What does 2310C element NM109 mean?
2310C Element NM109 is used. It is not expected to be used when it has the same value as element NM109 in loop 2010AA. Rejection Details. This rejection indicates the facility and billing NPI sent out on the claim are identical.
What is Loop and segment?
Each individual loop on an electronic claim has a segment component where the data is entered. The loops and segments contain the readable information that provides the clearinghouse the identifying information for the claim that was filed.
What is element NM109?
NM109 is the primary ID that you have entered on the insurance card in Therabill and is equivalent to Box 1A on the CMS-1500. SBR03 is the policy / group number that you have entered on the insurance card in Therabill and is equivalent to Box 11 on the CMS-1500.
What is element NM108?
A data element with ‘Must Use’ status is missing. Element NM108 (Identification Code Qualifier) is mis; An HIPAA syntax error occurred. Provider action: Identify which data element is missing from the NM1 segment and make appropriate corrections. The NM109 indicates a payer ID, patient/subscriber member ID, or an NPI.
What is Box 33b?
Box 33b is used to indicate a payer-assigned identifier of the Billing Provider. Some payers require the provider’s taxonomy code be listed in Box 33b.
What is NM109?
What is the field 11 in CMS 1500?
KEY: R = Required | NR = Not Required | S = Situational, only use if appropriate specific to claim
| Field ID | Field Description | Data Type |
|---|---|---|
| 10c | S | |
| 10d | CLAIM CODES (DESIGNATED BY NUCC) | S |
| 11 | INSURED’S POLICY GROUP OR FECA NUMBER | NR |
| 11a | INSURED’S DATE OF BIRTH, GENDER | NR |
What is Field 11 in CMS 1500 form?
Insured person DOB and SEX of destination payer. 11. b. Insured person EMPLOYER name of destination payer.