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Back  RFI # 479: 835 Transaction - NPI usage

Formal vs. Informal Help Informal Formal

Submitter

joanne hoagland

Description

The Rendering Provider REF segment at Loop 2110 carries an "HPI" qualifier which indicates the NPI. Why would an NPI be sent in a REF segment? There is no corresponding NM1 segment at this loop. I thought NPI was only carried in an NM1 segment using the XX qualifier. It was never understood that an NPI could be sent any other way. Please explain. Thanks.

Submitter Assigned Keywords

835 Transaction - NPI in a REF Segment

Response

This issue is explicitly addressed in guide 004010X091. The 2110 loop of the 835 does not contain an NM1 segment. Identification of a service specific rendering provider is provided in the REF segment at Table 2 position 100. In that segment, the REF01 qualifier "HPI" identifies that REF02 contains the National Provider Identifier (NPI).
Submission 11/3/2006
Status Date 12/14/2006
Status F - Final
Primary References
Document 004010X091A1
Section1
Page67
Set ID835
Loop2100
Segment Position040
Segment ID128