NM1

Service Facility Location

Pos: 250

Max: 1

Detail - Optional

Loop: 2310C

Elements: 5


User Option (Usage): Situational
To supply the full name of an individual or organizational entity

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

NM101

98

Entity Identifier Code
Description: Code identifying an organizational entity, a physical location, property or an individual
The entity identifier in NM101 applies to all segments in Loop ID-2310.

M

ID

2/3

Required

 

Code

Name

 

FA

Facility

 

NM102

1065

Entity Type Qualifier
Description: Code qualifying the type of entity

M

ID

1/1

Required

 

Code

Name

 

2

Non-Person Entity

 

NM103

1035

Name Last or Organization Name
Description: Individual last name or organizational name
Industry: Laboratory or Facility Name
NSF Reference: EA0-37.0
Facility Name

O

AN

1/35

Required

 

NM108

66

Identification Code Qualifier
Description: Code designating the system/method of code structure used for Identification Code (67)

C

ID

1/2

Required

 

Code

Name

 

24

Employer's Identification Number

 

34

Social Security Number

 

XX

Health Care Financing Administration National Provider Identifier

 

NM109

67

Identification Code
Description: Code identifying a party or other code
Industry: Laboratory or Facility Primary Identifier
Alias: Facility Primary Identification Number

C

AN

2/80

Required

 

ExternalCodeList

 

Name: 537

 

Description: Health Care Financing Administration National Provider Identifier

Syntax:

1.

P0809 - If either NM108,NM109 is present, then all are required

2.

C1110 - If NM111 is present, then all of NM110 are required

Semantics:

1.

NM102 qualifies NM103.

Comments:

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~


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