REF

Claim Identification Number For Clearinghouses and Other Transmission Intermediaries

Pos: 180	Max: 1
Detail - Optional
Loop: 2300	Elements: 2

Ref

Id

Element Name

Req

Type

Min/Max

Usage

REF01

128

Reference Identification Qualifier
Description: Code qualifying the Reference Identification
Number assigned by clearinghouse/van/etc.

M

ID

2/3

Required

Code

Name

D9

Claim Number

Description: Sequence number to track the number of claims opened within a particular line of business

REF02

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Industry: Value Added Network Trace Number

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. Used only by transmission intermediaries (Value-Added Networks, Automated Clearing Houses, and others) who need to attach their own unique claim number.
2. This number can be used to facilitate front-end acknowledgements such as the 277 Health Care Payer Unsolicited Claim Status.

Example:

REF*D9*4373649430ABES~