REF

Demonstration Project Identifier

Pos: 180

Max: 1

Detail - Optional

Loop: 2300

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

 

P4

Project Code

 

REF02

127

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

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. Required on claims/encounters where a demonstration project is being billed/reported. This information is specific to the destination payer reported in the 2010BC loop. If other payers have a similar number, report that information in the 2330 loop which holds that payer’s information.

Example:

REF*P4*THJ1222~



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