Segment: REF
Loop: 2420D Segment: REF
Element: REF01 (Supervising Provider Secondary Identification Qualifier)
Contact->Insurance->Contact Insurance IDs->Electronic
OR
Insurance Companies->Edit Insurance Company->Edit Provider->Provider Information->Electronic
'OB', '1G', 'G2', and 'LU'
Element: REF02 (Supervising Provider Secondary Identifier)
Contact->Insurance->Contact Insurance IDs->Electronic
OR
Insurance Companies->Edit Insurance Company->Edit Provider->Provider Information->Electronic
'OB', '1G', 'G2', and 'LU'
Element: REF04-1 (Supervising Provider Secondary Identification Other Payer Qualifier)
Hard code to '2U'.
Element: REF04-2 (Supervising Provider Secondary Identification Other Payer Qualifier)
Generated from Loop 2330B.