ANSI X12 837P - 5010 2310D NM1 - Supervising Provider Name

The purpose of the 2310D NM1 Supervising Provider Name Loop is to supply the name and id of the supervising provider.

The 5010 specifications for the NM1 segment can be found below as it pertains to the 2310D loop.

Sample 837P (5010) - 2310D NM1 - Supervising Provider Name

  • Supervising Provider Name (2310D)
  • NM1*DQ*1*LAST*FIRST*M***XX*1234567893~

HIPAA Guide - 837P [5010]


RNM101Entity Identifier CodeMID3
DQSupervising Physician
RNM102Entity Type QualifierMID1
RNM103Name Last or Organization Name
[Supervising Provider Last Name]
ONM104Name First
[Supervising Provider First Name]
ONM105Name Middle
[Supervising Provider Middle Name or Initial]
NNM106Name PrefixOAN10
ONM107Name Suffix
[Supervising Provider Name Suffix]
SNM108Identification Code QualifierXID2
XXCenters for Medicare and Medicaid Services National Provider Identifier
SNM109Identification Code
[Supervising Provider Identifier]
NNM110Entity Relationship CodeXID2
NNM111Entity Identifier CodeOID3
NNM112Name Last or Organization NameOAN60

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