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Member Reporting Information - PM

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  1. In the Category Name field, enter the category.

  2. In the Reference ID Qualifier (REF-01) field, select the code.

  3. In the Reference ID Qualifier (REF-02) field, enter the ID.

  4. In the Effective Date (DTP-03) field, enter the start date.

  5. In the Expiration Date (DTP-03) field, enter the end date.

  6. When finished, click Save.