Guarantor (GT1)

seq	opt	description	value
3.1	O	Guarantor Last Name
3.2	O	Guarantor First Name
3.3	O	Guarantor Middle Initial
5.1	O	Guarantor Address (Line 1)
5.2	O	Guarantor Address (Line 2)
5.3	O	Guarantor City
5.4	O	Guarantor State
5.5	O	Guarantor Zip Code
6	O	Guarantor Phone Number
11	O	Guarantor Relationship to Patient	’1’ - Self ‘2’ - Spouse ‘3’ - Other

If no guarantor is explicitly specified in Elation then the segment will default to the patient’s information.

GT1|1||LAST^FIRST^M||100 ANY ST^APT B^CITY^CA^12345|1112223333|||||1|||||