HL7 BAR_P06 End Account

The account is closed to new charges, not necessarily paid in full.
HL7 message structure BAR_P06 groups and segments from HL7 v2.5.1 Hide structure

These are the generated groups and segments for the version selected at the top of the page. The article explains the workflow, and this panel follows the chosen HL7 version.

Message Structure

SegmentNameRequiredRepeatable
MSH
 Message Header Yes No
SFT
 Software Segment No Yes
EVN
 Event Type Yes No
BAR_P06.PATIENT
 Patient group Yes Yes
PID
 Patient Identification Yes No
PV1
 Patient Visit No No

BAR_P06 tells a patient accounting system that an account is no longer open for new charges. It is an account state message, not a payment status message. A closed account may still have balances, claims, adjustments, denials, or follow-up work.

This is easy to confuse with discharge. A patient can be discharged without the financial account being fully closed, and a financial account can be closed for charge accrual while revenue-cycle work continues.

A small BAR_P06 example

MSH|^~\&|REG|CITYHOSP|BILLING|CITYHOSP|20260715114500||BAR^P06^BAR_P06|BAR060001|P|2.5.1 EVN|P06|20260715114000 PID|1||123456^^^CITYHOSP^MR||Smith^Jane^Anne^^Ms^^L||19800314|F||||||||||ACC000789^^^CITYHOSP^AN PV1|1|I|WARD1^101^1^CITYHOSP||||12345^Careful^Clara|||||||||||VN000345^^^CITYHOSP^VN

What systems do with it

The sender is usually registration, ADT/accounting, or a billing workflow. The receiver marks the account closed for new charge accrual and may block additional charge postings, trigger final billing review, or move the account into a downstream revenue-cycle queue.

How to read the structure

The structure is compact: MSH, optional SFT, EVN, and one or more patient groups. Each patient group has required PID and optional PV1. EVN-2 should carry the account end date/time in the standard guidance.

Implementation traps

Do not interpret P06 as "account paid." It only says no new charges can accrue. Also be careful with late charges: if departmental systems can still send charges after account closure, the receiving process needs a clear reject, suspense, or reopening rule.

Reference notes

The HL7 v2+ BAR_P06 page describes P06 as notification that the account is no longer open and says EVN-2 must contain the account end date.