| 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,($$FT^IBCEF(IBXIEN)=2!($$FT^IBCEF(IBXIEN)=7)),"OP7 ") |
| FORMAT CODE DESCRIPTION | OP7-2 other payer sequence. Call provider ID function only when claim is a 1500 claim. |