Clearinghouse Rejection: Referring Provider (2310A) is required to be a person
CE - Referring Provider (2310A) is required to be a person (NM102 = '1')
Referring Provider Library: If the full name of a Referring Provider is entered in the Last Name field, it is recognized as an institution instead of a person
This puts a 2 in place of the usual, 1 in the 2310A Loop NM1 segment.
Example:
James Flores MD is entered in the Last Name field of the Referring Provider Library.
Result in the ANSI Claim: 2310A NM1*DN*2*JAMES FLORES MD
Flores is entered in the Last Name, James is entered as the First Name.
Result in the ANSI Claim: 2310A NM1*DN*1*FLORES*JAMES
If an Institution needs to be the referring:
Enter part of the entity's name in the Last Name and part in the First Name field.
Example: The Clinic Health Center is the name of the Institution.
Enter Health Center as the Last Name.
Enter The Clinic as the First Name.
Result: 2310A NM1*DN*1*HEALTH CENTER*THE CLINIC
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