Segment: REF

Loop: 2330E   Segment: REF

Element: REF01 (Other Payer Service Facility Secondary Identification Reference Id Qualifier

Allows 'OB', '1G', and 'G2'. Allows up to all 3.

Element: REF02 (Other Payer Service Facility Secondary Identification Reference ID)

Element: REF02 (Other Payer Service Facility Secondary Identification Reference ID)
  1. Facility->Additional IDs
  2. Patient Account->Claims Tab->Select Claim->More Info->Providers Tab->Service Facility