Premium Payer's Address

Pos: 090

Max: 1

Heading - Optional

Loop: 1000B

Elements: 2

Ref	Id	Element Name	Req	Type	Min/Max	Usage
N301	166	Address Information Description: Address information Health Care Industry: Premium Payer Address Line	M	AN	1/55	Required
N302	166	Address Information Description: Address information Health Care Industry: Premium Payer Address Line This is required when the sender needs to relay additional lines of their address to the receiver. Required if a second address line exists.	O	AN	1/55	Situational

Notes:

1. This segment is used to relay the premium payer’s address lines other than City, State, or ZIP.
2. This is required when the Premium Payer’s Address needs to be printed on the check.
3. For EFT payments this segment is not used.

Example:

N3*100 MAIN STREET~