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. Hippocrates is sending an insurance information request to the H. C. Payor Insurance Company for his 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|^~\&|HIPPOCRATESMD|EWHIN|MSC|EWHIN|19940107155043||RQI^I01|HIPPOCRATESMD7888|P|2.9|||NE|AL
PRD|RP|HIPPOCRATES^HAROLD^^^DR^MD|1001 HEALTHCARE^DRIVE^ANN ARBOR^MI^99999| ^^^HIPPOCRATESMD&EWHIN^^^^^HIPPOCRATES MEDICAL CENTER|HIPPOCRATESMD7899
PRD|RT|HCIC||^^^MSC&EWHIN^^^^^H.C. PAYOR INSURANCE COMPANY
PID||| HL71001111111111^9^M10||EVERYMAN^ADAM^A||19600309||||||||||||444-33-3333
IN1|1|PPO|HC02|HCIC (MI State Code)|
MSH|^~\&|MSC|EWHIN|HIPPOCRATESMD|EWHIN|19940107155212||RPI^I01|MSC2112|P|2.9|||ER|ER
MSA|AA|HIPPOCRATESMD7888|ELIGIBILITY INFORMATION FOUND
PRD|RP|HIPPOCRATES^HAROLD^^^DR^MD|1001 HEALTHCARE DRIVE^^ANN ARBOR^MI^99999| ^^^HIPPOCRATESMD&EWHIN^^^^^HIPPOCRATES MEDICAL CENTER|HIPPOCRATESMD7899
PRD|RT|HCIC||^^^MSC&EWHIN^^^^^H.C. PAYOR INSURANCE COMPANY
PID|||HL71001111111111^9^M10||EVERYMAN^ADAM^A||19600301||||||||||||444-33-333CR>
IN1|1|PPO|HC02|HCIC (MI State Code)|5555 INSURERS CIRCLE ^^ANN ARBOR^MI^99999^USA|CHRISTOPHER CLERK|(855)555-1234|987654321||||19901101||||EVERYMAN^ADAM^A|1|19600309|N. 2222 HOME STREET^^ANN ARBOR^MI^99999^USA|||||||||||||||||444333555||||||01|M