CMS-1500 (1163) 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=$$GETPRV^IBCEF83(IBXIEN,,1,"B2") I IBXDATA="" S IBXDATA=$$GETPRV^IBCEF83(IBXIEN,,5,"B2")
FORMAT CODE DESCRIPTION
CMS-1500, Box 17a/2, Referring Provider other ID number (non NPI ID number).