IB 837 TRANSMISSION (2016)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 170.5
FIRST LINE NUMBER 1
LOCAL OVERRIDE ALLOWED NO
STARTING COLUMN OR PIECE 5
LENGTH 2
SHORT DESCRIPTION Other Payer Attending Sec ID Qual (1)
TRANSMIT IGNORES IF NULL TRUE
DATA REQUIRED FOR FIELD NO