UB-04 (1293) 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
N CIEN S CIEN=+$$PTADDR^IBCEF(IBXIEN,25),IBXDATA=$S(CIEN>1:$$GET1^
DIQ
(779.004,CIEN,1.2),1:"")
FORMAT CODE DESCRIPTION
Patient address - country code. Printed if country is not USA, blank otherwise.