2010AA REF – Segment Rule BILLING PROVIDER UPIN/LICENSE INFORMATION
Must not be present (non-VA contractors). Submission of this segment will cause your claim to reject.

2010AC Loop Rule PAY TO PLAN LOOP

Must not be present. Submission of this loop will cause your claim to reject.

2010BA NM102 Subscriber Entity Type Qualifier 1
The value accepted is 1. Submission of value 2 will cause your claim to reject

2010BA NM108 Subscriber Identification Code Qualifier MI
The value accepted is “MI”. Submission of value “II” will cause your claim to reject.

2010BA DTP02 Subscriber Birth Date.
Must not be a future date

2010BA REF – Segment Rule SUBSCRIBER SECONDARY IDENTIFICATION
Must not be present. Submission of this segment will cause your claim to reject.

2010BB NM108 Payer Identification Code Qualifier. PI
The value accepted is “PI”. Submission of value “XV” will cause your claim to reject

2010BB REF – Segment Rule PAYER SECONDARY IDENTIFICATION
Must not be present. Submission of this segment will cause your claim to reject.

2010BBREF – Segment Rule BILLING PROVIDER SECONDARY IDENTIFICATION
Must not be present (non-VA contractors). Submission of this segment will cause your claim to reject.