IB 837 TRANSMISSION (2025)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 112
FIRST LINE NUMBER 1
STARTING COLUMN OR PIECE 12
LENGTH 50
SHORT DESCRIPTION Other Payer Referral Number
CALCULATE ONLY OR OUTPUT OUTPUT