Loop 2010A |
|
||||||
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Usage |
|
170 |
NM1 |
Utilization Management Organization (UMO) Name |
O |
1 |
|
Required |
|
220 |
PER |
Utilization Management Organization (UMO) Contact Information |
O |
1 |
|
Situational |
|
230 |
AAA |
Utilization Management Organization (UMO) Request Validation |
O |
9 |
|
Situational |
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 source of information. In the case of a response to a request transaction, the information source would normally be the payer or utilization review organization who is the source of the decision regarding the request. |
Example: |
NM1*X3*2*ABC PAYER*****46*123450000~ |