| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-CONDITION RELATED TO AUTO |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S:$G(IBXDATA)'="" IBXDATA=$$STATE^IBCEFG1($P(IBXDATA,U,2)) |
| FORMAT CODE DESCRIPTION | 2 char state abbreviation where the accident occured. |