IB 837 TRANSMISSION (1118)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 171
FIRST LINE NUMBER 1
MAX NUMBER LINES 0
LOCAL OVERRIDE ALLOWED NO
STARTING COLUMN OR PIECE 4
LENGTH 1
SHORT DESCRIPTION Other Payer Oper Phy Entity Qualifier
CALCULATE ONLY OR OUTPUT OUTPUT
TRANSMIT IGNORES IF NULL TRUE
DATA REQUIRED FOR FIELD NO