CMS-1500 (1125)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-PATIENT ZIP CODE
FORMAT CODE N Y S Y=IBXDATA D ZIPOUT^VAFADDR S IBXDATA=Y
FORMAT CODE DESCRIPTION
Format zip code as zip plus 4 if needed.