IB 837 TRANSMISSION (2394)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 40
FIRST LINE NUMBER 1
STARTING COLUMN OR PIECE 14
LENGTH 2
SHORT DESCRIPTION CMN PATIENT WEIGHT MODIFIER
CALCULATE ONLY OR OUTPUT OUTPUT