Requirement Constraints

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Wednesday, 1 August 2012

EDI 5010 Documentation 837 Professional - Loop 2300 Prior Authorization or Referral Number

Posted on 00:56 by Unknown

2300 Prior Authorization or Referral Number

        

Required where services on this claim were preauthorized or where a referral is involved. Generally, preauthorization/referral numbers are
those numbers assigned by the payer to authorize a service prior to its being performed

Loop Seg ID Segment Name Format Length Ref# Req Value
2300 REF Prior Authorization or Referral Number ID 3 R REF
Element Separator AN 1 *
REF01 Reference Identification Qualifier ID 2/3 128 R 9F Referral Number
Element Separator AN 1 *
REF02 Reference Identification AN 1/50 127 R Print the Referral Number
  Segment Terminator ~
2300 REF Prior Authorization or Referral Number ID 3 R REF
Element Separator AN 1 *
REF01 Reference Identification Qualifier ID 2/3 128 R G1 Prior Authorization Number
Element Separator AN 1 *
REF02 Reference Identification AN 1/50 127 R Print the Referral Number
  Segment Terminator


 
        

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