| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-PRIOR PAYMENTS |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXSAVE("PAID")=0 K IBXDATA I $O(^TMP("IBXDATA",$J,IBXREC,""),-1)'>1 S IBXDATA=$$DOL^IBCEF77(IBXSAVE("PTOT"),8) K IBXSAVE("PAID") |
| FORMAT CODE DESCRIPTION | The payment received from the patient or other payers. |