Loop 2010BC

Pos: 015	Repeat: 1
Optional
Loop: 2010BC	Elements: N/A

Pos

Id

Segment Name

Req

Max Use

Repeat

Usage

015

NM1

Credit/Debit Card Holder Name

O

1

Situational

035

REF

Credit/Debit Card Information

O

3

Situational

1.

NM102 qualifies NM103.

1.

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

Notes:

1. It is not intended that credit/debit card information be conveyed to a health care payer. Trading partners are responsible for ensuring that no federal or state privacy regulations are violated if credit/debit card information is carried in this transmission.
2. The information carried under this segment must never be sent to the payer. This information is only for use between a provider and service organization offering patient collection services. In this case, it is the responsibility of the collection service organization to remove this segment.

Example:

NM1*AO*1*SMITH*JANE*L***MI*123456789~