| Name | Value |
|---|---|
| BILL FORM | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| PAGE OR SEQUENCE | 173 |
| FIRST LINE NUMBER | 1 |
| MAX NUMBER LINES | 0 |
| LOCAL OVERRIDE ALLOWED | NO |
| STARTING COLUMN OR PIECE | 7 |
| LENGTH | 2 |
| SHORT DESCRIPTION | Other Payer Refer Prov Sec ID Qual(2) |
| CALCULATE ONLY OR OUTPUT | OUTPUT |
| TRANSMIT IGNORES IF NULL | TRUE |
| DATA REQUIRED FOR FIELD | NO |