Loop 2010AB

Pos: 015

Repeat: 1

Optional

Loop: 2010AB

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

Pay-to Provider’s Name

O

1

 

Situational

 

020

N2

Additional Pay-to Provider Name Information

O

1

 

Situational

 

025

N3

Pay-to Provider’s Address

O

1

 

Required

 

030

N4

Pay-to Provider City/State/Zip

O

1

 

Required

 

035

REF

Pay-to Provider Secondary Identification Number

O

5

 

Situational

Semantics:

1.

NM102 qualifies NM103.

Comments:

1.

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


Notes:

1. If the billing provider and the pay-to provider are the same entity, then it is not necessary to put in the pay-to-provider loop.
2. Because the usage of this segment is “situational” this is not a syntatically required loop. If the loop is used, then it is a “required” segment. See Appendix A for further details on ASC X12 nomenclature X12 syntax rules.

Example:

NM1*87*1*JONES*WILLIAM****XX*0987654321~



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