UB-04 (3)    BILL FORM TYPE (353)

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