Loop 2010CA

Pos: 170	Repeat: 1
Optional
Loop: 2010CA	Elements: N/A

Pos

Id

Segment Name

Req

Max Use

Repeat

Usage

170

NM1

Subscriber Name

O

1

Required

180

REF

Subscriber Supplemental Identification

O

9

Situational

250

DMG

Subscriber Demographic Information

O

1

Situational

1.

NM102 qualifies NM103.

1.

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

Notes:

1. Use this segment to convey the name and identification number of the subscriber (who may also be the patient).
2. The Member Identification Number (NM108/NM109) is required and may be adequate to identify the subscriber to the UMO. However, the UMO can require additional information. The maximum data elements that the UMO can require to identify the subscriber, in addition to the member ID are as follows:
Subscriber Last Name (NM103)
Subscriber First Name (NM104)
Subscriber Birth Date (DMG01 and DMG02)
3. Refer to Section 2.2.2.1 Identifying the Patient for specific information on how to identify an individual to a UMO.

Example:

NM1*IL*1*SMITH*JOE****MI*12345678901~