United States Health Information Knowledgebase

 

Reference Identification Qualifier

Name:Reference Identification Qualifier
Type:Data Element
Definition:Code qualifying the reference identification.
Version:005010
Data Element Reference Number:128
Permissible Values:
Code / Value Meaning Meaning Definition Text
0B State License Number Not Provided
0F Subscriber Number Not Provided
0K Policy Form Identifying Number Not Provided
1A Blue Cross Provider Number Not Provided
1B Blue Shield Provider Number Not Provided
1C Medicare Provider Number Not Provided
1D Medicaid Provider Number Not Provided
1G Provider UPIN Number Not Provided
1H CHAMPUS Identification Number Not Provided
1J Facility ID Number Not Provided
1K Payor's Claim Number Not Provided
1L Group or Policy Number Not Provided
1S Ambulatory Patient Group (APG) Number Not Provided
1W Member Identification Number Not Provided
2F Consolidated Invoice Number Not Provided
2U Payer Identification Number Not Provided
3H Case Number Not Provided
3L Branch Identifier Not Provided
4A Personal Identification Number (PIN) Not Provided
4N Special Payment Reference Number Not Provided
6M Application Number Not Provided
6O Cross Reference Number Not Provided
6P Group Number Not Provided
6R Provider Control Number Not Provided
9A Repriced Claim Reference Number Not Provided
9B Repriced Line Item Reference Number Not Provided
9C Adjusted Repriced Claim Reference Number Not Provided
9D Adjusted Repriced Line Item Reference Number Not Provided
9F Referral Number Not Provided
9J Pension Contract Not Provided
9K Servicer Not Provided
9V Payment Category Not Provided
9X Account Category Not Provided
00 Contracting District Number Not Provided
11 Account Number Not Provided
14 Master Account Number Not Provided
17 Client Reporting Category Not Provided
18 Plan Number Not Provided
19 Division Identifier Not Provided
23 Client Number Not Provided
26 Union Number Not Provided
28 Employee Identification Number Not Provided
38 Master Policy Number Not Provided
49 Family Unit Number Not Provided
60 Account Suffix Code Not Provided
72 Schedule Reference Number Not Provided
ABB Personal ID Number Not Provided
ALS Alternative List ID Not Provided
APC Ambulatory Payment Classification Not Provided
AZ Health Insurance Policy Number Not Provided
B7 Life Insurance Policy Number Not Provided
BB Authorization Number Not Provided
BLT Billing Type Not Provided
BT Batch Number Not Provided
CE Class of Contract Code Not Provided
CLI Coverage List ID Not Provided
CT Contract Number Not Provided
D3 National Council for Prescription Drug Programs Pharmacy Number Not Provided
D9 Claim Number Not Provided
DP Department Number Not Provided
DX Department/Agency Number Not Provided
E8 Service Contract (Coverage) Number Not Provided
E9 Attachment Code Not Provided
EA Medical Record Identification Number Not Provided
EI Employer's Identification Number Not Provided
EJ Patient Account Number Not Provided
EL Electronic device pin number Not Provided
EO Submitter Identification Number Not Provided
EV Receiver Identification Number Not Provided
EW Mammography Certification Number Not Provided
F2 Version Code - Local Not Provided
F4 Facility Certification Number Not Provided
F5 Medicare Version Code Not Provided
F6 Health Insurance Claim (HIC) Number Not Provided
F8 Original Reference Number Not Provided
FB File Transfer Form Number Not Provided
FJ Line Item Control Number Not Provided
FO Drug Formulary Number Not Provided
FY Claim Office Number Not Provided
G1 Prior Authorization Number Not Provided
G2 Provider Commercial Number Not Provided
G3 Predetermination of Benefits Identification Number Not Provided
G4 Peer Review Organization (PRO) Approval Number Not Provided
G5 Provider Site Number Not Provided
GE Geographic Number Not Provided
GH Identification Card Serial Number Not Provided
HI Health Industry Number (HIN) Not Provided
HJ Identity Card Number Not Provided
HPI Centers for Medicare and Medicaid Services National Provider Identifier Not Provided
ID Insurance Certificate Number Not Provided
IF Issue Number Not Provided
IG Insurance Policy Number Not Provided
IK Invoice Number Not Provided
JD User Identification Not Provided
KW Certification Not Provided
LB Lockbox Not Provided
LU Location Number Not Provided
LX Qualified Products List Not Provided
M7 Medical Assistance Category Not Provided
MRC Eligibility Category Not Provided
MRN Mother's Medical Record Identification Number Not Provided
N5 Provider Plan Network Identification Number Not Provided
N6 Plan Network Identification Number Not Provided
N7 Facility Network Identification Number Not Provided
NF National Association of Insurance Commissioners (NAIC) Code Not Provided
NQ Medicaid Recipient Identification Number Not Provided
NT Administrator's Reference Number Not Provided
P4 Project Code Not Provided
P5 Position Code Not Provided
PID Program Identification Number Not Provided
PQ Payee Identification Not Provided
PXC Health Care Provider Taxonomy Code Not Provided
Q4 Prior Identifier Number Not Provided
QQ Unit Number Not Provided
RB Rate code number Not Provided
SY Social Security Number Not Provided
T4 Signal Code Not Provided
TJ Federal Taxpayer's Identification Number Not Provided
VV Voucher Not Provided
VY Link Sequence Number Not Provided
X4 Clinical Laboratory Improvement Amendment Number Not Provided
X9 Internal Control Number Not Provided
XM Issuer Number Not Provided
XX1 Special Program Code Not Provided
XX2 Service Area Code Not Provided
XZ Pharmacy Prescription Number Not Provided
Y4 Agency Claim Number Not Provided
YY Geographic Key Not Provided
ZH Carrier Assigned Reference Number Not Provided
ZX County Code Not Provided
ZZ Mutually Defined Not Provided
Registration Authority:Accredited Standards Committee X12
Source:Accredited Standards Committee X12
Submitting Organization: Washington Publishing Company
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