IB 837 TRANSMISSION (1076) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
IB 837 TRANSMISSION
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
112
FIRST LINE NUMBER
1
LOCAL OVERRIDE ALLOWED
NO
STARTING COLUMN OR PIECE
6
LENGTH
2
SHORT DESCRIPTION
Other Payer State Code
CALCULATE ONLY OR OUTPUT
OUTPUT
TRANSMIT IGNORES IF NULL
TRUE
DATA REQUIRED FOR FIELD
NO
