| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA=$G(IBXSAVE("BOX33","NAME")) |
| FORMAT CODE DESCRIPTION | Billing provider name - Box 33 on the CMS-1500. |