ANSI X12 837P - 4010 2010BB REF - Payer Secondary Identification

The 2010BB REF Payer Secondary Identification Segment is required if additional identification numbers are required to adjudicate the claim. The 4010 specifications for the REF segment can be found below as it pertains to the 2010BB loop.

Sample 837P (4010) - 2010BB REF - Payer Secondary Identification

  • Payer Name (2010BB)
  • REF*FY*987654321~~

HIPAA Guide - 837P [4010]

REF01Reference Identification QualifierMID3
2UPayer Identification Number Used to identify any payer
FYClaim Office Number
NFNational Association of Insurance Commissioners (NAIC) Code
TJFederal Taxpayer's Identification Number
REF02Reference IdentificationXAN30
REF04Reference IdentifierO

We hope you found this article informative and helpful! Please let us know if there are any additional NPI related questions that you have.

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