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.