UB-04 (1270)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE UB-04
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-BILLING SITE
PAD CHARACTER ZERO PAD ON LEFT
FORMAT CODE S IBXDATA=$E($P(IBXDATA,U,3),4,7) I $TR(IBXDATA,0)="" K IBXDATA
FORMAT CODE DESCRIPTION
Always 0-fill data to the left.  If primary site, don't output.  If not
primary site, this is the site suffix (up to 4 digits)