HINN 11 is given in which situation?

• A. When non-covered items or services are provided during an otherwise covered stay
• B. When there is a billing error
• C. When the patient is admitted
• D. When the patient declines care

Answer: (A)

HINN 11 is used to flag charges for items or services that are not covered by the payer while the overall hospital stay remains covered. This separation lets the hospital bill the patient or a secondary payer for those non-covered components without affecting the covered portion of the stay. It clarifies what part of the stay is billable as non-covered versus what was covered. This isn’t about billing errors, admission status, or a patient declining care, which would be indicated by different codes or processes.