Segment: NM1
Loop: 2010AA Segment: NM1
Element: NM101 (Billing Provider Entity Type Qualifier)
Hard Coded to '85'
Element: NM102 (Billing Provider Entity Type Qualifier)
Tools->Insurance Companies->Edit Provider->Override Group Values->Entity Type
Element: NM103 Billing Provider Last Name or Organization Name. Limit 60
Tools->Manage Groups->Name
Element: NM103 (Billing Provider Last Name or Organization Name) Override for Insurance Company
Tools->Insurance Companies->Edit Provider->Override Group Values->Name
Element: NM103 (Billing Provider Last Name or Organization Name)
Tools->Provider Manager->Last Name
Element: NM104 (Billing Provider First Name) Limit 35
Tools->Provider Manager->First Name
Element: NM105 (Billing Provider Middle Name) Limit 25
Tools->Provider Manager->Middle Initial
Element: NM107 (Billing Provider Name Suffix) Limit 10
Tools->Provider Manager->Suffix
Element: NM108 (Billing Provider Identification Code Qualifier)
Hard Coded
Element: NM109 (Billing Provider Identification Code)
Tools->Manage Groups->NPI
Element: NM109 (Billing Provider Identification Code) Overridden in Insurance Company
Tools->Insurance Companies->Edit Provider->Override Group Values->NPI