IB 837 TRANSMISSION (1304) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
IB 837 TRANSMISSION
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
171
FIRST LINE NUMBER
1
LOCAL OVERRIDE ALLOWED
NO
STARTING COLUMN OR PIECE
2
LENGTH
1
SHORT DESCRIPTION
Payer Responsibility Sequence # Code
CALCULATE ONLY OR OUTPUT
OUTPUT
TRANSMIT IGNORES IF NULL
TRUE
DATA REQUIRED FOR FIELD
NO
