IB 837 TRANSMISSION (1173) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
IB 837 TRANSMISSION
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
177
FIRST LINE NUMBER
1
MAX NUMBER LINES
0
LOCAL OVERRIDE ALLOWED
NO
STARTING COLUMN OR PIECE
4
LENGTH
1
SHORT DESCRIPTION
Other Payer Super Prov Entity ID Qual
CALCULATE ONLY OR OUTPUT
OUTPUT
TRANSMIT IGNORES IF NULL
TRUE
DATA REQUIRED FOR FIELD
NO
