Roviyas: documentation

Showing posts with label documentation–. Show all posts

Saturday, February 25, 2017

EDI 270–5010 Documentation– Loop 2100C SUBSCRIBER Name

2100C Subscriber Name

Use this segment to identify an entity by name and/or identification number. Use this NM1 loop to identify the insured or subscriber

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2100C	NM1	Subscriber Name	ID	3		R	NM1
		Element Separator	AN	1			*
	NM101	Entity Identifier Code	ID	2/3	98	R	IL
		Element Separator	AN	1			*
	NM102	Entity Type qualifier	ID	1/1	1065	R	1
		Element Separator	AN	1			*
	NM103	Name Last or Organization Name	AN	1/60	1035	R	Insured Person Last Name
		Element Separator	AN	1			*
	NM104	Name First	AN	1/35	1036	S	Insured Person First Name
		Element Separator	AN	1			*
	NM105	Name Middle	AN	1/25	1037	S	Insured Person Middle Name
		Element Separator	AN	1			*
	NM106	Name Prefix	AN	1/10	1038	Not used
		Element Separator	AN	1			*
	NM107	Name Suffix	AN	1/10	1039	S	Insured Person Suffix
		Element Separator	AN	1			*
	NM108	Identification code Qualifier	ID	1/2	66	R	MI
		Element Separator	AN	1			*
	NM109	Identification code	AN	2/80	67	R	Insured Policy No
		Segment Terminator					~

NM102 - Entity Type Qualifier

Code qualifying the type of entity

Code	Definition
1	Person
2	Non-Person Entity

Sample
NM1*IL*1*MULLIN*DANIEL****MI*XJBH12345678~

Segment Structure

SUBSCRIBER DEMOGRAPHIC INFORMATION

Use this segment to convey the birth date or gender demographic information for the subscriber. Use this segment only if the subscriber is the patient and if this information is available from the Information Source’s database.

Available link for download

EDI 270–5010 Documentation– 2000C SUBSCRIBER LEVEL

SUBSCRIBER TRACE NUMBER

Trace numbers assigned at the subscriber level are intended to allow tracing of an eligibility/benefit transaction when the subscriber is the patient. The information receiver may assign one TRN segment in this loop if the subscriber is the patient. A clearinghouse may assign one TRN segment in this loop if the subscriber is the patient

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
Header	TRN	Subscriber Trace Number	ID	3		R	TRN
		Element Separator	AN	1			*
	TRN01	Trace Type Code	ID	1	481	R	1 = Current Transaction Trace Number
		Element Separator	AN	1			*
	TRN02	Reference Identification	AN	1/50	127	R	<Trace Number: Assigned by information receiver or information receiver’s clearing house>
		Element Separator	AN	1			*
	TRN03	Originating Company Identifier	AN	10	509	R	<ID Number of the company that assigned the trace number>
		Segment Terminator					~

Sample
TRN*1*290811021*3030240928~

Segment Structure

Questions or feedback are always welcome. You can email me at vbsenthilinnet@gmail.com

Available link for download

Saturday, February 25, 2017

EDI 270–5010 Documentation– Loop 2100C SUBSCRIBER Name

EDI 270–5010 Documentation– Loop 2100C SUBSCRIBER Name

Wednesday, February 22, 2017

EDI 270–5010 Documentation– 2000C SUBSCRIBER LEVEL

EDI 270–5010 Documentation– 2000C SUBSCRIBER LEVEL