Additional Patient Information Contact Address

Pos: 200

Max: 1

Detail - Optional

Loop: 2010CB

Elements: 2

User Option (Usage): Situational

To specify the location of the named party

Element Summary:

Ref	Id	Element Name	Req	Type	Min/Max	Usage
N301	166	Address Information Description: Address information Industry: Response Contact Address Line Use this element for the first line of the requester’s address.	M	AN	1/55	Required
N302	166	Address Information Description: Address information Industry: Response Contact Address Line Required only if a second address line exists.	O	AN	1/55	Situational

Notes:

1. This segment identifies the office location to route the response to the request for additional patient information.
2. Use this segment only if the subscriber is the patient and the response to the request for additional patient information must be routed to a specific office location.
3. Do not use if the request for additional patient information is in another X12 functional group.

Example:

N3*43 SUNRISE BLVD*SUITE 1000~

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