REF

Original Reference Number (ICN/DCN)

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

M

ID

2/3

Required

Code

Name

F8

Original Reference Number

REF02

127

Reference Identification
Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
Industry: Claim Original Reference Number
UB-92 Ref. [UB-Name]: 37 (A-C) [Internal Control Number (ICN)/ Document Control Number (DCN)]
EMC v.6.0 Reference: Record Type 31 Field No. 14 (Sequence 01-03)

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. Reference numbers at this position apply to the entire claim.
2. This segment is used to convey the control number assigned to the original bill by the payer to identify a unique claim.

Example:

REF*F8*1234636854~