NM1

Requester Name

Pos: 170

Max: 1

Detail - Optional

Loop: 2010B

Elements: 8

User Option (Usage): Required

To supply the full name of an individual or organizational entity

Element Summary:

	Ref	Id	Element Name	Req	Type	Min/Max	Usage
	NM101	98	Entity Identifier Code Description: Code identifying an organizational entity, a physical location, property or an individual	M	ID	2/3	Required

Code

Name

Provider

Use this code to signify the provider making the request.

Facility

NM102

1065

Entity Type Qualifier
Description: Code qualifying the type of entity

1/1

Required

	Code	Name
	1	Person
	2	Non-Person Entity

NM103	1035	Name Last or Organization Name Description: Individual last name or organizational name Industry: Requester Last or Organization Name Use if name information is needed to identify the requester.	O	AN	1/35	Not recommended
NM104	1036	Name First Description: Individual first name Industry: Requester First Name Use if NM103 is present and NM102 = 1.	O	AN	1/25	Not recommended
NM105	1037	Name Middle Description: Individual middle name or initial Industry: Requester Middle Name Use if NM104 is present and the middle name/initial of the person is known.	O	AN	1/25	Not recommended
NM107	1039	Name Suffix Description: Suffix to individual name Industry: Requester Name Suffix Use this for the suffix of an individual’s name; e.g., Sr., Jr., or III.	O	AN	1/10	Not recommended
NM108	66	Identification Code Qualifier Description: Code designating the system/method of code structure used for Identification Code (67)	C	ID	1/2	Required

	Code	Name
	24	Employer's Identification Number
	34	Social Security Number
	46	Electronic Transmitter Identification Number (ETIN)
	XX	Health Care Financing Administration National Provider Identifier

NM109

Identification Code
Description: Code identifying a party or other code
Industry: Requester Identifier

2/80

Required

	ExternalCodeList
	Name: 537
	Description: Health Care Financing Administration National Provider Identifier

1.	P0809 - If either NM108,NM109 is present, then all are required
2.	C1110 - If NM111 is present, then all of NM110 are required

1.	NM102 qualifies NM103.

1.	NM110 and NM111 further define the type of entity in NM101.

Notes:

1. Use this NM1 loop to identify the receiver of information. In the case of a request transaction, the receiver would normally be the provider who will ultimately be receiving the decision.

Example:

NM1*1P*1*GARDENER*JAMES****24*000012345~