UB-04 (1311)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE UB-04
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CURR INSURANCE MAILING NAME
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S:$$WNRBILL^IBEFUNC(IBXIEN) IBXDATA="MEDICARE" S IBXSAVE("CADR_NAME")=$G(IBXDATA)
FORMAT CODE DESCRIPTION
Extract the current payer name and save it in IBXSAVE.