Wednesday, 1 August 2012

EDI 5010 Documentation 837 Professional - Loop 2330B Other Payer Name

2330B Other Payer Name.

 

        

This loop is required only if current insurance sequence > 1. i.e. for secondary, tertiary, etc.

Say for example, if the current insurance is secondary, then we should run this loop for the primary insurance. If the current insurance is tertiary, then we should run this loop for the primary and then secondary insurance. And also so on. In general, take the sequence number of the current insurance, and run this loop for all the previous sequence insurance.



 
Loop Seg ID Segment Name Format Length Ref# Req Value
2330B NM1 Other Payer Name ID 3 R NM1
Element Separator AN 1 *
NM101 Entity Identifier Code ID 2/3 98 R PR
Element Separator AN 1 *
NM102 Entity Type qualifier ID 1/1 1065 R 2
Element Separator AN 1 *
NM103 Name Last or Organization Name AN 1/60 1035 R Insurance Name
Element Separator AN 1 *
NM104 Name First AN 1/35 1036 Not used
Element Separator AN 1 *
NM105 Name Middle AN 1/25 1037 Not Used
Element Separator AN 1 *
NM106 Name Prefix AN 1/10 1038 Not used
Element Separator AN 1 *
NM107 Name Suffix AN 1/10 1039 Not Used
Element Separator AN 1 *
NM108 Identification code Qualifier ID 1/2 66 R PI
Element Separator AN 1 *
NM109 Identification code AN 2/80 67 R Payer ID
Segment Terminator ~
               
 
NM102 - Entity Type Qualifier
Code qualifying the type of entity
Code Definition
1 Person
2 Non-Person Entity
 
 
Example.
SBR*P*18*******CI
AMT*D*52.01
OI***Y***Y
NM1*IL*1*Dianna*Jody****MI*XY31232
N3*4 B Blue Ridge Blvd
N4*Hamilton*OH*45011
NM1*PR*2*FLORIDA BLUE*****PI*BCBSF
 
For complete Example, please refer to use case 9 ,11, 12 in the Home page
 

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Questions or feedback are always welcome. You can email me at vbsenthilinnet@gmail.com. 

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