IB 837 TRANSMISSION (982) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
IB 837 TRANSMISSION
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
180
FIRST LINE NUMBER
1
LOCAL OVERRIDE ALLOWED
NO
STARTING COLUMN OR PIECE
29
LENGTH
1
SHORT DESCRIPTION
EPSDT Indicator
CALCULATE ONLY OR OUTPUT
OUTPUT
TRANSMIT IGNORES IF NULL
TRUE
