REF

Subscriber Secondary Identification

Pos: 035	Max: 4
Detail - Optional
Loop: 2010BA	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

1W

Member Identification Number

May not be used when NM108 of this loop has a value of MI.

23

Client Number

This code is intended to be used only in claims submitted to the Indian Health Service/Contract Health Service (IHS/CHS) Fiscal Intermediary for the purpose of reporting the Health Record Number.

IG

Insurance Policy Number

SY

Social Security Number

The Social Security Number may not be used for Medicare.

REF02

127

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

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. Required when a secondary identification number is necessary to identify the entity. The primary identification number should be carried in the NM109 of this loop.

Example:

REF*1W*98765~