UB-04 (1276)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE UB-04
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CURR INSURED PT RELATION
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$S(IBXDATA'="01":$P($$INSSECID^IBCEF21(IBXIEN,"PAT"),U,2),1:"")
FORMAT CODE DESCRIPTION
This is the patient identification number as assigned by the current 
payer for this patient.
 
The patient ID in box 8a is situational.  It should be used only when the 
patient is not the subscriber.  Report if number is different from the 
subscriber ID in FL-60.  FL-60 holds the subscriber ID#.