| 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. |