UB-04 (1264) 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=$P($G(IBXSAVE("UBFL2")),U,9)
FORMAT CODE DESCRIPTION
UB-04, FL-2 pay-to provider zip code