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.