Saturday, 15 June 2013

EDI 270–5010 Documentation–2000B Information Receiver Name

2000B Information Receiver Name

Use this segment to identify an entity by name and/or identification number. This NM1 loop is used to identify the eligibility/benefit
information receiver (e.g., provider, medical group, employer, IPA, or hospital).

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 See Below for valid values
Element Separator AN 1 *
NM102 Entity Type qualifier ID 1/1 1065 R 2 (See below for more Information)
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 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 (See below for more information)
Element Separator AN 1 *
NM109 Identification code AN 2/80 67 R NPI Number
Segment Terminator ~
               
 
Sample

NM1*1P*2*Bella Vista Health Center*****XX*1306849724~

Segment Structure
image


NM101 - Entity Identifier Code
Code qualifying the type of entity
Code Definition
1P Provider
2B Third-Party Administrator
36 Employer
80 Hospital
FA Facility
GP Gateway Provider
P5 Plan Sponsor
PR Payer

 
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
24 Employer Identification Number
34 Social Security Number
FI Federal TaxPayer Identification Number
PI Payer Identification Number
PP Pharmacy Processor Number
SV Service Provider Number
XV Health Care Financing Administration National PlanID
XX Health Care Financing Administration National Provider Identifier
 


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

No comments:

Post a Comment

Passing Parameter between two files using MVVM

This examples shows how to pass parameter between two zul screens. In this example, we are passing some parameters from the parent vm to...