00498

Eligibility Source

2011-03-06
Definition: In the US this field is required for ENVOY Corporation processing, and it identifies the source of information about the insured's eligibility for benefits. Refer to User-defined Table 0144 - Eligibility Source for suggested values.
LengthNot specified
7 values
1Insurance company
2Employer
3Insured presented policy
4Insured presented card
5Signed statement on file
6Verbal information
7None
22 components
1O-Identifier
2O-Text
3CName of Coding System
4O-Alternate Identifier
5O-Alternate Text
6CName of Alternate Coding System
7C-Coding System Version ID
8O-Alternate Coding System Version ID
9O-Original Text
10O-Second Alternate Identifier
11O-Second Alternate Text
12CName of Second Alternate Coding System
13O-Second Alternate Coding System Version ID
14C-Coding System OID
15O-Value Set OID
16C-Value Set Version ID
17C-Alternate Coding System OID
18O-Alternate Value Set OID
19C-Alternate Value Set Version ID
20C-Second Alternate Coding System OID
21O-Second Alternate Value Set OID
22C-Second Alternate Value Set Version ID