CMS-1500 (1206)    IB FORM FIELD CONTENT (364.7)

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 Q:'$G(IBXSAVE("SERVFACFLAG")) N Z S Z=$G(IBXSAVE("BPSFDATA")),IBXDATA=$$GETFAC^IBCEP8(+$P(Z,U,4),$P(Z,U,3),12)
FORMAT CODE DESCRIPTION
Box 32 - service facility address lines 1&2
Only print data if there is a service facility for this claim.