	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

Client Reporting Category

This data should only be transmitted when such transmission is required under the insurance contract between the sponsor and payer and allowed by federal and state regulations. This element is NOT USED when the member identified in the related INS segment is not the subscriber. See section 2.7, “Coverage Levels and Dependents”, for additional information.

Client Number

To be used to pass a payer specific identifier for a member. Not to be used after the HIPAA standard National Identifier for Individuals is implemented.

Case Number

Cross Reference Number

This number is used to tie the Surviving Insured back to the original Subscriber ID.

Department/Agency Number

Use when members in a coverage group are set up as different departments or divisions under the terms of the insurance policy.

Health Insurance Claim (HIC) Number

Use when reporting Medicare eligibility for a member until the National Identifier is mandated for use.

Prior Identifier Number

Use to pass the Identifier Number under which the member had previous coverage with the payer. This could be the result of a change in employment or
coverage that resulted in a new ID number being assigned but left the member covered by the same payer.

Mutually Defined

Use this code to transmit the title of the members employment position.

REF02

127

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

1/30

Required