IB 837 TRANSMISSION (1139)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 173
FIRST LINE NUMBER 1
LOCAL OVERRIDE ALLOWED NO
STARTING COLUMN OR PIECE 6
LENGTH 30
SHORT DESCRIPTION Other Payer Referring Prov Sec ID(1)
CALCULATE ONLY OR OUTPUT OUTPUT
TRANSMIT IGNORES IF NULL TRUE
DATA REQUIRED FOR FIELD NO