REF

Other Subscriber Secondary Identification

Pos: 355	Max: 3
Detail - Optional
Loop: 2330A	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

23

Client 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: Other Insured Additional 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 if additional identification numbers are necessary to adjudicate the claim/encounter.

Example:

REF*SY*528446666~