VERSION 004010X098A1 - Magellan Provider's Home Page
VERSION 004010X098A1 - Magellan Provider's Home Page
VERSION 004010X098A1 - Magellan Provider's Home Page
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<strong>Magellan</strong> Behavioral Health 837 Professional Companion GuideNM1Element Summary:Patient NamePos: 015 Max: 1Detail - OptionalLoop:Elements: 32010CARef Id Element Name Req Type Min/Max UsageNM104 1036 Name FirstO AN 1/25 RequiredDescription: Individual first name<strong>Magellan</strong> Specific Note: Full legal name isnecessary to correctly identify the patient. Usename as printed on Member Identification card.NM105 1037 Name MiddleO AN 1/25 SituationalDescription: Individual middle name or initial<strong>Magellan</strong> Specific Note: Full legal name isnecessary to correctly identify the patient. Usename as printed on Member Identification card.NM108 66 Identification Code QualifierC ID 1/2 SituationalDescription: Code designating the system/methodof code structure used for Identification Code (67)<strong>Magellan</strong> Specific Note: Only value 'MI' is usedby <strong>Magellan</strong>._________________________________________________________________________________________________________________________Revised: February 14, 2008 HIPAA X12 837p (<strong>004010X098A1</strong>) Version 7 34
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