CMS-1500 (1117)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-GET FROM PREVIOUS EXTRACT
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$P($G(IBXSAVE("IADR")),U)
FORMAT CODE DESCRIPTION
1500 form, Box 7 - Insured's address