EDI 5010 Documentation 837 Professional - Loop 1000B Receiver Name

1000B – Receiver Name

        

 

1000B – Receiver Name

This loop contains receiver information.  A receiver is the payer that is receiving the claims you are sending.  If you are sending directly to the insurance company, then you need specify the insurance company name in NM103 and Payer ID in NM109. If you are sending the claims via clearing house, then NM103 and NM109 contain the same value Clearing house ID. This ID will be given by the clearing house to the software vendor after sign up process.

In the PMS software, you can maintain this information globally as follows



You can also see another reference how SOAPware, Inc maintaining this information.

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
Header	NM1	Receiver Name	ID	3		R	NM1
		Element Separator	AN	1			*
	NM101	Entity Identifier Code	ID	2/3	98	R	40
		Element Separator	AN	1			*
	NM102	Entity Type qualifier	ID	1/1	1065	R	2
		Element Separator	AN	1			*
	NM103	Name Last or Organization Name	AN	1/60	1035	R	PRINT ISA08 Interchange Receiver ID
		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	46
		Element Separator	AN	1			*
	NM109	Identification code	AN	2/80	67	R	Print the same value of ISA08 Interchange Receiver ID
		Segment Terminator					~

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Sample: 1

NM1*40*2*Zirmed*****46*Zirmed~

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NM102 - Entity Type Qualifier

Code qualifying the type of entity

Code	Definition
2	Non-Person Entity

 

NM108 – Identification code Qualifier.

Code qualifying the type of entity

Code	Definition
46	Electronic Transmitter identification Number (ETIN) Established by trading partner agreement.

 

 

        

 

 

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