CMS-1500 (1167)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-HCFA 1500 BOX 18 (TO)
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE D:'IBXDATA&'$$INPAT^IBCEF(IBXIEN,1) F^IBCEF("N-STATEMENT COVERS TO DATE",,,IBXIEN) S IBXDATA=$$DATE^IBCF2(IBXDATA,1)
FORMAT CODE DESCRIPTION
If there is no date in IBXDATA, set it to Statement Covers To Date then 
format the resulted date.