Loop 2310C

Pos: 250	Repeat: 1
Optional
Loop: 2310C	Elements: N/A

Pos

Id

Segment Name

Req

Max Use

Repeat

Usage

250

NM1

Service Facility Location

O

1

Situational

271

REF

Service Facility Location Secondary Identification

O

5

Situational

1.

NM102 qualifies NM103.

1.

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

Notes:

1. Required if the service was rendered in Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility or Adult Living Care Facility (code values 21, 22, 31 or 35 in CLM05-1).
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*FA*2*GOOD REST NURSING HOME*****24*1234567789~