IB 837 TRANSMISSION (1133) 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
9
LENGTH
2
SHORT DESCRIPTION
Other Payer Lab/Fac Sec ID Qualifier(3)
CALCULATE ONLY OR OUTPUT
OUTPUT
TRANSMIT IGNORES IF NULL
TRUE
DATA REQUIRED FOR FIELD
NO
