N1

Payee Identification

Pos: 080	Max: 1
Heading - Optional
Loop: 1000B	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

PE

Payee

N102

93

Name
Description: Free-form name
Industry: Payee Name
Required when N104 does not contain the National Provider Identifier.

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 when N104 does not contain the National Provider Identifier.

C

ID

1/2

Required

Code

Name

FI

Federal Taxpayer's Identification Number

For individual providers as payees, use this number to represent the Social Security Number.

XX

Health Care Financing Administration National Provider Identifier

N104

67

Identification Code
Description: Code identifying a party or other code
Industry: Payee Identification Code

C

AN

2/80

Required

ExternalCodeList

Name: 537

Description: Health Care Financing Administration National Provider Identifier

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 of the payee. The identifying reference number should be provided in N104.

Example:

N1*PE*CYBILS MENTAL HOSPITAL*XX*12345678~