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.