N4

Subscriber City/State/ZIP Code

Pos: 070	Max: 1
Detail - Optional
Loop: 2100C	Elements: 6

Ref

Id

Element Name

Req

Type

Min/Max

Usage

N401

19

City Name
Description: Free-form text for city name
Industry: Subscriber City Name
Use this text for the city name of the subscriber’s address.

O

AN

2/30

Situational

N402

156

State or Province Code
Description: Code (Standard State/Province) as defined by appropriate government agency
Industry: Subscriber State Code
CODE SOURCE: 22: States and Outlying Areas of the U.S.
Use this code for the state code of the subscriber’s address.

O

ID

2/2

Situational

ExternalCodeList

Name: 22

Description: States and Outlying Areas of the U.S.

N403

116

Postal Code
Description: Code defining international postal zone code excluding punctuation and blanks (zip code for United States)
Industry: Subscriber Postal Zone or ZIP Code
CODE SOURCE: 51: ZIP Code
Use this code for the ZIP or Postal Code of the subscriber’s address.

O

ID

3/15

Situational

ExternalCodeList

Name: 51

Description: ZIP Code

N404

26

Country Code
Description: Code identifying the country
CODE SOURCE: 5: Countries, Currencies and Funds
Use this code to specify the country of the subscriber’s address, if other than the United States.

O

ID

2/3

Situational

ExternalCodeList

Name: 5

Description: Countries, Currencies and Funds

N405

309

Location Qualifier
Description: Code identifying type of location
Use if available. Typically only applicable for Medicaid.

C

ID

1/2

Situational

Code

Name

CY

County/Parish

FI

Federal Information Processing Standards (FIPS) 55 (Named Populated Places)

CODE SOURCE:

43: FIPS-55 (Named Populated Places)

N406

310

Location Identifier
Description: Code which identifies a specific location
Industry: Location Identification Code
Use this to identify the location as qualified by the preceding data element (N405).

O

AN

1/30

Situational

ExternalCodeList

Name: 43

Description: FIPS-55 (Named Populated Places)

1.

C0605 - If N406 is present, then all of N405 are required

1.

A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.

2.

N402 is required only if city name (N401) is in the U.S. or Canada.

Notes:

1. Use this segment to identify the city, state and ZIP Code for the subscriber.
2. Use of this segment is required if the transaction is not rejected and address information is available from the information source’s database.
3. Do not return address information from the 270 request.

Example:

N4*NEW YORK*NY*10003~