VERSION 004010X098A1 - Magellan Provider's Home Page
VERSION 004010X098A1 - Magellan Provider's Home Page
VERSION 004010X098A1 - Magellan Provider's Home Page
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<strong>Magellan</strong> Behavioral Health 837 Professional Companion GuideREFReferring Provider SecondaryIdentificationPos: 271 Max: 5Detail - OptionalLoop: 2310A Elements: 1<strong>Magellan</strong> Specific Requirement: If a referral is required and the patient is a Medicaid recipient this REF segment isnecessary in order for <strong>Magellan</strong> to correctly identify the Referring Provider.Element Summary:Ref Id Element Name Req Type Min/Max UsageREF01 128 Reference Identification QualifierDescription: Code qualifying the ReferenceIdentification<strong>Magellan</strong> Specific Note: If a referral is requiredand the patient is a Medicaid recipient theReferring Provider Medicaid Number isnecessary to adjudicate the claim.M ID 2/3 Required_________________________________________________________________________________________________________________________Revised: February 14, 2008 HIPAA X12 837p (<strong>004010X098A1</strong>) Version 7 24
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