IB 837 TRANSMISSION (1124)    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 10
LENGTH 30
SHORT DESCRIPTION Other Payer Operating Phy Sec ID(3)
CALCULATE ONLY OR OUTPUT OUTPUT
TRANSMIT IGNORES IF NULL TRUE
DATA REQUIRED FOR FIELD NO