variant question

This topic has 6 replies, 4 voices, and was last updated 15 years, 10 months ago by Kevin Crist.

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November 3, 2008 at 6:19 pm #50433

Kevin Crist
Participant

i have a question about hl7 variants. We have a variant for a recieving system that has 3 insurances.

IN1

[IN2]

[IN3]

My understanding is that if a message comes through that has more than three insurances it will only allow 3 to go through. But with a particular message we found out that this is not what is happening. We had a patient with 5 insurances that went through the engine and when it got to recieving system, it got hung up. we could find no errors anywhere and wasnt sure if the recieving system can handle 5 insurances.(we have tried to contact vendor to no evail). do i have the right impression on how this works or just wrong. It was an A04 message in version 2.3.

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- November 3, 2008 at 6:27 pm #66082
  
  Anonymous
  Participant
  
  What are the contents of the translation ?
  
  Take the raw message and run it through the tester.
  
  It will show you what you need to know.
- November 3, 2008 at 6:32 pm #66083
  
  Jeannette Wistrom
  Participant
  
  The IN1,2,3 reflect 3 different lines of information for the each occurence of an insurance. Are you seeing multiple groups of the IN1,2,3 coming in?
- November 3, 2008 at 6:38 pm #66084
  
  Kevin Crist
  Participant
  
  this is our xlate? guess i need a refresher course on the variants.
- November 3, 2008 at 6:58 pm #66085
  
  Anonymous
  Participant
  
  Unless I am missing something it looks as if the outbound variant is both optional and repeating.
  
  Either remove Bulkcopy and copy everthing on a field / segment level and only copy the 1st insurance over or change the variant and make the IN? segments not repeaing.
- November 3, 2008 at 7:46 pm #66086
  
  Tom Rioux
  Participant
  
  The IN1, IN2, and IN3 segments do not represent 3 different insurance carriers/policies. It is 3 different insurance segments that contain information about a single insurance carrier/policy. Therefore, if you have a patient that has 5 different insurance carriers/policies, you will have 5 groupings of IN1, IN2, IN3 segments:
  
  IN1 – Aetna
  
  IN2
  
  IN3
  
  IN1 – MetLife
  
  IN2
  
  IN3
  
  IN1 – Bob’s Insurance Company
  
  IN2
  
  IN3
  
  IN1 – Medicare
  
  IN2
  
  IN3
  
  IN1 – Workman’s Comp.
  
  IN2
  
  IN3
  
  Usuallly these insurance groupings are listed based on the order in which they get paid. It is called “Coordination of Benefits Priority” (or something simliar).
- November 4, 2008 at 12:00 pm #66087
  
  Kevin Crist
  Participant
  
  Thank you all for your insights. I have much better understanding now. This site is the best.
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