| 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 | K IBXDATA S IBXDATA=0_$$TOB^IBCEF1(IBXIEN) |
| FORMAT CODE DESCRIPTION | Type of bill is 4 characters long with the first digit being a leading zero. |