To indicate the start of a transaction set and to assign a control number
200
BPR
Beginning Segment for Payment Order/Remittance Advice
To indicate the beginning of a Payment Order/Remittance Advice Transaction Set and total payment amount, or to enable related transfer of funds and/or information from payer to payee to occur
To transmit information in a free-form format, if necessary, for comment or special instruction
To uniquely identify a transaction to an application
To specify the currency (dollars, pounds, francs, etc.) used in a transaction
To specify identifying information
To specify pertinent dates and times
To identify a party by type of organization, name, and code
900
N2
Additional Name Information
To specify additional names
To specify the location of the named party
To specify the geographic place of the named party
To specify identifying information
1300
PER
Administrative Communications Contact
To identify a person or office to whom administrative communications should be directed
1400
RDM
Remittance Delivery Method
To identify remittance delivery when remittance is separate from payment
To specify pertinent dates and times
30
LX
Transaction Set Line Number
To reference a line number in a transaction set
To supply provider-level control information
70
TS2
Transaction Supplemental Statistics
To provide supplemental summary control information by provider fiscal year and bill type
To supply information common to all services of a claim
To supply adjustment reason codes and amounts as needed for an entire claim or for a particular service within the claim being paid
300
NM1
Individual or Organizational Name
To supply the full name of an individual or organizational entity
330
MIA
Medicare Inpatient Adjudication
To provide claim-level data related to the adjudication of Medicare inpatient claims
350
MOA
Medicare Outpatient Adjudication
To convey claim-level data related to the adjudication of Medicare claims not related to an inpatient setting
To specify identifying information
To specify pertinent dates and times
600
PER
Administrative Communications Contact
To identify a person or office to whom administrative communications should be directed
620
AMT
Monetary Amount Information
To indicate the total monetary amount
To specify quantity information
To supply payment and control information to a provider for a particular service
To specify pertinent dates and times
To supply adjustment reason codes and amounts as needed for an entire claim or for a particular service within the claim being paid
To specify identifying information
1100
AMT
Monetary Amount Information
To indicate the total monetary amount
To specify quantity information
1300
LQ
Industry Code Identification
To identify standard industry codes
100
PLB
Provider Level Adjustment
To convey provider level adjustment information for debit or credit transactions such as, accelerated payments, cost report settlements for a fiscal year and timeliness report penalties unrelated to a specific claim or service
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)
