This article dives into the specifics of Loop 2000A and assumes that you know how to read an EDI (837) file. If you are looking for a general outline of an EDI and how to read the basic structure, please see: How to read an EDI (837) File - Overview.

We will be using the following sample EDI file to break down this loop.

Loop 2000A - Billing/Pay-To Provider

Segment PRV - Provider Information (Not always present)

Example: PRV*BI*PXC*193200000X~

• Element 01 = Hardcoded to BI for Billing
• Element 02 = Identification Qualifier Code
  • PXC = Taxonomy
• Element 03 = Identification Code (193200000X) Box 33b

Loop 2010AA - Billing Provider (BP) Name

Segment NM1 - Name

Example: NM1*85*2*WEBPTTHERABILL CLINIC*****XX*1952465171~

• Element 01 = Hardcoded to 85 for Billing Provider
• Element 02 = Entity Type (2)
  • 1 = Individual
  • 2 = Organization
• Element 03 = Last Name or Organization Name (WebPT/Therabill Clinic) Box 33
• Element 04 = First Name Box 33
• Element 05 = Middle Name/Initial Box 33
• Element 07 = Suffix Box 33
• Element 08 = Identification Code Qualifier (XX)
  • XX = NPI
• Element 09 = Identification Code (1952465171) Box 33a

Segment N3 - Street Address

Example: N3*123 STREET~

• Element 01 = Street Address (123 Street) Box 33
• Element 02 = Street Address 2 Box 33

Segment N4 - City, State, and ZIP

Example: N4*PHOENIX*AZ*850044461~

• Element 01 = City (Phoenix) Box 33
• Element 02 = State (Arizona) Box 33
• Element 03 = ZIP code (850044461) Box 33

Segment REF - Reference

Example: REF*EI*365421684~

• Element 01 = Identification Code Qualifier Box 25 (can override Box 33b)
  • EI = Tax ID (EIN)
  • SY = Social Security Number
  • G2 = Commercial Number
• Element 02 = Identification Code (365421684) Box 25 (can override Box 33b)

Note: If a Box 33b Edit is being used, the REF segment will populate just before Loop 2300.

Segment PER - Contact

Example: PER*IC*DAN JENKINS*TE*3149628020~

• Element 01 = Contact Code Qualifier (IC)
  • IC = Information Contact
• Element 02 = Contact Name (Dan Jenkins)
• Element 03 = Information Code Qualifier (TE)
  • TE = Telephone Number
  • EX = Extension
• Element 04 = Information Code (3149628020) Box 33

Loop 2010AB - Pay-To Provider (PTP) Name

Note: This loop is only present if the information is different than Loop 2010AA.

Segment NM1 - Name

Example: NM1*87*2~

• Element 01 = Hardcoded to 87 for Pay-To Provider
• Element 02 = Entity Type (2)
  • 1 = Individual 
  • 2 = Organization

Segment N3 - Street Address

Example: N3*999 E HAPPY LANE~

• Element 01 = Street Address (999 E Happy Lane)
• Element 02 = Street Address 2

Segment N4 - City, State, and ZIP

Example: N4*GILBERT*AZ*85234~

• Element 01 = City (Gilbert)
• Element 02 = State (Arizona)
• Element 03 = ZIP code (850044461)