N1

Sponsor Name

Pos: 070	Max: 1
Heading - Mandatory
Loop: 1000A	Elements: 4

Ref

Id

Element Name

Req

Type

Min/Max

Usage

N101

98

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

M

ID

2/3

Required

Code

Name

P5

Plan Sponsor

N102

93

Name
Description: Free-form name
Industry: Plan Sponsor Name
This element may be used at the sender’s discretion.

C

AN

1/60

Situational

N103

66

Identification Code Qualifier
Description: Code designating the system/method of code structure used for Identification Code (67)

C

ID

1/2

Required

Code

Name

FI

Federal Taxpayer's Identification Number

The developers recommend that this code be used until the HIPAA standard identifier is implemented.

ZZ

Mutually Defined

The value ‘ZZ’, when used in this data element shall be defined as “HIPAA Employer Identifier” once this identifier has been adopted. Under the Health Insurance Portability and Accountability Act of 1996, the Secretary of the Department of Health and Human Services must adopt a standard employer identifier for use in this transaction.

N104

67

Identification Code
Description: Code identifying a party or other code
Industry: Sponsor Identifier

C

AN

2/80

Required

1.

R0203 - At least one of N102,N103 is required

2.

P0304 - If either N103,N104 is present, then all are required

1.

This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.

2.

N105 and N106 further define the type of entity in N101.

Notes:

1. Use this loop to identify the sponsor. See section 1.3 for the definition of sponsor.

Example:

N1*P5**FI*12356799~