N1

Payer Identification

Pos: 080	Max: 1
Heading - Optional
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

PR

Payer

N102

93

Name
Description: Free-form name
Industry: Payer Name
Required if the National PlanID is not transmitted in N104.

C

AN

1/60

Situational

N103

66

Identification Code Qualifier
Description: Code designating the system/method of code structure used for Identification Code (67)
Required if the National PlanID is transmitted in N104.

C

ID

1/2

Recommended

Code

Name

XV

Health Care Financing Administration National Payer Identification Number (PAYERID)

Required if the National PlanID is mandated for use.

CODE SOURCE:

540: Health Care Financing Administration National PlanID

N104

67

Identification Code
Description: Code identifying a party or other code
Industry: Payer Identifier
Required if the National Plan ID is mandated for use.

C

AN

2/80

Recommended

ExternalCodeList

Name: 540

Description: Health Care Financing Administration National PlanID

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 N1 loop to provide the name/address information for the payer. The payer’s secondary identifying reference number should be provided in N104, if necessary.

Example:

N1*PR*INSURANCE COMPANY OF TIMBUCKTU*XV*88888888~