ENT

Organization Summary Remittance

Pos: 010

Max: 1

Detail - Optional

Loop: 2000A

Elements: 4


User Option (Usage): Situational
To designate the entities which are parties to a transaction and specify a reference meaningful to those entities

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

ENT01

554

Assigned Number
Description: Number assigned for differentiation within a transaction set

O

N0

1/6

Required

 

ENT02

98

Entity Identifier Code
Description: Code identifying an organizational entity, a physical location, property or an individual

C

ID

2/3

Required

 

Code

Name

 

2L

Corporation

This code is used to identify an organization level (summary level bill payment only).

 

ENT03

66

Identification Code Qualifier
Description: Code designating the system/method of code structure used for Identification Code (67)
65 National Employer Identification
This is Required for a HIPAA compliant implementation when the National Employer ID is mandated. Until that time, code FI is the alternate HIPAA compliant identifier.

C

ID

1/2

Situational

 

Code

Name

 

1

D-U-N-S Number, Dun & Bradstreet

CODE SOURCE:

16: D-U-N-S Number

 

9

D-U-N-S+4, D-U-N-S Number with Four Character Suffix

CODE SOURCE:

16: D-U-N-S Number

 

FI

Federal Taxpayer's Identification Number

 

ENT04

67

Identification Code
Description: Code identifying a party or other code
Health Care Industry: Organization Identification Code
For HIPAA Health Premium Payments this element is REQUIRED.

C

AN

2/80

Situational

 

ExternalCodeList

 

Name: 16

 

Description: D-U-N-S Number

Syntax:

1.

P020304 - If either ENT02,ENT03,ENT04 is present, then all are required

2.

P050607 - If either ENT05,ENT06,ENT07 is present, then all are required

3.

P0809 - If either ENT08,ENT09 is present, then all are required

Comments:

1.

This segment allows for the grouping of data by entity/entities at or within a master/masters. A master (e.g., an organization) can be comprised of numerous subgroups (e.g., entities). This master may send grouped data to another master (e.g., an organization) which is comprised of one or more entities. Groupings are as follows:

2.

(1) Single/Single: Only ENT01 is necessary, because there is a single entity (the sending master) communicating with a single entity (the receiving master).

3.

(2) Single/Multiple: ENT05, ENT06, and ENT07 would be used to identify the entities within the receiving master. The sending master is a single entity, so no other data elements need be used.

4.

(3) Multiple/Single: ENT02, ENT03, and ENT04 would be used to identify the entities within the sending master. The receiving master is a single entity, so no other data elements need be used.

5.

(4) Multiple/Multiple: ENT02, ENT03, and ENT04 would be used to identify the entities within the sending master. ENT05, ENT06, and ENT07 would be used to identify the entities within the receiving master.

6.

This segment also allows for the transmission of a unique reference number that is meaningful between the entities.


Notes:

1. This segment is used to start table two and provide company remittance line items that pertain to group level premium or contribution payments. ENT01 must be a sequential number within the transaction set, starting with one and incrementing by one.

Example:

ENT*1*2L*1*9325671910~


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