facility name and location of EDI loop 2310C , 2310A

Electronic Data Interchange - Institutional & Dental Claims


837 Health Care Claim Submissions

INSTITUTIONAL
Loop	Segments/Data Elements
Billing Provider Loop 2010aa	NPI: NM108 = XX and NM109 = NPI Tax ID: REF01 = EI and REF02 = Tax ID Legacy ID not mandated for use.
Pay-To Provider Loop 2010ab	NPI: NM108 = XX and NM109 = NPI Tax ID: REF01 = EI and REF02 = Tax ID Legacy ID not mandated for use.
Attending Provider Loop 2310a	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use. Legacy ID not mandated for use.
Operating Physician Name Loop 2310b	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use. Legacy ID not mandated for use.
Other Provider Name Loop 2310c	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use. Legacy ID not mandated for use.
Service Facility Name Loop 2310e	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use. Legacy ID not mandated for use.
Attending Physician Name Loop 2420a	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use. Legacy ID not mandated for use.
Operating Physician Name Loop 2420b	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use. Legacy ID not mandated for use.
Other Provider Name Loop 2420c	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use. Legacy ID not mandated for use.
DENTAL
Loop	Segments/Data Elements
Billing Provider Loop 2010AA	NPI: NM108 = XX and NM109 = NPI Tax ID: REF01 = EI and REF02 = Tax ID Legacy ID not mandated for use
Pay-To Provider Loop 2010AB	NPI: NM108 = XX and NM109 = NPI Tax ID: REF01 = EI and REF02 = Tax ID Legacy ID not mandated for use
Rendering Provider Loop 2310B	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use Legacy ID not mandated for use
Referring Provider Loop 2310A	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use Legacy ID not mandated for use
Service Facility Location Loop 2310C	NPI: NM108 = XX and NM109 = NPI Tax ID not mandated for use Legacy ID not mandated for use