REF * * ~ REF. Usage DES. Name Attributes REQUIRED REF01 Reference Identification Qualifier M ID 2/3 Code qualifying the Reference Identification REQUIRED REF02 Reference Identification M AN 1/50 1726011595 Policy number with a value of REF Member Supplemental Identifier – X12 Segment Name: Reference Information X12 Purpose: To specify identifying information Loop: 2000 - Member Level Detail Segment Repeat: 13 Usage: SITUATIONAL Example: REF✽23✽2222222222222222~ REF * * ~ REF. Usage DES. Name Attributes REQUIRED REF01 Reference Identification Qualifier M ID 2/3 Code qualifying the Reference Identification REQUIRED REF02 Reference Identification M AN 1/50 Value to be supplied to match code definition. – DTP Member Level Dates – X12 Segment Name: Date or Time or Period X12 Purpose: To specify any or all of a date, a time, or a time period Loop: 2000 - Member Level Detail Segment Repeat: 3 Usage: SITUATIONAL Example: DTP✽473✽D8✽19960705~
REF * * ~ Usage REF. DES. Name Attributes REQUIRED REF01 Reference Identification Qualifier M ID 2/3 Code qualifying the Reference Identification REQUIRED REF02 Reference Identification M AN 1/50 Policy number with a value of 1726011595 REF – Member Supplemental Identifier X12 Segment Name: Reference Information X12 Purpose: To specify identifying information Loop: 2000 - Member Level Detail Segment Repeat: 13 Usage: SITUATIONAL Example: REF✽23✽2222222222222222~ REF * * ~ Usage REF. DES. Name Attributes REQUIRED REF01 Reference Identification Qualifier M ID 2/3 Code qualifying the Reference Identification REQUIRED REF02 Reference Identification M AN 1/50 Value to be supplied – to match code definition. DTP – Member Level Dates X12 Segment Name: Date or Time or Period X12 Purpose: To specify any or all of a date, a time, or a time period Loop: 2000 - Member Level Detail Segment Repeat: 3 Usage: SITUATIONAL Example: DTP✽473✽D8✽19960705~