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close this bookData Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)
close this folderSECTION 3 - ED PAYMENT DATA
View the document3.01 INSURANCE COVERAGE OR OTHER EXPECTED SOURCE OF PAYMENT
View the document3.02 INSURANCE COMPANY
View the document3.03 INSURANCE COMPANY ADDRESS
View the document3.04 INSURANCE PLAN TYPE
View the document3.05 INSURANCE POLICY ID
View the document3.06 ED PAYMENT AUTHORIZATION REQUIREMENT
View the document3.08 DATE/TIME OF ED PAYMENT AUTHORIZATION ATTEMPT
View the document3.09 ED PAYMENT AUTHORIZATION DECISION
View the document3.10 DATE/TIME OF ED PAYMENT AUTHORIZATION DECISION
View the document3.11 ENTITY CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.12 ED PAYMENT AUTHORIZATION CODE
View the document3.13 PERSON CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.14 TELEPHONE NUMBER OF ENTITY OR PERSON CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.15 TOTAL ED FACILITY CHARGES
View the document3.16 TOTAL ED PROFESSIONAL FEES

3.13 PERSON CONTACTED TO AUTHORIZE ED PAYMENT

Definition

Person employed by or associated with third-party payer who is contacted for payment authorization.

Uses

Data on authorization are used for direct patient care and for health services research and administration, quality-of-care monitoring and evaluation, and financial analysis.

Discussion

To protect the contact person’s privacy and confidentiality, access to this data element must be limited to authorized personnel.

Data Type (and Field Length)

XPN - extended person name (106).

Repetition

Yes; the ED Payment Authorization Group repeats when more than one authorization attempt is made.

Field Values

Component 1 is the family name.
Component 2 is the given name.
Component 3 is the middle name or initial.
Component 4 is the suffix (e.g., Jr).
Component 5 is the prefix (e.g., Dr).
Component 6 is the degree (e.g., MD).
Component 7 is the code for the name type.

Example:

Component 1 = Smith
Component 2 = John
Component 3 = A
Component 5 = Dr

Enter Unknown in Component 1 if entire name is unknown, and " " if there is no contact person. In all other components, enter " " (none) or Unknown when appropriate.

Data Standards or Guidelines

Health Level 7, Version 2.3 (HL7, 1996).

Other References

None.