CMS-1500 (1171)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CMS-1500 PURCH SVC TOTAL
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$S('IBXDATA:"",1:$$DOL^IBCEF77(IBXDATA,9)) I '$P($G(^DGCR(399,IBXIEN,"U2")),U,10) K IBXDATA
FORMAT CODE DESCRIPTION
Format the amount in 9 characters with 2 decimals.
 
If there is not an Outside facility on the claim, then NO gets the "X" 
and the charges field will be blank.