Segment: N4

Loop: 2330A   Segment: N4

Element: N401 (Other Subscriber City)

Element: N401 (Other Subscriber City)

Patient Account->Insurance Tab->View Insurance Policy->City

Size limited to 30 characters.

Element: NM402 (Other Subscriber State)

Element: NM402 (Other Subscriber State)

Patient Account->Insurance Tab->View Insurance Policy->State

Element: NM403 (Other Subscriber Zip Code)

Element: NM403 (Other Subscriber Zip Code)

Patient Account->Insurance Tab->View Insurance Policy->Zip Code

Element: NM404 (Other Subscriber Country Code)

Not Implemented.

Element: NM407 (Other Subscriber Country Subdivision Code)

Not Implemented.