| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-OTH INSURED GRP NAME |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | K IBXSAVE("OINUM") N C,Z,Z0,IBZ M IBZ=IBXDATA K IBXDATA S C=$$OTHINS1^IBCEF2(IBXIEN) F Z=1,2 I $E(C,Z),'$$WNRBILL^IBEFUNC(IBXIEN,$E(C,Z)) S IBXDATA(Z)=$$NOPUNCT^IBCEF($G(IBZ(Z))) |
| 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 the insurance for any COB sequence is MEDICARE WNR, output nothing for that insurance. |