CMS-1500 (1162)    IB FORM FIELD CONTENT (364.7)

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=$$GETPRV^IBCEF83(IBXIEN,,1,"B1") I IBXDATA="" S IBXDATA=$$GETPRV^IBCEF83(IBXIEN,,5,"B1")
FORMAT CODE DESCRIPTION
cms-1500, box 17a/1, 2 character qualifier for the Referring provider 
other ID (non-NPI ID).