REF

Transaction Set Policy Number

Pos: 030

Max: 1

Heading - Optional

Loop: N/A

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

 

38

Master 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: Master 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 can be used if a unique ID Number for a group applies to the entire transaction set.
2. The definition of the Master Policy Number is determined by the issuer of the policy, the Payer/Plan Administrator. The Master Policy Number may be used to meet various business needs such as indicating the line of business under which the policy is defined.
3. This segment is REQUIRED when the contract or trading partner agreement identify a Master Policy Number for use with electronic enrollment.

Example:

REF*38*123456~



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