N3

Payer Address

Pos: 025	Max: 1
Detail - Optional
Loop: 2010BB	Elements: 2

Ref

Id

Element Name

Req

Type

Min/Max

Usage

N301

166

Address Information
Description: Address information
Industry: Payer Address Line
Alias: Payer’s Address 1
NSF Reference: DA1-04.0

M

AN

1/55

Required

N302

166

Address Information
Description: Address information
Industry: Payer Address Line
Alias: Payer’s Address 2
NSF Reference: DA1-05.0
Required if a second address line exists.

O

AN

1/55

Situational

Notes:

1. Payer Address is required when the Submitter intends for the claim to be printed to paper at the next EDI location (e.g., clearinghouse).

Example:

N3*225 MAIN STREET*BARKLEY BUILDING~