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

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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