1000A - Submitter Name.
Loop | Seg ID | Segment Name | Format | Length | Ref# | Req | Value |
Header | NM1 | Submitter Name | ID | 3 | R | NM1 | |
Element Separator | AN | 1 | * | ||||
NM101 | Entity Identifier Code | ID | 2/3 | 98 | R | 41 | |
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 | Practice name. | |
Element Separator | AN | 1 | * | ||||
NM104 | Name First | AN | 1/35 | 1036 | S | This is required only when NM102 is 1 (person). In our case, we used as 2 (Non Person Entity), so nothing will be printed. | |
Element Separator | AN | 1 | * | ||||
NM105 | Name Middle | AN | 1/25 | 1037 | S | This is required only when NM102 is 1 (person). In our case, we used as 2 (Non Person Entity), so nothing will be printed. | |
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 | 46 | |
Element Separator | AN | 1 | * | ||||
NM109 | Identification code | AN | 2/80 | 67 | R | Print the same value of ISA06 Interchange Sender ID | |
Segment Terminator | ~ | ||||||
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Sample:
NM1*41*2*XYZ Practice*****46*Ciramed~
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NM102 - Entity Type Qualifier
Code qualifying the type of entity
Code | Definition |
1 | Person |
2 | Non-Person Entity |
NM108 – Identification code Qualifier.
Code qualifying the type of entity
Code | Definition |
46 | Electronic Transmitter identification Number (ETIN) Established by trading partner agreement. |
1000A - Submitter EDI Contact information.
Loop | Seg ID | Segment Name | Format | Length | Ref# | Req | Value |
Header | PER | Submitter EDI Contact Information | ID | 3 | R | PER | |
Element Separator | AN | 1 | * | ||||
PER01 | Contact Function Code | ID | 2/2 | 366 | R | IC | |
Element Separator | AN | 1 | * | ||||
PER02 | Name | AN | 1/60 | 93 | R | Print Practice contact Person Name for EDI Transmission issues. If no such field in the system, it is ok to print the same Practice name itself. | |
Element Separator | AN | 1 | * | ||||
PER03 | Communication Number qualifier | ID | 2/2 | 365 | R | See below for more information. | |
Element Separator | AN | 1 | * | ||||
PER04 | Communication Number | AN | 1/256 | 364 | R | Print Complete number including country code or area code when applicable. | |
Element Separator | AN | 1 | * | ||||
PER05 | Communication Number qualifier | ID | 2/2 | 365 | R | See below for more information. | |
Element Separator | AN | 1 | * | ||||
PER06 | Communication Number | AN | 1/256 | 364 | R | Print Complete number including country code or area code when applicable. | |
PER07 | Communication Number qualifier | ID | 2/2 | 365 | R | See below for more information. | |
Element Separator | AN | 1 | * | ||||
PER08 | Communication Number | AN | 1/256 | 364 | R | Print Complete number including country code or area code when applicable. | |
Segment Terminator | ~ |
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Sample:
The following sample shows if the practice has both fax number and Phone number.
PER*IC*XYZ Practice*TE*1234567899*FX*9878978978~
The following sample shows if the practice has both only fax number.
PER*IC*XYZ Practice*FX*9878978978~
The following sample shows if the practice has only phone number.
PER*IC*XYZ Practice*TE*1234567899~
Maximum three numbers can be send in the EDI. But at least one number is mandatory. So if the practice does not have either Phone or Fax Number , then system should should show this as warning message while generating the EDI File.
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Example 2 :
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Example 2 :
NM1*41*2*Mayo Clinic*****46*S32433~
PER*IC*Mayo Clinic*TE*9547487111*FX*9547487222~
Communication Number qualifier
Code identifying the type of communication number.
Code | Definition |
ED | Electronic data interchange Access Number. |
EM | Electronic Mail |
EX | Telephone Extension |
FX | Facsimile |
TE | Telephone. |
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