Loop 2010BB |
|
||||||
|
Pos |
Id |
Segment Name |
Req |
Max Use |
Repeat |
Usage |
|
015 |
NM1 |
Payer Name |
O |
1 |
|
Required |
|
025 |
N3 |
Payer Address |
O |
1 |
|
Situational |
|
030 |
N4 |
Payer City/State/ZIP Code |
O |
1 |
|
Situational |
|
035 |
REF |
Payer Secondary Identification Number |
O |
3 |
|
Situational |
1. |
NM102 qualifies NM103. |
1. |
NM110 and NM111 further define the type of entity in NM101. |
Notes: |
1. 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*PR*2*Union Mutual of Oregon*****PI*123123123~ |