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]
| Use | Segment | Field | Name | R | D | L | Definition | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R | DMG | 01 | Date Time Period Format Qualifier | X | ID | 3 | |||||||||
| R | DMG | 02 | Date Time Period [Subscriber Birth Date] | X | AN | 35 | |||||||||
| R | DMG | 03 | Gender Code [Subscriber Gender Code] | O | ID | 1 |
| ||||||||
| N | DMG | 04 | Marital Status Code | O | ID | 1 | |||||||||
| N | DMG | 05 | Race or Ethnicity Code | O | ID | 1 | |||||||||
| N | DMG | 06 | Citizenship Status Code | O | ID | 2 | |||||||||
| N | DMG | 07 | Country Code | O | ID | 3 | |||||||||
| N | DMG | 08 | Basis of Verification Code | O | ID | 2 | |||||||||
| N | DMG | 09 | Quantity | O | R | 15 |
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