837P Companion Guide - Peach State Health Plan Peach State ...
837P Companion Guide - Peach State Health Plan Peach State ...
837P Companion Guide - Peach State Health Plan Peach State ...
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Loop IDUsageSegment NotesElement UsageID2010BARequired<strong>Guide</strong>Description/ValidValuesCommentsN401 R Subscriber City NameN402 R Subscriber <strong>State</strong>CodeN403 R Subscriber PostalZone or ZIP codeN404 S Country Code This data element is required whenthe address is outside the US.N405 N/A Location Qualifier Not UsedN406 N/A Location Identifier Not UsedSegment NameSegment IDLoop IDUsageSegment NotesElement UsageIDSubscriber Demographic InformationDMG2010BARequired<strong>Guide</strong>Description/ValidValuesDMG01 R Date Time PeriodFormat QualifierDMG02 R Subscriber Birth DateDMG03 R Subscriber GenderCodeDMG04 N/A Martial Status Code Not UsedDMG05 N/A Race or Ethnicity Not UsedCodeDMG06 N/A Citizenship Status Not UsedCodeDMG07 N/A Country Code Not UsedDMG08 N/A Basis of Verification Not UsedDMG09 N/A Quantity Not Used50CommentsD8: Date Expressed in FormatCCYYMMDDF: FemaleM: MaleU: Unknown
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