UB-04 (1282)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE UB-04
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-OCCURRENCE CODES
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z,Z0 K IBXDATA S Z0=0 F Z=1,5 S Z0=Z0+1 S:$G(IBXSAVE("OCC",Z))'="" IBXDATA(Z0)=$P(IBXSAVE("OCC",Z),U)
FORMAT CODE DESCRIPTION
The data element extracts multiply-occurring data for the occurrence codes
and occurrence span codes and outputs the first occurrence code here.
Overflow codes are printed on a separate page.