REF

Member Policy Number

Pos: 020

Max: 1

Detail - Optional

Loop: 2000

Elements: 2


User Option (Usage): Situational
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

 

1L

Group or Policy Number

The payer is responsible for making the assignment of the Group or Policy Number.

 

REF02

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Industry: Insured Group or Policy Number

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. This segment should be used if the policy or group number applies to all coverage data (all 2300 loops) that apply for this member.
2. This segment is required unless the policy number is sent in the REF segment, loop 2300 position 290.

Example:

REF*1L*9CC4123~



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