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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 Read more » 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 Monday, March 13, 2017 271–5010 Health Care Eligibility Benefit Response Loop 2000B And 2100B Information Receiver Name 271–5010 Health Care Eligibility Benefit Response Loop 2000B And 2100B Information Receiver Name          Use the Information Source Level HL to identify the original entity who received the response i.e Doctor Office 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.   Loop Seg ID Segment Name Format Length Ref# Req Value 2000A HL Billing Hierarchical Level 2 R HL Element Separator AN 1 * HL01 Hierarchical ID Number AN 1/12 628 R 1 Element Separator AN 1 * HL02 Hierarchical Parent ID Number 0 1/12 734 Not Used Element Separator AN 1 * HL03 Hierarchical Level Code ID 1/2 735 R 21  (Information Receiver) Segment Terminator ~ HL04 Hierarchical Child Code ID 1/1 736 R 1 Segment End ~   Loop 2100B Information Receiver Name 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 Receiver 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 below for Set of values Element Separator AN 1 Available link for download Read more » Posted by serol at 4:35 PM Email ThisBlogThis!Share to XShare to FacebookShare to Pinterest Labels: 2000b, 2100b, 271–5010, and, benefit, care, eligibility, health, information, loop, name, receiver, response Thursday, January 26, 2017 271–5010 Health Care Eligibility Benefit Response – Loop 2100C Subscriber Name 271–5010 Health Care Eligibility Benefit Response – Loop 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 Additional identification Loop Seg ID Segment Name Format Length Available link for download Read more » Posted by serol at 7:06 PM Email ThisBlogThis!Share to XShare to FacebookShare to Pinterest Labels: –, 2100c, 271–5010, benefit, care, eligibility, health, loop, name, response, subscriber Older Posts Home Subscribe to: Posts (Atom)