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Back  RFI # 1401: 834 2320 REF

Formal vs. Informal Help Informal Formal

Submitter

John St.George

Description

In submitting an 834 with Coordination of Benefits (COB) information, is the REF segment situationally required when the subscriber's SSN is not supplied by the Subscriber as a COB insurance identifier, but is present in the sponsor's records as part of internal identification of a subscriber. If there are no other COB identifiers in such a case, must the REF segment be sent.

Submitter Assigned Keywords

834 COB REF 2320 COORDINATION BENEFITS

Response

The Situational Rule is:

Required if additional COB identifiers are supplied by the subscriber. If not required by this implementation guide, do not send.

If the SSN is not supplied by the subscriber as either the primary or additional benefit identifier, it is not required.
Submission 9/9/2011
Status Date 11/4/2011
Status F - Final
Primary References
Document 005010X220
Section2
Page168
Set ID834
Table2
Loop2320
Segment Position2
Segment IDREF
Industry NameAdditional Coordination of Benefits Iden