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Back  RFI # 1522: 837P - 2010AB Pay-to Address

Formal vs. Informal Help Informal Formal

Submitter

David Foulke

Description

The 5010 2010AB NM1 elements are marked as not used except for NM101 and NM102. When the Pay to Provider name is different than the billing Provider in 2010AA. where does the name for the Pay to provider go? How can a Pay to provider cash a check when it's made out to somebody else?

Submitter Assigned Keywords

2010AB

Response

The purpose of this Loop has changed from previous versions. It now only contains address information when different from the Billing Provider's primary business address reported in the 2010AA loop, allowing for an address to direct the payment. Payers will consider the Billing Provider Name submitted, information on the payer's files, and contractual arrangements to determine who to pay and how to make that payment. Note that sections 1.10.3 and 1.10.4 of the TR3 explain that when an organizational health care provider enumerates its subparts, those subparts must be reported as the Billing Provider.
Submission 2/15/2012
Status Date 5/24/2012
Status F - Final
Primary References
Document 005010X222
Section2.3.1
Page101
Set ID837P
Table2
Loop2010AC
Segment Position150
Segment IDNM1
Element PositionNM