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Updated:01/06/2009 Copyright © 1996-2009 Skip Stein
| REF | |||||||||
| Rendering Provider Identification | . |
|
. | ||||||
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_______________________________ | |||||||||
| 1A | Blue Cross Provider Number | |||||||||
| 1B | Blue Shield Provider Number | |||||||||
| 1C | Medicare Provider Number | |||||||||
| 1D | Medicaid Provider Number | |||||||||
| 1G | Provider UPIN Number | |||||||||
| 1H | CHAMPUS Identification Number | |||||||||
| D3 | National Association of Boards of Pharmacy Number | |||||||||
| G2 | Provider Commercial Number | |||||||||
| Description: A unique number assigned to a provider by a commercial insurer | ||||||||||
| 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 | ||||||||||
| Transaction Set |