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*********************** Updated:05/16/2008 Copyright © 1996-2008 Management Systems Consulting, Inc. | | | REF | ![]() | | Dependent Additional Information | . | | Pos: 190 | Max: 1 | | Detail - Optional | | Loop: 2110D | Elements: 2 | |
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To specify identifying information Element Summary: | | | | | | | | | | | | | | _Ref_ | Id | _________Element Name__________ | Req | Type | Min/Max | | | | | REF01 | 128 | Reference Identification Qualifier | M | ID | 2/3 | | | | | | | Description: Code qualifying the Reference Identification | | | | | | Code | Name_______________________________ | | | | | | 9F | Referral Number | | | | | | G1 | Prior Authorization Number | | | | | | | Description: An authorization number acquired prior to the submission of a claim | | | REF02 | 127 | Reference Identification | C | AN | 1/30 | | | | | | | Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier |
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