UB-04 (1255)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE UB-04
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-GET FROM PREVIOUS EXTRACT
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$$GETFAC^IBCEP8(+IBXSAVE("BPDATA"),0,"3S")
FORMAT CODE DESCRIPTION
Get the billing provider state from file 4.