| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | D OTH^IBCEF76(IBXIEN,.IBXSAVE,.IBXDATA,($$FT^IBCEF(IBXIEN)=3),"OP3 ") |
| FORMAT CODE DESCRIPTION | OP3-2 Call the provider ID function only if the claim is a UB claim. Output the other payer sequence. |