Wednesday, 19 June 2013

EDI 270–5010 Documentation– Loop 2100C SUBSCRIBER Name

2100C Subscriber Name

        


Use this segment to identify an entity by name and/or identification number. Use this NM1 loop to identify the insured or subscriber

 
Loop Seg ID Segment Name Format Length Ref# Req Value
2100C NM1 Subscriber Name ID 3 R NM1
Element Separator AN 1 *
NM101 Entity Identifier Code ID 2/3 98 R IL
Element Separator AN 1 *
NM102 Entity Type qualifier ID 1/1 1065 R 1
Element Separator AN 1 *
NM103 Name Last or Organization Name AN 1/60 1035 R Insured Person Last Name
Element Separator AN 1 *
NM104 Name First AN 1/35 1036 S Insured Person First Name
Element Separator AN 1 *
NM105 Name Middle AN 1/25 1037 S Insured Person Middle Name
Element Separator AN 1 *
NM106 Name Prefix AN 1/10 1038 Not used
Element Separator AN 1 *
NM107 Name Suffix AN 1/10 1039 S Insured Person Suffix
Element Separator AN 1 *
NM108 Identification code Qualifier ID 1/2 66 R MI
Element Separator AN 1 *
NM109 Identification code AN 2/80 67 R Insured Policy No
Segment Terminator ~
               
 
 
NM102 - Entity Type Qualifier
Code qualifying the type of entity
Code Definition
1 Person
2 Non-Person Entity

 
Sample
NM1*IL*1*MULLIN*DANIEL****MI*XJBH12345678~

Segment Structure
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SUBSCRIBER DEMOGRAPHIC INFORMATION

Use this segment to convey the birth date or gender demographic information for the subscriber. Use this segment only if the subscriber is the patient and if this information is available from the Information Source’s database.

Loop Seg ID Segment Name Format Length Ref# Req Value
2100C DMG Demographic Information ID 3 S DMG
Element Separator AN 1 *
DMG01 Date Time Period format Qualifier ID 2 1250 S D8 = Date format
Element Separator AN 1 *
DMG02 Date Time Period AN 8 1251 S <CCYYMMDD - Recipient Date of Birth>
Segment Terminator     ~


Sample
DMG*D8*19571112

image

 

 
In the PMS Software, you can fetch the information from Patient Insurance Insurer details as shown here

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SUBSCRIBER VISIT DATE

Loop Seg ID Segment Name Format Length Ref# Req Value
2100C DTP Subscriber Date ID 3 S DMG
Element Separator AN 1 *
DTP01 Date Time Qualifier ID 3 374 R 291=Plan
Element Separator AN 1 *
DTP02 Date Time Period Format Qualifier ID 3 1250 R RD8=Date Format
    Element Separator AN 1      
  DTP03 Date Time Period AN 17 1251 R <CCYYMMDD - Recipient Date of Service>
Always Current Date
Segment Terminator     ~

 
Sample
DTP*291*D8*20130829

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

1 comment:

  1. It should be "DTP" value instead of "DMG" in the DTP segment.

    ReplyDelete