EDI knowledge base & standards > NSF

About NSF

NSF is used in the United States and stands for National Standards Format. It generically applies to any nationally standardized data format, but it is often used in a more limited way to designate the Professional EMC NSF, a 320-byte flat file record format used to submit professional claims.

Documents

NSF documents contain the following 320 character length segments:

AA0 SUBMITTER DATA
BA0 PROVIDER DATA
BA1 PROVIDER DATA 2
BAZ ADDITIONAL PROVIDER DATA
CA0 PATIENT DATA
DA0 PAYOR DATA 1
DA1 PAYOR DATA 2
DA2 PAYOR DATA 3
EA0 CLAIM DATA
EA1 CLAIM DATA
FA0 SERVICE LINE DETAIL DATA
FAZ ADDITIONAL DIAGNOSIS CODES
FB0 SERVICE LINE DETAIL DATA
FD0 DENTAL SERVICE DETAIL DATA
FE0 RE-PRICE LINE DETAIL DATA
FP0 PAID CLAIM DATA
HA0 EXTRA NARRATIVE INFORMATION
XA0 CLAIM TRAILER DATA
XAR ADDITIONAL REMARKS
YA0 BATCH TRAILER DATA
ZA0 FILE TRAILER DATA

Segment structure sample

  1. RECORD NAME: FILE HEADER RECORD
    2.       
  2. RECORD TYPE: AA0
  3. "SUBMITTER DATA?
FIELD NO. FIELD NAME LENGTH TYPE FROM POS THRU POS
1 RECORD ID "AA0" 3 X 1 3
2 SUB ID 16 X 4 19
3 RESERVED (AA0-03.0) 9 X 20 28
4 SUBMISSION TYPE 6 X 29 34
5 SUBMISSION NO 6 X 35 40
6 SUB NAME 33 X 41 73
7 SUB ADDR1 30 X 74 103
8 SUB ADDR2 30 X 104 133
9 SUB CITY 20 X 134 153
10 SUB STATE 2 X 154 155
11 SUB ZIP 9 X 156 164
12 SUB REGION 5 X 165 169
13 SUB CONTACT 33 X 170 202
14 SUB PHONE 10 X 203 212
15 CREATION DATE 8 X 213 220
16 SUBMISSION TIME 6 X 221 226
17 RECEIVER ID 16 X 227 242
18 RECEIVER TYPE CODE 1 X 243 243

Field Requirements Sample

NSF Field Requirements Sample