Segment: NM1

Loop: 2420D   Segment: NM1

Element: NM101 (Supervising Provider Entity Identifier Code)

Hard coded to 'DQ'.

Element: NM102 (Supervising Provider Entity Type Qualifier)

Hard coded to '1'.

Element: NM103 (Supervising Provider Last Name)

Contacts->Last Name

Provider Manager->Provider->Last Name

Element: NM104 (Supervising Provider First Name)

Contacts->First Name

Provider Manager->Provider->First Name

Element: NM104 (Supervising Provider Middle Name)

Contacts->Middle Name

Provider Manager->Provider->Middle Name

Element: NM104 (Supervising Provider Suffix)

Contacts->Suffix

Provider Manager->Provider->Suffix

Element: NM108 (Supervising Identification Code Qualifier)

Hard coded to 'XX'.

Element: NM109 (Supervising Provider NPI)

Contact->NPI

Provider Manager->Provider->NPI