RFI Browser

Back  RFI # 751: 5010 Other Payer and Member In

Formal vs. Informal Help Informal Formal

Submitter

Stuart Beaton

Description

Is this the correct way to return Other Payer and the associated member information using the 005010X279 Implementation Guide?

EB*R~
LS*2120~
NMI*PRP*2*Health Plan Name~
NMI*IL*1*Last Name*First Name****MI*123456789~
LE*2120~

Response

Yes, the example above illustrates the correct way to identify an Other Payer and the associated member information using the 005010X279 Implementation Guide (TR3).

The structure of the 005010X279 allows for the repetition of the 2120 NM1 segment (one for the other health plan and one for the member) without the need for the 2110 REF linkage needed in 004010X092A1.
Submission 3/27/2009
Status Date 5/18/2009
Status F - Final
Primary References
Document 005010X279
Section2.6
Page289
Set ID270271
Table2
Loop2110