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Referral (Search Results) Page

The search results table is displayed if your search finds multiple referral records.

 

Search Results Fields

Field Description
If more than one match is found, this table is displayed. To view a match, click the appropriate row. None of these fields can be edited.
Referral ID

A unique identifier assigned to the referral request by ND MMIS.

Referral Type

The type of referral.

Examples: CSP, PCCM, Other Referral - Dental

Service Requested

The specific service requested based on the type of referral.

Examples: Hearing Aids, Outpatient Hospital Services

Member ID

A unique identifier assigned to a member.

Member Name The member's name.
Referring Provider ID

Unique identifier used for the provider who requested the referral.

Referred to Provider ID

Unique identifier used for the provider to whom the patient was referred.

Begin Date The beginning date for the referral.
End Date The ending date for the referral.
Service Code

The revenue or procedure code for which the referral is submitted.

 

Version as of 5/16/14.

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