EDI

ANSI X12 837P - 4010 2010BA DMG - Subscriber Demographic Information

The 2010BA DMG Subscriber Demographic Information Segment holds the subscriber/insured Birth Date and Gender.

The 4010 specifications for the DMG segment can be found below as it pertains to the 2010BA loop.

Sample 837P (4010) - 2010BA DMG - Subscriber Demographic Information

  • Subscriber Demographic Information (2010BA)
  • DMG*D8*19440606*F~

HIPAA Guide - 837P [4010]

[Situational]

UseSegmentFieldNameRDLDefinition
RDMG01Date Time Period Format QualifierXID3
RDMG02Date Time Period
[Subscriber Birth Date]
XAN35
RDMG03Gender Code
[Subscriber Gender Code]
OID1
CodeDefinition
FFemale
MMale
UUnknown
NDMG04Marital Status CodeOID1
NDMG05Race or Ethnicity CodeOID1
NDMG06Citizenship Status CodeOID2
NDMG07Country CodeOID3
NDMG08Basis of Verification CodeOID2
NDMG09QuantityOR15

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