ANSI X12 837P - 4010 2010BA NM1 - Subscriber Name

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November 19, 2020

The purpose of the 2010BA NM1 Subscriber Name Loop is to supply the name and id of the subscriber/insured.

The 4010 specifications for the NM1 segment can be found below as it pertains to the 2010BA loop.

Sample 837P (4010) - 2010BA NM1 - Subscriber Name

> Subscriber Name (2010BA) NM1*IL*1*SUBSCRIBERLAST*SUBSCRIBERFIRST****MI*A12300111~

HIPAA Guide - 837P [4010]

[Required]

Segment Field Name Definition
NM101Entity Identifier Code
CodeDefinition
ILInsured or Subscriber
NM102Entity Type Qualifier
CodeDefinition
1Person
2Non-Person Entity
NM103Name Last or Organization Name
[Subscriber Last Name]
NM104Name First
[Subscriber First Name]
NM105Name Middle
[Subscriber Middle Name]
NM106Name Prefix
NM107Name Suffix
[Subscriber Name Suffix]
NM108Identification Code Qualifier
CodeDefinition
MIMember Identification Number
ZZMutually Defined
NM109Identification Code
[Subscriber Primary Identifier]
NM110Entity Relationship Code
NM111Entity Identifier Code

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