UB-04 (1326)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE UB-04
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CONDITION CODES
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z S Z=0 F S Z=$O(IBFL(24,Z)) Q:Z="" S IBXSAVE("CCU"," "_$G(IBFL(24,Z)))=""