
| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-BILLING PROVIDER |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXSAVE("BPDATA")=IBXDATA,IBXDATA=$$BNIEN^XUAF4(+IBXSAVE("BPDATA")) S:IBXDATA="" IBXDATA=$$GETFAC^IBCEP8(+IBXSAVE("BPDATA"),0,0) |
| FORMAT CODE DESCRIPTION |
Billing Provider name. Use the data element to extract the billing
provider IEN for this claim. Save this string into scratch variable
IBXSAVE("BPDATA") for use in other fields in FL-1. Extract the facility
name from file 4.
|