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271–5010 Health Care Eligibility Benefit Response Loop 2000A and 2100A Information Source Name

271–5010 Health Care Eligibility Benefit Response Loop 2000A and 2100A Information Source Name

        

Use the Information Source Level HL to identify the original entity who responded  i.e Insurance Company

Hierarchical ID Number
A unique number assigned by the sender to identify a particular data segment in a hierarchical structure.

HL01 shall contain a unique alphanumeric number for each occurrence  of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be “1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction. HL01 must begin with “1" and be incremented by one each time an HL is used in the transaction. Only numeric values are allowed in HL01.

Seg ID	Segment Name	Format	Length	Ref#	Req	Value
NM1	Information Source Name	ID	3		R	NM1
	Element Separator	AN	1			*
NM101	Entity Identifier Code	ID	2/3	98	R	See below for Set of values
	Element Separator	AN	1			*
NM102	Entity Type qualifier	ID	1/1	1065	R	2 (See below for more Information)
	Element Separator	AN	1			*
NM103	Name Last or Organization Name	AN	1/60	1035	R	Insurance Name
	Element Separator	AN	1			*
NM104	Name First	AN	1/35	1036	Not used
	Element Separator	AN	1			*
NM105	Name Middle	AN	1/25	1037	Not Used
	Element Separator	AN	1			*
NM106	Name Prefix	AN	1/10	1038	Not used
	Element Separator	AN	1			*
NM107	Name Suffix	AN	1/10	1039	Not Used
	Element Separator	AN	1			*
NM108	Identification code Qualifier	ID	1/2	66	R	See be Available link for download Posted by serol at 5:28 PM Email ThisBlogThis!Share to XShare to FacebookShare to Pinterest Labels: 2000a, 2100a, 271–5010, and, benefit, care, eligibility, health, information, loop, name, response, source Newer Post Older Post Home