CL_RMT_CLM_ENTITY

Description: |
Contains identifying information for entities (persons or organizations) from an electronic remittance payment. This information is sent in the NM1 segment of an ANSI 835 Health Care Claim Payment/Advice file. This information is stored in the remittance image record.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
IMAGE_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | IMAGE_ID | VARCHAR | No |
ID for the remittance image record containing the claim related entity information.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | ID_CODE_C_NAME | VARCHAR | No |
The entity identifier code for the claim related entity. This is a standard code that indicates what type of individual or organization is being identified.
May contain organization-specific values: Yes
Category Entries:
Patient
Insured or Subscriber
Corrected Insured
Rendering Provider
Transfer To
Payer
Other Insured
4 | ENT_QUAL_C_NAME | VARCHAR | No |
Code indicating whether this information is for a person or a non-person entity.
May contain organization-specific values: No
Category Entries:
Person
Non-Person entity
5 | LAST_NAME_ORG_NAME | VARCHAR | No |
This is the individual last name or organization name.
6 | FIRST_NAME | VARCHAR | No |
The individual first name.
7 | MIDDLE_NAME | VARCHAR | No |
The individual middle name or initial.
8 | NAME_SUFFIX | VARCHAR | No |
The suffix to individual name.
9 | IDEN_CODE_QUALF_C_NAME | VARCHAR | No |
The identification code qualifier. This is a standard code that indicates what type of ID is used to identify the specific individual or organization.
May contain organization-specific values: No
Category Entries:
Social security number
Health insurance claim number
United states national individual identifer
Member identification number
Medicaid recipient identification number
Insured's changed unique identification number
Blue cross provider number
Blue shield provider number
Federal taxpayer's identification number
Medicaid provider number
Provider commercial number
State license number
Unique physician identification number
Health care financing administration national provider identifier
Blue cross blue shield association plan code
National association of insurance commissioners (NAIC) identification
Payor Identification
Pharmacy processor number
Health care financing administration national planID
10 | IDEN_CODE | VARCHAR | No |
The ID associated with the specific individual or organization.