| 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="" |
| FORMAT CODE DESCRIPTION | This is no longer used. Save the other insured's demographic data in IBXSAVE for later use. Format the birthdate as MM DD YYYY. |