| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-CURR INSURED FULL ADDRESS |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXSAVE("IADR")=IBXDATA |
| FORMAT CODE DESCRIPTION | If patient is different than the insured, then save the address information. esg - 8/23/06 - IB*2*348 - Requirement 3.2.1.8 - Save the address information in all cases. Remove printing of the word "SAME" in Box 7. |