NM1

Member Employer

Pos: 030

Max: 1

Detail - Optional

Loop: 2100D

Elements: 8

User Option (Usage): Situational

To supply the full name of an individual or organizational entity

Element Summary:

	Ref	Id	Element Name	Req	Type	Min/Max	Usage
	NM101	98	Entity Identifier Code Description: Code identifying an organizational entity, a physical location, property or an individual	M	ID	2/3	Required

	Code	Name
	ES	Employer Name

NM102

1065

Entity Type Qualifier
Description: Code qualifying the type of entity

1/1

Required

	Code	Name
	1	Person
	2	Non-Person Entity

NM103	1035	Name Last or Organization Name Description: Individual last name or organizational name Industry: Insured Employer Name The name should be passed until the national identifier for employer is implemented.	O	AN	1/35	Situational
NM104	1036	Name First Description: Individual first name Industry: Insured Employer First Name Required if the entity type qualifier in NM102 is 1 for person and NM103 is passed.	O	AN	1/25	Situational
NM105	1037	Name Middle Description: Individual middle name or initial Industry: Insured Employer Middle Name Send if supplied by subscriber and NM103 is passed.	O	AN	1/25	Situational
NM107	1039	Name Suffix Description: Suffix to individual name Industry: Insured Employer Name Suffix Send if supplied by subscriber and NM103 is passed.	O	AN	1/10	Situational
NM108	66	Identification Code Qualifier Description: Code designating the system/method of code structure used for Identification Code (67) Send when required by X12 syntax.	C	ID	1/2	Situational

Code

Name

Mutually Defined

This code will be used in this NM108 for the National Employeer Identifier until a standard code is defined.

NM109

Identification Code
Description: Code identifying a party or other code
Industry: Insured Employer Identifier
This identifier should be passed, once it has been implemented.

2/80

Situational

1.	P0809 - If either NM108,NM109 is present, then all are required
2.	C1110 - If NM111 is present, then all of NM110 are required

1.	NM102 qualifies NM103.

1.	NM110 and NM111 further define the type of entity in NM101.

Notes:

1. This loop is to be sent when the member is employed by someone other than the sponsor and the insurance contract requires the payer be notified of such employment. An example is the employment of a dependent.

Example:

NM1*ES*2*MCDONALDS CORP.~