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.