INS Insured Benefit
To provide benefit information on insured entities
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code indicating a Yes or No condition or response
INS01 indicates status of the insured. A "Y" value indicates the insured is a subscriber: an "N" value indicates the insured is a dependent.
Code indicating the relationship between two individuals or entities
Code identifying the specific type of item maintenance
Code identifying the reason for the maintenance change
The type of coverage under which benefits are paid
Code identifying the Medicare Plan
Code specifying reason for eligibility
Code specifying reason for eligibility
Code specifying reason for eligibility
INS-07
Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Code
Identifier (ID)
Optional
1
2
-
A Qualifying Event is any of the following which results in loss of coverage for a Qualified Beneficiary
Code showing the general employment status of an employee/claimant
Code indicating the student status of the patient if 19 years of age or older, not handicapped and not the insured
Code indicating a Yes or No condition or response
INS10 is the handicapped status indicator. A "Y" value indicates an individual is handicapped; an "N" value indicates an individual is not handicapped.
Code indicating the date format, time format, or date and time format
P1112: If either INS-11 or INS-12 is present, then the other is required
Expression of a date, a time, or range of dates, times or dates and times
INS12 is the date of death.
Code indicating the access to insured information
Free-form text for city name
INS14, INS15, and INS16 identify where the employee works.
Code (Standard State/Province) as defined by appropriate government agency
Code identifying the country
A generic number
INS17 is the number assigned to each family member born with the same birth date. This number identifies birth sequence for multiple births allowing proper tracking and response of benefits for each dependent (i.e., twins, triplets, etc.).