| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-UB-04 TIMEFRAME OF BILL |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | K IBXSAVE("FQCD") S:("^7^8^"[(U_IBXDATA_U)) IBXSAVE("FQCD")=IBXDATA I '$D(IBXSAVE("FQCD")) K IBXDATA |