Loop 2010DB

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

Pos

Id

Segment Name

Req

Max Use

Repeat

Usage

170

NM1

Additional Patient Information Contact Name

O

1

Situational

200

N3

Additional Patient Information Contact Address

O

1

Situational

210

N4

Additional Patient Information Contact City/State/Zip Code

O

1

Situational

220

PER

Additional Patient Information Contact Information

O

1

Situational

Notes:

1. Use this NM1 loop to identify the destination location to route the response for the requested additional patient information.
2. Use this NM1 loop only if
a. the response contains a request for additional patient information in loop 2000D
b. the destination for the response to the request for additional patient information differs from the information specified in the UMO Name NM1 loop (Loop 2010A)
c. the request for additional patient information is not transmitted in another X12 functional group
3. Because the usage of this segment is “Situational” this is not a syntactically required loop. If this loop is used, then this segment is a “Required” segment. See Appendix A for further details on ASC X12 syntax rules.
Refer to Section 2.2.5 for more information on this NM1 loop.

Example:

NM1*2B*2*ACME THIRD PARTY ADMINISTRATOR~