Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.): SECTION 3 - ED PAYMENT DATA: 3.13 PERSON CONTACTED TO AUTHORIZE ED PAYMENT

Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)

SECTION 3 - ED PAYMENT DATA

		3.01 INSURANCE COVERAGE OR OTHER EXPECTED SOURCE OF PAYMENT
		3.02 INSURANCE COMPANY
		3.03 INSURANCE COMPANY ADDRESS
		3.04 INSURANCE PLAN TYPE
		3.05 INSURANCE POLICY ID
		3.06 ED PAYMENT AUTHORIZATION REQUIREMENT
		3.08 DATE/TIME OF ED PAYMENT AUTHORIZATION ATTEMPT
		3.09 ED PAYMENT AUTHORIZATION DECISION
		3.10 DATE/TIME OF ED PAYMENT AUTHORIZATION DECISION
		3.11 ENTITY CONTACTED TO AUTHORIZE ED PAYMENT
		3.12 ED PAYMENT AUTHORIZATION CODE
		3.13 PERSON CONTACTED TO AUTHORIZE ED PAYMENT
		3.14 TELEPHONE NUMBER OF ENTITY OR PERSON CONTACTED TO AUTHORIZE ED PAYMENT
		3.15 TOTAL ED FACILITY CHARGES
		3.16 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.