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*********************** Updated:05/16/2008 Copyright © 1996-2008 Management Systems Consulting, Inc. | | | N1 | ![]() | | TPA/Broker Name | . | | Pos: 070 | Max: 1 | | Heading - Optional | | Loop: 1000C | 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_______________________________ | | | | | | BO | Broker or Sales Office | | | | | | TV | Third Party Administrator (TPA) | | | 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_______________________________ | | | | | | 94 | Code assigned by the organization that is the ultimate destination of the transaction set | | | | | | FI | Federal Taxpayer's Identification Number | | | | | | XV | Health Care Financing Administration National Payer Identification Number (PAYERID) | | | | | | | Description: Required if the National PlanID is mandated for use. Otherwise, one of the other listed codes may be used. | | | N104 | 67 | Identification Code | C | AN | 2/80 | | | | | | | Description: Code identifying a party or other code |
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