CMS-1500 (1103)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CURRENT INS POLICY TYPE
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z S Z=IBXDATA D F^IBCEF("N-CURRENT INSURANCE CO TYPE") S IBXDATA=$J("",$S(Z=16!(Z="MB")!(Z="MA"):0,Z="TV"!(Z="MC"):7,Z="CH":14,$$CHAMPVA^IBCEU3(IBXIEN)&($P($G(^DIC(36,+$$CURR^IBCEF2(IBXIEN),0)),U,2)="Y"):23,IBXDATA=5:30,1:44))_"X"
FORMAT CODE DESCRIPTION
Check appropriate box for type of insurance. 
CMS-1500, Box 1.  Possibility of checking one box.  FECA BLK LUNG is not 
an available selection.  Choices are mainly extracted from the ELECTRONIC 
PLAN TYPE field (#.15) in FILE# 355.3.  Also used for the Group Health 
Plan box is the 3.09 field in file 36 (if the value is 5).
 
Code is basically setting IBXDATA=$J("",[some offset amount])_"X".