ANSI X12 837P - 2010BA - Subscriber Name Loop

The 837 Health Care transaction for professional claims is comprised of loops, segments and data elements. The 2010BA loop is referred to as the Subscriber Name Loop. The Subscriber Name loop is where you specify the information about the individual who is listed as the subscriber/insured for the destination payer.

There are basically two different versions of the 837P transaction. The initial variation referred to as 4010 and the most recent variation referred to as 5010.

We have two examples of the 2010BA Subscriber Name Loop below. The first one is for the current 5010 format and the second is for the older 4010 format.

Sample 837P (5010) - 2010BA - Subscriber Name Loop

5010 Segment Details

• 837P 5010 - 2010BA NM1 - Subscriber Name [Required]
• 837P 5010 - 2010BA N3 - Subscriber Address [Situational]
• 837P 5010 - 2010BA N4 - Subscriber City/State/Zip Code [Situational]
• 837P 5010 - 2010BA DMG - Subscriber Demographic Identification [Situational]
• 837P 5010 - 2010BA REF - Subscriber Secondary Identification [Situational]
• 837P 5010 - 2010BA REF - Property And Casualty Claim Number [Situational]
• 837P 5010 - 2010BA PER - Property And Casualty Subscriber Contact Information [Situational]

Sample 837P (4010) - 2010BA - Subscriber Name Loop

4010 Segment Details

• 837P 4010 - 2010BA NM1 - Subscriber Name [Required]
• 837P 4010 - 2010BA N2 - Additional Subscriber Name Information [Situational]
• 837P 4010 - 2010BA N3 - Subscriber Address [Situational]
• 837P 4010 - 2010BA N4 - Subscriber City/State/Zip Code [Situational]
• 837P 4010 - 2010BA DMG - Subscriber Demographic Identification [Situational]
• 837P 4010 - 2010BA REF - Subscriber Secondary Identification [Situational]
• 837P 4010 - 2010BA REF - Property And Casualty Claim Number [Situational]