| 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 IBX,IBY,IBZ S IBY=$$PRTLID^IBCEF77(IBXIEN,$G(IBXSAVE("NPISVC"))) K IBXSAVE("NPISVC"),IBXDATA I IBY D ALLIDS^IBCEF75(IBXIEN,.IBZ,1) S IBX=$G(IBZ("LAB/FAC",IBXIEN,"C",1,1)),IBXDATA=$P(IBX,U,1)_$P(IBX,U,2) |
| FORMAT CODE DESCRIPTION | 1500, Box 32b. Accommodate the reporting of other ID numbers. Enter the 2 digit qualifier followed by the secondary ID number. |