IB 837 TRANSMISSION (1129)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 172
FIRST LINE NUMBER 1
MAX NUMBER LINES 0
LOCAL OVERRIDE ALLOWED NO
STARTING COLUMN OR PIECE 5
LENGTH 2
SHORT DESCRIPTION Other Payer Lab/Fac Sec ID Qualifier(1)
CALCULATE ONLY OR OUTPUT OUTPUT
TRANSMIT IGNORES IF NULL TRUE
DATA REQUIRED FOR FIELD NO