POS	ID	NAME	USG	RPT	LOOP RPT
	0100	ST	Transaction Set Header	R	1
	0200	BHT	Beginning of Hierarchical Transaction	R	1
	LOOP ID - 2000A INFORMATION SOURCE LEVEL					>1
	0100	HL	Information Source Level	R	1		-

Segments

This section repeats once for each segment used in the implementation providing segment specific detail and X12 standard detail, including Segment Detail, Diagram, and Element Detail. Each segment page contains a change description, the 004010A1 segment, if there was one, and the 005010 segment.

Hover over a icon for a description of the item.

Click Here to view a sample segment page in a new browser window.

Segment Detail

Hover over a icon for a description of the item.

 

SEGMENT DETAIL
	N1 - PAYER IDENTIFICATION
X12 Name:	Party Identification
X12 Purpose:	To identify a party by type of organization, name, and code
X12 Set Notes:	1. COMMENT: The N1 loop allows for name/address information for the payer and payee which would be utilized to address remittance(s) for delivery.
X12 Syntax:	1. R0203 At least one of N102 or N103 is required. 2. P0304 If either N103 or N104 is present, then the other is required.
Loop:	1000A — PAYER IDENTIFICATION Loop Repeat: 1
Segment Repeat:	1
Usage:	REQUIRED
Situational Rule:	Filler text ...
TR3 Notes:	1. Use this N1 loop to provide the name/address information for the payer. 2. The payer's secondary identifying reference number is provided in N104, if necessary.
TR3 Example:	N1PRINSURANCE COMPANY OF TIMBUCKTUXV8888888888~

Diagram

This section provides a pictorial view of the standard and shows which elements are used in this implementation. Each element is briefly described in a box. The border of the box conveys the requirment of a given element within the segment. A heavy red box indicates a required element, a grey box indicates a situational element and a dashed grey box, along with the name in strike-through type indicates a not used element.

Sample
Hover over text below for pop-up help. For "Reference Desginator," "Condition Designator," and "Data Element Type," click that same text to link to Appendix B for a complete description.

N101 98 Entity ID Code M 1 ID 2/3

Element Detail

This section specifies the implementation details of each data element. Although the example below does not contain a composite data structure, the individual components of those structures contain the same entities as the simple data elements displayed here.

Hover over a icon for a description of the item.

ELEMENT DETAIL

USAGE	REF. DES.	D.E. NUM.	NAME	ATTRIBUTES
REQUIRED	N101	98	Entity Identifier Code	M 1 ID 2/3
			Code identifying an organizational entity, a physical location, property or an individual
			CODE       DEFINITION PR Payer
REQUIRED	N102	93	Name	X 1 AN 1/60
			Free-form name
			SEGMENT SYNTAX: R0203
			INDUSTRY NAME: Payer Name
SITUATIONAL	N103	66	Identification Code Qualifier	X 1 ID 1/2
			Code designating the system/method of code structure used for Identification Code (67)
			SEGMENT SYNTAX: R0203, P0304
			SITUATIONAL RULE: Required when the National PlanID is mandated for use. If not required by this implementation guide, may be provided at the sender's discretion, but cannot be required by the receiver.
			CODE       DEFINITION XV Centers for Medicare and Medicaid Services PlanID   Required if the National PlanID is mandated for use. CODE SOURCE 540: Centers for Medicare and Medicaid Services PlanID
SITUATIONAL	N104	67	Identification Code	X 1 AN 2/80
			Code identifying a party or other code
			SEGMENT SYNTAX: P0304
			COMMENT: This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.
			SITUATIONAL RULE: Required when the National PlanID is mandated for use. If not required by this implementation guide, may be provided at the sender's discretion, but cannot be required by the receiver.
			INDUSTRY NAME: Payer Identifier
NOT USED	N105	706	Entity Relationship Code	O 1 ID 2/2
NOT USED	N106	98	Entity Identifier Code	O 1 ID 2/3