Segment: NM1

Loop: 2330C   Segment: NM1

Element: NM101 (Other Payer Referring Provider Entity Identifier Code)

Hard coded to 'DN'.

Element: NM102 (Other Payer Referring Provider Entity Type Qualifier)

Hard coded to '1'.

Element: NM101 (Other Payer Primary Care Provider Entity Identifier Code)

Hard coded to 'P3'.

Element: NM102 (Other Payer Primary Care Provider Entity Type Qualifier)

Hard coded to '1'.