CMS-1500 (1157) IB FORM FIELD CONTENT (364.7)
Name
Value
FORM FIELD REFERENCE
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
DATA ELEMENT
N-CURR INSURED FULL NAME
PAD CHARACTER
NO PAD REQUIRED
FORMAT CODE
N Z S Z=$$NAME^IBCEFG1(IBXDATA),IBXDATA=$P(Z,U,2)_" "_$S($P(Z,U,3)'="":$E($P(Z,U,3))_" ",1:"")_$P(Z,U)
FORMAT CODE DESCRIPTION
Output the current insured's name as the signature first name, middle name last name