Loop 2010BA |
|
||||||
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Usage |
|
015 |
NM1 |
Subscriber Name |
O |
1 |
|
Required |
|
025 |
N3 |
Subscriber Address |
O |
1 |
|
Situational |
|
030 |
N4 |
Subscriber City/State/ZIP Code |
O |
1 |
|
Situational |
|
032 |
DMG |
Subscriber Demographic Information |
O |
1 |
|
Situational |
|
035 |
REF |
Subscriber Secondary Identification |
O |
4 |
|
Situational |
|
035 |
REF |
Property and Casualty Claim Number |
O |
1 |
|
Situational |
1. |
NM102 qualifies NM103. |
1. |
NM110 and NM111 further define the type of entity in NM101. |
Notes: |
1. In worker’s compensation or other property and casualty claims, the “subscriber” may be a non-person entity (i.e., the employer). However, this varies by state.
|
Example: |
NM1*IL*1*DOE*JOHN*T**JR*MI*123456789~ |