IB 837 TRANSMISSION (113)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-OTH INSURANCE CO. NAME
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N C,Z,Z0,IBZ M IBZ=IBXDATA K IBXDATA S C=$$OTHINS1^IBCEF2(IBXIEN) F Z=1,2 I $G(IBZ(Z))'="",$E(C,Z) S:$$WNRBILL^IBEFUNC(IBXIEN,$E(C,Z)) $P(IBZ(Z),U)="MEDICARE" S IBXSAVE("OI#",Z)=$P(IBZ(Z),U,2,3),IBXDATA(Z)=$P(IBZ(Z),U)
FORMAT CODE DESCRIPTION
This is a group data element so more than 1 occurrence of a value is
possible for the data element in the IBXDATA array.  If any other insurance
insurance company data is found, the data is formatted as the name of the
insurance company from the insurance company file.
Saves the claim office id and payer id in IBXSAVE array.
If other insurance is MEDICARE WNR, output is MEDICARE.