Loop 2010AA

Pos: 015

Repeat: 1

Optional

Loop: 2010AA

Elements: N/A

To supply the full name of an individual or organizational entity

Loop Summary:

Pos	Id	Segment Name	Req	Max Use	Repeat	Usage
015	NM1	Billing Provider Name	O	1		Required
020	N2	Additional Billing Provider Name Information	O	1		Situational
025	N3	Billing Provider Address	O	1		Required
030	N4	Billing Provider City/State/ZIP Code	O	1		Required
035	REF	Billing Provider Secondary Identification Number	O	5		Situational
035	REF	Claim Submitter Credit/Debit Card Information	O	8		Situational

Semantics:

1.	NM102 qualifies NM103.

Comments:

1.	NM110 and NM111 further define the type of entity in NM101.

Notes:

1. Although the name of this loop/segment is “Billing Provider” the loop/segment really identifies the billing entity. The billing entity does not have to be a health care provider to use the loop. However, some payers do not accept claims from non-provider billing entities.
2. Because this is a required segment, this is a required loop. See Appendix A for further details on ASC X12 nomenclature X12 syntax rules.

Example:

NM1*85*2*DENTAL ASSOCIATES*****34*123456789~

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