N-CMS-1500 BOX 24I ID QUAL BR (371) IB DATA ELEMENT DEFINITION (364.5)

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.