Service Provider Name
X12N Information
Loop ID 2010AA
Segment ID NM1
Position in Segment 03
837I Information This field also exists in the ASC X12N Health Care Claim: Institutional
External Codes This field does not use a code list external to the ASC X12 Standard
If applicable, all internal X12 codes follow
UB Information
Form Locator FL 01
Description Billing Provider Name, Address and Telephone Number
There are UB codes for this field. Consult the UB-04 Manual for details.
HL7 C-CDA R1.1, CCD Document
Data Element Name Service Event Performer Name
CCD Templated Path
xPath ​/hl7:ClinicalDocument​/hl7:documentationOf​/hl7:serviceEvent​/hl7:performer​/hl7:assignedEntity​/hl7:representedOrganization​/hl7:name
Additional Information
NCVHS This field does not have a cross reference to the National Committee on Vital and Health Statistics Core Data Set
Notes The Service Provider in the reporting guide replaces the billing provider in the institutional claim guide.
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