| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-OTHER INSURANCE CO TYPES |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N A,Q,Z S Q=$G(IBXDATA) K IBXDATA I $$FT^IBCEF(IBXIEN)=2!($$FT^IBCEF(IBXIEN)=7) F Z=1,2 S A=$P(Q,U,Z) I $D(^DGCR(399,IBXIEN,"I"_(Z+1))) S IBXDATA(Z)=$S(A=1:"HM",A=2:"C1",A=3:"MB",A=4:"MC",A=5:"GP",1:"OT") D OIT^IBCEF12 |
| FORMAT CODE DESCRIPTION |
This is a group data element so more than 1 occurrence of a value is
4:MEDICAID (MC)
5:GROUP POLICY (GP)
9:OTHER (OT)
possible for the data element in the IBXDATA array. If any 'other'
insurance company data is found, the data is formatted as the insurance type
of the insurance company in X12 format (see codes below or refer to the
837 V4010 field 2320/SBR/05 - professional guide)
Type codes: = 1:HMO (HM)
2:COMMERCIAL (C1)
3:MEDICARE (MB)
|