REF

Information Source Additional Identification

Pos: 040	Max: 9
Detail - Optional
Loop: 2100A	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

REF01

128

Reference Identification Qualifier
Description: Code qualifying the Reference Identification
Use this code to specify or qualify the type of reference number that is following in REF02, REF03, or both.

M

ID

2/3

Required

Code

Name

18

Plan Number

55

Sequence Number

REF02

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Industry: Plan Name
Use this information for the reference number as qualified by the preceding data element (REF01).

C

AN

1/30

Required

REF03

352

Description
Description: A free-form description to clarify the related data elements and their content
Industry: Plan Name
Use if available.

C

AN

1/80

Situational

1.

R0203 - At least one of REF02,REF03 is required

1.

REF04 contains data relating to the value cited in REF02.

Notes:

1. Use this segment when needed to convey other or additional identification numbers for the information source. The type of reference number is determined by the qualifier in REF01.

Example:

REF*18*302485~