| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA=$P($G(IBXSAVE("BILLING PRV",IBXIEN,"C",1,2)),U,1) |
| FORMAT CODE DESCRIPTION | EI=Employer ID;SY=Social Security Number;0B=State License Number; 1A = Blue Cross Number;1B=Blue Shield Number;1C=Medicare Number; 1D = Medicaid Number;1G=UPIN Number;1H=TRICARE ID Number; B3 = PPO Number;BQ=HMO Code Number;U3=USIN Number;G2=Commercial Number; FH = Clinic Number;X5=State Industrial Accident Provider Number; LU=Location Number This is the X12 interpretation of the type of billing provider id for this insurance co. It is calculated from the electronic type of plan. Refer to the 837 V4010 (professional) fields 2010BB/REF(2)/01 and 2000B/SBR/09 for details. |