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Back  RFI # 489: 837

Formal vs. Informal Help Informal Formal

Submitter

Linda Borges

Description

837 - Situational 2310A NM108/NM 109 identification code - if the provider is not a covered entity, the field should be populated with the provider's SSN. It can not be blank. Do you agree with my interpretation? Also, once the NPPES data dissemination process is final, and the servicing provider is sending the 837, as long as the other providers are covered entities, their NPI is now known (since data dissemination process), the field shoud be populated with the NPI, it can not be blank, do you agree?

Response

An identifier for the Referring Provider (2310 NM108/09) is only required if that number is known by the submitter. The submitter is not obligated by the implementation guide to access the Referring Provider's NPI, Social Security Number, or any other number either before or after the NPI mandate.
Submission 11/17/2006
Status Date 1/26/2007
Status F - Final
Primary References
Document 004010x098
Section2310A
Page282
Set ID09
Loop2310A
Segment Position250
Segment IDNM1
Element Position09
Industry NameReferring Provider Identifier