In the IG, there is a reference to the Payer Identifier in Loop 1000A. N101 Entity Identifier Code is required, value = PR N102 is Situational and indicates that this is required if the National Plan ID is not identified in N104.
N103 is Situational but indicates this element is expected to be sent. However, the value for N103 is XV to indicate the HCFA National Plan ID and further states that this is required if the national Plan ID is mandated – otherwise, one of the other codes listed may be used. Does this reference codes from External Source 540 or are additional values besides “XV” supposed to be listed?
This Loop is causing test claims to fail and I am not sure of the resolution. Can someone help with an explanation of how they see this Loop working?
Thanks!
Greg Bard NASCO HIPAA Privacy and Security Project Manager (W) 678.441.6059 (F) 678.441.6359
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