UB-04 (1323)    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 Z,Z0 S Z0=0 F Z=3:3:12 Q:'$D(IBXSAVE("VC",Z)) S Z0=Z0+1,IBXDATA(Z0)=$P(IBXSAVE("VC",Z),U)
FORMAT CODE DESCRIPTION
This data element relies on the array IBXSAVE("VC") previously extracted.
This is a group data element and can have multiple occurrences.  Output is
the first piece of each occurrence found.  If there are more than 12
value codes, they are stored in the overflow array.