Wednesday, 5 September 2012

EDI 5010 Documentation 837 Professional - Loop 1000A Submitter Name

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 ~
------------------------------------------------------------------------------------------------------------------
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.
------------------------------------------------------------------------------------------------------------------
Example 2 :

NM1*41*2*Mayo Clinic*****46*S32433~
PER*IC*Mayo Clinic*TE*9547487111*FX*9547487222~

image

image
 
 
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.
 
 

        

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

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