Management Systems Consulting, Inc.

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Updated:05/16/2008

Copyright © 1996-2008 Management Systems Consulting, Inc.

 
REF
Rendering Provider Information .
Pos: 100 Max: 10
Detail - Optional
Loop: 2110 Elements: 2
.

To specify identifying information

Element Summary:

           
 _Ref_Id_________Element Name__________ReqTypeMin/Max  
 REF01128Reference Identification QualifierMID2/3  
   Description: Code qualifying the Reference Identification
    CodeName_______________________________
   1ABlue Cross Provider Number
   1BBlue Shield Provider Number
   1CMedicare Provider Number
   1DMedicaid Provider Number
   1GProvider UPIN Number
   1HCHAMPUS Identification Number
   1JFacility ID Number
   SYSocial Security Number
   TJFederal Taxpayer's Identification Number
   HPIHealth Care Financing Administration National Provider Identifier
 REF02127Reference IdentificationCAN1/30  
   Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier


Transaction Set

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Copyright © 1996-2008  Management Systems Consulting, Inc.
Last modified: May 16, 2008