Code 40 in NM108 specifies receiver
Code 41 in NM108 specifies submitter
 
Since these two terms can be somewhat ambiguous and interpretable I very early on in this work group's efforts recommended that a glossary be developed which provided specific unambiguous definitions to terms.
 
For example, I could argue that the submitter is the "actual" submitter of the claim transaction, which would be the provider. Others argue that the submitter is the entity that puts the claim data into the standard format - a clearinghouse. I would argue that the clearinghouse then is a business associate of the submitter.
 
I could also argue that the receiver is the end-point payer. Others could argue that the receiver could be the payer's clearinghouse.
 
We've gone round and round on this topic with no real resolution in my mind. And Martin's question certainly confirms my belief that these terms are not universally and unambiguously understood throughout the industry.
 
So....pick a number, put a blindfold on and toss the dart!
 
Rachel
-----Original Message-----
From: Martin Scholl [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, May 29, 2002 7:16 PM
To: WEDi/SNIP ID & Routing
Subject: RE: Trading Partner ID

Thanks for all the input.
That helped a lot with the ISA/GS issue.  But how about the loop 1000 , NM1_08 and NM1_09 with the 40/41 qualifier.
What are you guys doing there usually? Again use the same IDs as in ISA 06 and 08?
 
Martin

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