REF |
Version Identification |
|
||||||
|
Ref |
Id |
Element Name |
Req |
Type |
Min/Max |
Usage |
|
REF01 |
128 |
Reference Identification Qualifier
|
M |
ID |
2/3 |
Required |
|
Code |
Name |
|
F2 |
Version Code - Local |
|
REF02 |
127 |
Reference Identification
|
C |
AN |
1/30 |
Required |
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 Reference Number Segment to report the version number of the adjudication system that generated the claim payments in this transaction. Update this reference number whenever a change in the version or release number affects the 835. (This is not the ANSI ASCX12 version number as reported in the GS segment.)
|
Example: |
REF*F2*FS3.21~ |