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Back  RFI # 1428: 2310C FACILITY NPI 837P 5010

Formal vs. Informal Help Informal Formal

Submitter

robert thickens

Description

WHEN A FACILITY IS OPERATED BY THE ENTITY IN THE 2010AA LOOP BUT IS A DIFFERENT PHYSICAL LOCATION, DOES ONE SEND THE NPI INTHE NM1 SEGMENT OR SUPPRESS IT? WHAT ABOUT THE ENTIRE 2010C LOOP?

Submitter Assigned Keywords

5010 837P 2310C NPI

Response

When the Facility is operated by the Billing Provider entity reported in the 2010AA Loop and is a different physical location, then that Facility is reported in the 2310C Loop. However, the NM108 and NM109 must not be sent. It is not permissible to report an organization health care provider NPI as the Service Location if the entity being identified is a component (for example, subpart) of the Billing Provider. In that case, the subpart must be the Billing Provider.
Submission 10/10/2011
Status Date 12/16/2011
Status F - Final
Primary References
Document 005010X222
Section2310C
Page269
Set ID837P
Table2
Loop2310C
Segment Position2500
Segment IDNM1
Element Position09
Component Position00
Industry NameFACILITY NPI
External Code ListN/A
Code ValueNPI