| Name | Value |
|---|---|
| NAME | N-OTH INS FORM LOC 64 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| TYPE OF ELEMENT | EXTRACTED VIA CODE |
| ELEMENT CATEGORY | GROUP ELEMENT |
| BASE FILE | BILL/CLAIMS |
| EXTRACT CODE | N Z,Z0,Z1,IBZ I $D(^DGCR(399,IBXIEN,"I2")) S Z=$$COBN^IBCEF(IBXIEN) S Z1=$S(Z>1:"^"_$E(" CB",Z),1:"B^C") F Z0=1,2 D F^IBCEF("N-UB-04 FORM LOCATOR 64"_$P(Z1,U,Z0),"IBZ",,IBXIEN) S IBXDATA(Z0)=$G(IBZ) |
| DESCRIPTION | The form locator 64 data for all other insurance companies for bill entry IBXIEN. Data is returned in array IBXDATA(n). This is a group element and up to 2 data elements are returned in the IBXDATA(n) array. If the primary insurance is the current responsible, the secondary and tertiary insurance form locator 64 data are returned. If the secondary insurance is the current responsible, the primary and tertiary insurance form locator 64 data are returned. If the tertiary insurance is the current responsible, the primary and secondary insurance form locator 64 data are returned. |