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