N-CMS-1500 24J REND PROV ID BR (372)    IB DATA ELEMENT DEFINITION (364.5)

Name Value
NAME N-CMS-1500 24J REND PROV ID 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,"J",.IBXDATA)
DESCRIPTION
Data element returns the IBXDATA array for box 24J on the printed 1500 
claim form.  This is the Rendering Provider secondary ID and NPI#.  Each 
service line on the claim form has 2 lines in the IBXDATA array.