Segment: NM1

Loop: 1000B Segment: NM1

Element: NM101 (Receiver Entity Identifier Code)

Hard coded to '40'

Element: NM102 (Receiver Entity Type Qualifier)

Hard coded to '2'

Element: NM103 (Receiver Last Name or Organization Name)

Element: NM103 (Receiver Last Name or Organization Name)

Tools->Billing Maintenance->Claims Options->Clearinghouse Name

Element: NM103 (Receiver Last Name or Organization Name)

Element: NM103 (Receiver Last Name or Organization Name)

Tools->Insurance Companies->Clearinghouse Name

Element: NM108 (Receiver Identification Code Qualifier)

Hard Coded to '46'

Element: NM109 (Receiver Identification Code)

Element: NM109 (Receiver Identification Code)

Tools->Billing Maintenance->Claims Options->Clearinghouse ID

Element: NM109 (Receiver Identification Code)

Element: NM109 (Receiver Identification Code)

Tools->Insurance Companies->Clearinghouse ID entered in Claims Options

Element: NM109 (Receiver Identification Code)

Element: NM109 (Receiver Identification Code)

Tools->Billing Maintenance->Claims Options->Receiver ID

Element: NM109 (Receiver Identification Code)

Element: NM109 (Receiver Identification Code)

Tools->Insurance Companies->Receiver ID entered in Claims Options