Segment: REF

Loop: 2330F   Segment: REF

Element: REF01 (Other Payer Supervising Provider Secondary Identification Reference Id Qualifier)

Hard coded to '0B', '1G', 'G2', and 'LU'. Up to 3x.

Element: REF02 (Other Payer Supervising Provider Secondary Identification Reference Id)

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