Serial Game Movie: subscriber

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Tuesday, March 21, 2017

271–5010 Health Care Eligibility Benefit Response Subscriber Demographic Information and Subscriber Date –Loop 2100C

Subscriber Demographic Information.

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2100C	DMG	Demographic Information	ID	3		S	DMG
		Element Separator	AN	1			*
	DMG01	Date Time Period format Qualifier	ID	2	1250	S	D8 = Date format
		Element Separator	AN	1			*
	DMG02	Date Time Period	AN	8	1251	S	<CCYYMMDD - Recipient Date of Birth>
		Segment Terminator					~

Sample
DMG*D8*19571112

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2100C	DTP	Subscriber Date	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date Time Qualifier	ID	2	374	R	See values below
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8 or RD8
		Segment Terminator					~

DTP 01 – Date Time Qualifier

Code	Definition
096	Discharge
102	Issue
152	Effective Date of Change
291	Plan
307	Eligibility
340	Consolidated Omnibus Budget Reconciliation Act (COBRA) Begin
341	Consolidated Omnibus Budget Reconciliation Act (COBRA) End
342	Premium Paid to Date Begin
343	Premium Paid to Date End
346	Plan Begin
347	Plan End
356	Eligibility Begin
357	Eligibility End
382	Enrolment
435	Admission
442	Date of Death
458	Certification
472	Service
539	Policy Effective
540	Policy Expiration
636	Date of Last Update
771	Status

DTP 02 – Date Time Period Qualifier

Code	Definition
D8	Date Expressed in Format CCYYMMDD
RD8	Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

Sample

DTP*356*D8*20110101
DTP*346*D8*20140101
DTP*347*D8*20141231

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

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271–5010 Health Care Eligibility Benefit Response – Loop 2000C Subscriber Level

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	22 (Subscriber)
		Segment Terminator					~
	HL04	Hierarchical Child Code	ID	1/1	736	R	1
		Segment End					~

Sample :

HL*3*2*22*0

TRN Subscriber Trace Number
To uniquely identify a transaction to an application

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2000C	TRN	Subscriber Trace Number	ID	3		R	TRN
		Element Separator	AN	1			*
	TRN01	Trace Type Code	ID	1	481	R	See below for Set of values
		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>
		Element Separator					*
	TRN04	Reference Identification	AN	1/50	127		Trace Assigning Entity Additional Identifier. Required when it is necessary to further identify a specific component of the company identified in the previous data element (TRN03). If not required by this implementation guide, do not send.
		Segment Terminator					~

TRN01- Trace Type Code

Code	Definition
1	(for Current Transaction Trace Numbers) – refers to trace or reference number assigned by the creator of the 271 transaction (the information source)
2	(for Referenced Transaction Trace Numbers) – refers to trace or reference numbers originally sent in the 270 transaction and returned in the 271

1. TRN02 provides unique identification for the transaction.
2. TRN03 identifies an organization.
3. TRN04 identifies a further subdivision within the organization.

Sample :

TRN*1*98175-012547*8877281234*RADIOLOGY~
TRN*1*109834652831*WXYZCLEARH*REALTIME~
TRN*2*090919391*3030240928

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

Available link for download

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

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Serial Game Movie

Tuesday, March 21, 2017

271–5010 Health Care Eligibility Benefit Response Subscriber Demographic Information and Subscriber Date –Loop 2100C

271–5010 Health Care Eligibility Benefit Response Subscriber Demographic Information and Subscriber Date –Loop 2100C

Thursday, February 23, 2017

271–5010 Health Care Eligibility Benefit Response – Loop 2000C Subscriber Level

271–5010 Health Care Eligibility Benefit Response – Loop 2000C Subscriber Level

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