Segment: NM1

Loop 2310D   Segment: NM1

Element: NM101 (Supervising Provider Entity Identifier Code)

Hard coded to 'DQ', indicating Supervising Physician.

Element: NM102 (Supervising Provider Entity Type Qualifier)

Hard code to '1', indicating Person.

Element: NM103 (Supervising Provider Last Name)

Element: NM103 (Supervising Provider Last Name)
  1. Open the Patient Account, related to the claim needed.
  2. Click on the Claims tab.
  3. Under the needed claim, click More Info.
  4. Click on the Providers tab.
  5. Enter the Supervising Provider in the drop down indicated in the image above.

This list populating the drop down is being pulled from either the Provider Manager or Contacts.

Size limit for last name is 60 characters.

Element: NM104 (Supervising Provider First Name)

Element: NM104 (Supervising Provider First Name)
  1. Open the Patient Account, related to the claim needed.
  2. Click on the Claims tab.
  3. Under the needed claim, click More Info.
  4. Click on the Providers tab.
  5. Enter the Supervising Provider in the drop down indicated in the image above.

This list populating the drop down is being pulled from either the Provider Manager or Contacts.

Size limit for last name is 35 characters.

Element: NM105 (Supervising Provider Middle Name)

Element: NM105 (Supervising Provider Middle Name)
  1. Open the Patient Account, related to the claim needed.
  2. Click on the Claims tab.
  3. Under the needed claim, click More Info.
  4. Click on the Providers tab.
  5. Enter the Supervising Provider in the drop down indicated in the image above.

This list populating the drop down is being pulled from either the Provider Manager or Contacts.

Size limit for last name is 25 characters.

Element: NM107 (Supervising Provider Suffix)

Element: NM107 (Supervising Provider Suffix)
  1. Open the Patient Account, related to the claim needed.
  2. Click on the Claims tab.
  3. Under the needed claim, click More Info.
  4. Click on the Providers tab.
  5. Enter the Supervising Provider in the drop down indicated in the image above.

This list populating the drop down is being pulled from either the Provider Manager or Contacts.

Size limit for last name is 10 characters.

Element: NM108 (Supervising Provider Identification Code Qualifier)

Hard coded to 'XX', only if an NPI is entered, for either the Provider or Contact, selected in the Supervising Provider drop down.

Element: NM109 (Supervising Provider Identification Code)

If a Supervising Provider has been selected in the More info dialog of a claim AND an NPI number was entered for the physician selected (whether it is an internal provider in the Provider Manager or in Contacts), the NPI number will pull onto the claim in this segment.