UB-04 (1325)    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 K IBXDATA I $G(IBXSAVE("CC",1))'="" S IBXDATA=IBXSAVE("CC",1) K IBXSAVE("CC",1)
FORMAT CODE DESCRIPTION
Data element's array reference is IBFL(24), not default of IBXDATA.  This is
a group data element so more than 1 occurrence of a value is possible for
the data element in the IBFL(24) array.  All occurrences of the data element
are saved in the IBXSAVE("CC",n) array and only IBXSAVE("CC",1) is output
in this field. Note: hard code is used to output the
codes that exceed the # that will fit on one page if multiple pages of bill
are printed.