REF

Subscriber Number

Pos: 020

Max: 1

Detail - Mandatory

Loop: 2000

Elements: 2


User Option (Usage): Required
To specify identifying information

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

REF01

128

Reference Identification Qualifier
Description: Code qualifying the Reference Identification

M

ID

2/3

Required

 

Code

Name

 

0F

Subscriber Number

The assignment of the Subscriber Number is designated within the Insurance Contract.

 

REF02

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Industry: Subscriber Identifier

C

AN

1/30

Required


Syntax:

1.

R0203 - At least one of REF02,REF03 is required

Semantics:

1.

REF04 contains data relating to the value cited in REF02.


Notes:

1. If the subscriber’s/dependent’s Social Security Number is known, it should be passed in the NM108 segment (position 2-030).
2. This segment must contain a unique SUBSCRIBER identification number (SSN or other). This occurrence is identified by the 0F qualifier (REF01). This identifier is used for linking the subscriber with dependents as required under many policies.
3. The developers recommend using the identifier developed under the HIPAA legislation, when that becomes available.

Example:

REF*0F*920399398~



Prev First Page Next