NM1

Corrected Patient/Insured Name

Pos: 030	Max: 1
Detail - Optional
Loop: 2100	Elements: 8

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

74

Corrected Insured

NM102

1065

Entity Type Qualifier
Description: Code qualifying the type of entity

M

ID

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: Corrected Patient or Insured Last Name
Required when corrected information for the Insured is available.

O

AN

1/35

Situational

NM104

1036

Name First
Description: Individual first name
Industry: Corrected Patient or Insured First Name
Required when corrected information for the Insured is available.
This element may only be used when NM102 is 1 (person).

O

AN

1/25

Situational

NM105

1037

Name Middle
Description: Individual middle name or initial
Industry: Corrected Patient or Insured Middle Name
If this data element is used and contains only one character, it is assumed to represent the middle initial.
Required when corrected information for the Insured is available.
This element may only be used when NM102 is 1 (person).

O

AN

1/25

Situational

NM107

1039

Name Suffix
Description: Suffix to individual name
Industry: Corrected Patient or Insured Name Suffix
Required when corrected information for the Insured is available.
This element may only be used when NM102 is 1 (person).

O

AN

1/10

Not recommended

NM108

66

Identification Code Qualifier
Description: Code designating the system/method of code structure used for Identification Code (67)
Required when a value is reported in NM109.

C

ID

1/2

Situational

Code

Name

C

Insured's Changed Unique Identification Number

NM109

67

Identification Code
Description: Code identifying a party or other code
Industry: Corrected Insured Identification Indicator
Required when corrected information for the Insured is available.

C

AN

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. Use this NM1 segment to provide corrected information about the patient or insured. Because the patient is always the insured for Medicare and Medicaid, this segment always provides corrected patient information for Medicare and Medicaid. For other carriers, this will always be the corrected insured information.

Example:

NM1*74*1*SHEPARD*SAMUEL*O***C*666666666A~