Other Payer Name - Loop 2330 B

Loops and Segments Table - Loop 2330B - Other Payer Name

Usage : Required
Element : NM101
Value : PR = Payer
Comment : Code to identify an organizational entity or other payer.


Usage : Required
Element : NM102
Value : 2= Nonperson Entity
Comment : Code to identify type of entity.


Usage : Required
Element : NM103
Value : Nil
Comment : Name Last or Organization Name.


Usage : Required
Element : NM108
Value :
 PI = Payer Identification
XV = Health Care Financing Administration National Plan ID

Comment : Code to identify Payer or organization.


Usage : Required
Element : NM109
Value : Nil
Comment : Payer Identification Code.