IB 837 TRANSMISSION (956)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 107
FIRST LINE NUMBER 1
LOCAL OVERRIDE ALLOWED NO
STARTING COLUMN OR PIECE 9
LENGTH 50
SHORT DESCRIPTION Other Payer Prior Auth/Referral #
TRANSMIT IGNORES IF NULL TRUE