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*********************** Updated:05/16/2008 Copyright © 1996-2008 Management Systems Consulting, Inc. | | | N1 | ![]() | | Premium Payer’s Name | . | | Pos: 070 | Max: 1 | | Heading - Optional | | Loop: 1000B | Elements: 4 | |
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To identify a party by type of organization, name, and code Element Summary: | | | | | | | | | | | | | | _Ref_ | Id | _________Element Name__________ | Req | Type | Min/Max | | | | | N101 | 98 | Entity Identifier Code | M | ID | 2/3 | | | | | | | Description: Code identifying an organizational entity, a physical location, property or an individual | | | | | | Code | Name_______________________________ | | | | | | PR | Payer | | | N102 | 93 | Name | C | AN | 1/60 | | | | | | | Description: Free-form name | | | N103 | 66 | Identification Code Qualifier | C | ID | 1/2 | | | | | | | Description: Code designating the system/method of code structure used for Identification Code (67) | | | | | | Code | Name_______________________________ | | | | | | 1 | D-U-N-S Number, Dun & Bradstreet | | | | | | 9 | D-U-N-S+4, D-U-N-S Number with Four Character Suffix | | | | | | 24 | Employer's Identification Number | | | | | | 65 | National Employer Identification | | | | | | 75 | State or Province Assigned Number | | | | | | EQ | Insurance Company Assigned Identification Number | | | | | | FI | Federal Taxpayer's Identification Number | | | | | | PI | Payor Identification | | | N104 | 67 | Identification Code | C | AN | 2/80 | | | | | | | Description: Code identifying a party or other code |
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