Name | Value |
---|---|
NAME | UB-04 |
ROUTINE | EN^IBCF3 |
BASE FILE | BILL/CLAIMS |
FORMAT TYPE | PRINTED FORM |
FORM LENGTH | 66 |
NATIONAL FORM | YES |
SHORT DESCRIPTION | NATIONAL UB-04 |
PRINT FORM NAME | UB-04 |
ENTRY PRE-PROCESSOR | D ENTPRE^IBCFP1 |
ENTRY POST-PROCESSOR | D ENTPOST^IBCFP1 |
EXTRACT CODE | D QB1^IBCFP1 |
FORM PRE-PROCESSOR | D FORMPRE^IBCFP1 |
FORM POST-PROCESSOR | D FORMPOST^IBCFP1 |