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

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
The value carried in this element is limited to a maximum of 20 positions.

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 (Automated clearinghouses, and others) who need to attach their own unique claim number.
2. Although it is possible to send this number, there is no requirement for payers or other transmission intermediaries to return this number in other transactions (835, 277, etc).
3. Although this REF is supplied for transmission intermediaries to attach their own unique claim number to a claim/encounter, 837 recipients are not required under HIPAA to return this number in any HIPAA transaction. Trading Partners may voluntarily agree to this interaction if they wish.

Example:

REF*D9*TJ98UU321~