RF1
Referral Information
This segment represents information that may be useful when sending referrals from the referring provider to the referred-to provider.
RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler
11
| C.Len | Element | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | ..250 | - | CE | O | 1 | 0283 | 01137 | RF1-1 | Referral Status |
| 2 | ..250 | - | CE | O | 1 | 0280 | 01138 | RF1-2 | Referral Priority |
| 3 | ..250 | - | CE | O | 1 | 0281 | 01139 | RF1-3 | Referral Type |
| 4 | ..250 | - | CE | O | * | 0282 | 01140 | RF1-4 | Referral Disposition |
| 5 | ..250 | - | CE | O | 1 | 0284 | 01141 | RF1-5 | Referral Category |
| 6 | ..30 | - | EI | R | 1 | - | 01142 | RF1-6 | Originating Referral Identifier |
| 7 | ..26 | - | TS | O | 1 | - | 01143 | RF1-7 | Effective Date |
| 8 | ..26 | - | TS | O | 1 | - | 01144 | RF1-8 | Expiration Date |
| 9 | ..26 | - | TS | O | 1 | - | 01145 | RF1-9 | Process Date |
| 10 | ..250 | - | CE | O | * | 0336 | 01228 | RF1-10 | Referral Reason |
| 11 | ..30 | - | EI | O | * | - | 01300 | RF1-11 | External Referral Identifier |
4