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).