UB-04 (1257)    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 D GETBP^IBCEF79(IBXIEN,"",+IBXSAVE("BPDATA"),"FL1",.IBXSAVE) S IBXDATA=$G(IBXSAVE("FL1","PHONE")),IBXDATA=$$NOPUNCT^IBCEF(IBXDATA,1)
FORMAT CODE DESCRIPTION
This is the Pay-To provider phone number being used in FL-1, line 4.