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'.