Saturday, 15 September 2012

EDI 5010 Documentation 837 Professional - Loop 2310C Service Facility Location Name

2310C Service Facility Location Name

        


In this loop, all the information will be taken from Practice location master.
Take a look of our sample screen here how Practice location information are stored in the system.

 
Loop Seg ID Segment Name Format Length Ref# Req Value
2310C NM1 Service Facility Location ID 3 S NM1
Element Separator AN 1 *
NM101 Entity Identifier Code ID 2/3 98 R 77
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 Location 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 XX
Element Separator AN 1 *
NM109 Identification code AN 2/80 67 R Print NPI Number.
Segment Terminator ~
               
 
NM102 - Entity Type Qualifier
Code qualifying the type of entity
Code Definition
1 Person
2 Non-Person Entity

 
2310C Location Address
 
Loop Seg ID Segment Name Format Length Ref# Req Value
2310C N3 Location Address AN 2 R N3
Element Separator AN 1 *
N301 Address Line 1 AN 1/55 166 R Print location address 1 line
Element Separator AN 1 *
N302 Address Line 2 AN 1/55 1065 S Print location address 2 line if available
Segment Terminator ~

2310C Location City/State/Zip code
In the version 5010A1 format, a change has been made to include the full 9-digit ZIP Code for the Location address (2310C loop for ANSI claims). Providing all zeros in the 4-digit extension will cause front end rejections.The best practice is to capture the 9-digit ZIP code in the practice management system.

Loop Seg ID Segment Name Format Length Ref# Req Value
2310C N4 Location City / State / Zip Code AN 2 R N4
Element Separator AN 1 *
N401 City Name AN 2/30 19 R Print Location City
Element Separator AN 1 *
N402 State or Province Code ID 2/2 156 R Print Location State Code
Element Separator AN 1 *
N403 Postal Code ID 3/15 116 R Print Location 9 digit Zip code
Segment Terminator ~

2310C Location Secondary Identification
 
Loop Seg ID Segment Name Format Length Ref# Req Value
2310C REF Location Secondary Identification ID 3 R REF
Element Separator AN 1 *
REF01 Reference identification ID 2/3 128 R See below for more information
Element Separator AN 1 *
REF02 Reference identification AN 1/50 127 R Print the Reference number
Segment Terminator ~

REF01 - Reference Identification Qualifier
Code qualifying the type of Reference

Code Definition
0B State License Number
G2 Provider Commercial Number
LU Location Number


 2310C Service Facility Location Name  - Example
Assume that claim service location Name is “Demo Location” and Address1 is “Address1” and City is “Tampa” and State is “NY” and Zipcode is “44444” and there is NO Address2 and there is No NPI and there is NO Secondary Identification for this location.

NM1*FA*2*Demo Location******~
N3*Address1~
N4*Tampa*NY*44444~

Now Add address2 for the Location such as “Address2”

NM1*FA*2*Demo Location******~
N3*Address1*Address2~
N4*Tampa*NY*44444~

Now Add NPI for the Facility.

NM1*FA*2*Demo Location*****XX*1234567890~
N3*Address1*Address2~
N4*Tampa*NY*44444~

Now add a secondary identification number such as “G2 - Provider Commercial Number” and let the number be “AC1234999” for the facility.

NM1*FA*2*Demo Location*****XX*1234567890~
N3*Address1*Address2~
N4*Tampa*NY*44444~
REF*G2*AC1234999~

 

        

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

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