CMS-1500 (1158)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CUR ILL DATE (HCFA 1500)
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$$DATE^IBCF2(IBXDATA,1)
FORMAT CODE DESCRIPTION
Format date as MM DD YYYY.