| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-HCFA 1500 BOX 18 (FR) |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA=$$DATE^IBCF2(IBXDATA,1) |
| FORMAT CODE DESCRIPTION | 'From' date is the first '^' piece of this data. Format date as MM DD YYYY. |