| 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. |