.5.1|||ER|ER
MSA|AA|EVERYMANM7888|ELIGIBILITY INFORMATION FOUND
PRD|RP|EVERYMAN^ADAM^^^DR^MD|4444 HOME STREET^^MEAD^WA^99999| ^^^EVERYMANMD&EWHIN^^^^^GOOD HEALTH HOSPITAL|EVERYMANM7899
PRD|RT|WSIC||^^^MSC&EWHIN^^^^^EVERY INSURANCE COMPANY
PID|||402941703^9^M10||EVERYMAN^ADAM^A||19600301||||||||||||,CR>
IN1|1|PPO|WA02|WSIC (WA State Code)|4444 HOME STREET^^MEAD^WA^99999^USA|EVE EVERYWOMAN||987654321||||19901101||||EVERYMAN^ADAM^A|1|19600309|4444 HOME STREET^^MEAD^WA^99999^USA|||||||||||||||||||||||01|M