NM1

Attending Physician Name

Pos: 250	Max: 1
Detail - Optional
Loop: 2310A	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
The entity identifier in NM101 applies to all segments in Loop ID-2310.

M

ID

2/3

Required

Code

Name

71

Attending Physician

Description: Physician present when medical services are performed

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: Attending Physician Last Name
UB-92 Ref. [UB-Name]: 82, Line b [Attending Physician ID]
EMC v.6.0 Reference: Record Type 80 Field No. 9, Positions 91-106 (Also maps to Record Type 71 Field No. 20 if you are creating this attachment)

O

AN

1/35

Required

NM104

1036

Name First
Description: Individual first name
Industry: Attending Physician First Name
UB-92 Ref. [UB-Name]: 82, Line b [Attending Physician ID]
EMC v.6.0 Reference: Record Type 80 Field No. 9, Positions 107-114 (Also maps to EMC v.4.1 Record Type 71 Field No. 21 if you are creating this attachment)
Required if NM102=1 (person).

O

AN

1/25

Situational

NM105

1037

Name Middle
Description: Individual middle name or initial
Industry: Attending Physician Middle Name
Required if NM102=1 and the middle name/initial of the person is known.

O

AN

1/25

Situational

NM107

1039

Name Suffix
Description: Suffix to individual name
Industry: Attending Physician Name Suffix
Required if known.

O

AN

1/10

Situational

NM108

66

Identification Code Qualifier
Description: Code designating the system/method of code structure used for Identification Code (67)
EMC v.6.0 Reference: Record Type 80 Field No. 4 (The National Registry for Medicare assigns the UPIN to the provider for identification purposes.)

C

ID

1/2

Required

Code

Name

24

Employer's Identification Number

34

Social Security Number

XX

Health Care Financing Administration National Provider Identifier

Description: Required value if the National Provider ID is mandated for use. Otherwise, one of the other listed codes may be used.

NM109

67

Identification Code
Description: Code identifying a party or other code
Industry: Attending Physician Primary Identifier
UB-92 Ref. [UB-Name]: 82, Line a [Attending Physician ID]
EMC v.6.0 Reference: Record Type 80 Field No. 5

C

AN

2/80

Required

ExternalCodeList

Name: 537

Description: Health Care Financing Administration National Provider Identifier

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. Information in Loop ID-2310 applies to the entire claim unless it is overridden on a service line by the presence of Loop ID-2410 with the same value in NM101.
2. Because the usage of this segment is “Situational” this is not a syntactically required loop. If this loop is used, then this segment is a “Required” segment. See Appendix A for further details on ASC X12 nomenclature.
3. Required on all inpatient claims or encounters.
4. Required to indicate the Primary Physician responsible on a Home Health Agency Plan of Treatment.

Example:

NM1*71*1*JONES*JOHN****XX*12345678~