REF

Loop: 2420B   Segment: REF

Element: REF01 (Purchased Service Provider Secondary Identification Reference Id Qualifier)

Element: REF01 (Purchased Service Provider Secondary Identification Reference Id Qualifier)

Tools->Insurance Companies->Edit Insurance Company->Edit Provider->Provider Information->Electronic

Element: REF02 (Purchased Service Provider Secondary Identifier)

Element: REF02 (Purchased Service Provider Secondary Identifier)

Tools->Insurance Companies->Edit Insurance Company->Edit Provider->Provider Information->Electronic

Element: REF04-1 (Purchased Service Provider Secondary Identification Other Payer Qualifier)

Hard coded to '2U'.

Element: REF04-2 (Purchased Service Provider Secondary Identification Other Payer Identifier)

Generated from Loop 2330B.