| Name | Value |
|---|---|
| NAME | N-CMS-1500 BOX 24I ID QUAL BR |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| TYPE OF ELEMENT | EXTRACTED VIA CODE |
| ELEMENT CATEGORY | GROUP ELEMENT |
| BASE FILE | BILL/CLAIMS |
| EXTRACT CODE | D CMSBOX24^IBCEF83(IBXIEN,"I",.IBXDATA) |
| DESCRIPTION | Data element returns the IBXDATA array box 24I on the printed 1500 claim form. This is the rendering provider ID qualifier. Each claim line item has 2 lines in the IBXDATA array. |