Loop 2300 REF02



  • * Loop 2300
  • * Loop 2300 DTP Segment
  • Loop 2300 REF02

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    CMS Manual System

    Loop. Repeat. 5010. Values. TA1/. 999/. 277CA. Disposition / Error Code ……
    2300.REF with REF01 = "P4" and REF02 is a valid VA identifier". NM108. 277.

    MM5790 – CMS

    Apr 1, 2014 … should be entered WITHOUT the “CT” prefix in the electronic 837P in Loop 2300.
    REF02(REF01=P4). Additional Information. If you have …

    Transmittal 2955 – CMS

    May 14, 2014 … require the numeric, 8-digit clinical trial registry number in the electronic claim
    equivalent, 837I. (Loop 2300 REF02 (REF01=P4) for an 837I …

    MM8401 – CMS

    Jun 9, 2014 … For institutional claims that are submitted on the electronic claim 837I, the 8-digit
    number should be placed in Loop 2300 REF02 (REF01=P4) …

    834 Benefit Enrollment and Maintenance – Ohio Department of …

    Dec 2, 2016 … part of the REF02 value when 2000:REF01 = 3H. Added notes to the N4 … upto
    10 occurrences of this 2300 loop would be sent for some …

    837 Professional Encounter Claims – Ohio Department of Medicaid

    Dec 2, 2015 … Date sent in Loop 2330B or 2430. 1.2. 12/02/2015 …… 2300. REF02. Payer Claim
    Control. Number. 13 digit original ICN assigned by ODM.

    MyCare Ohio 837 Institutional Encounter Claims – Ohio Department …

    Dec 2, 2015 … Information in Loop ID-2310 applies to the entire claim unless overridden …..
    2300. REF02. Payer Claim Control. Number. 13 digit original ICN …

    MyCare Ohio 837 Professional Encounter Claims – Ohio Department …

    Dec 2, 2015 … Date sent in Loop 2330B or 2430. 1.2. 12/02/2015 …… 2300. REF02. Payer Claim
    Control. Number. 13 digit original ICN assigned by ODM.

    837 Health Care Claim – Institutional – Wisconsin Department of …

    REF02. Reference. Identification. Enter the value "004010X096A1" to indicate an
    institutional claim. …. Original Reference Number segment in loop 2300.

    (837I) Transactions Based on ASC X12 Implementation Guide

    Aug 29, 2012 … REF02. Billing Provider. Secondary. Identifier. Enter the eight or nine-digit billing
    provider … Original Reference Number segment in Loop 2300.

    837 Encounter Companion Guide Version 2.4 – eohhs – RI.gov

    Loop 2300 HI Segment Clarification of language for mixing of ICD9 and ICD10
    ….. Reference Name. Rhode Island Requirements. REF02. Payer Claim Control.

    837I – IN.gov

    Loop ID. Segment Name. ISDH Usage. R –Required. S- Situational. X – Not
    Used … 2300. Credit/Debit Card Maximum Amount. X. Companion Guide. X12
    837I ….. SY – Social Security Number. No separators. between the numbers.
    REF02. R.

    Billing Medicaid as a Secondary Insurance (PDF) – Utah Department …

    NM104 means Loop 2010AA, segment NMi, element 04). Detail: 1. Explanations
    of ….. 2300 REF02 (REF01=F8 Original Reference Number). Prior Authorization …

    Power Mobility Device (PMD) – CMS

    Apr 24, 2013 … For electronic claims the unique tracking number is submitted at either loop 2300
    REF02. (REF01 = G1) or loop 2400 REF02 (REF01 = G1).

    820 Companion Guides – California Department of Health Care …

    Sep 25, 2013 … REF02. Reference. Identification. DHCS Vendor Code of Receiver …. Bill Type
    820 Transaction by using RMR05 in Loop 2300B, along with the.

    IBHIS 837 5010 Companion Guide – Los Angeles County …

    Jun 8, 2016 … Section 8.2: Added 837P COS loop and segment information …… Reference ID
    Qualifier. F8. 2300. REF02. Claim Original Reference. Number.

    CHARS 837I 5040 Companion Guide – Washington State …

    Feb 1, 2011 … 2010BA REF02. 127. SY in REF01 When FL59=18 (Self). 2300. NTE02 … Loop.
    ID. Reference. Designator. Composite X12 Data. Element #.

    Department of Human Services – South Dakota Department of Social …

    Dec 2, 2014 … … number (837 P 2300 Loop,. REF01=F8, REF02=Original Reference Number).
    … 2300 Loop – Professional Claim Information. 2300. CLM01.

    837 Health Care Claim – Pennsylvania Department of Human Services

    Aug 11, 2016 … on the original claim in Loop 2300, Segment CLM, and Data Element … Loop
    2300, Segment REF, Data Element REF02 (Claim Original.

    THCIC Outpatient 5010 Technical Specifications – Texas …

    5.8 REQUIRED AND SITUATIONAL LOOPS. 55. 5.9 USE …… 2300. REF02.
    Source of Payment Code (Standard)/ Claim Filing. Indicator Code. 2000B or
    2320.