| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-ROI INDICATOR |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N Z,Z0 S Z0=$S(IBXDATA&'$P($G(^DGCR(399,IBXIEN,"U")),U,7):"I",1:"Y") F Z=1:1:3 I $S(Z=1:1,1:$D(^DGCR(399,IBXIEN,"I"_Z))) S IBXDATA(Z)=Z0 |
| FORMAT CODE DESCRIPTION | For each insurance on file in the bill, print the ROI indicator = 'I' if the record is sensitive and there's no ROI on file, or 'Y' otherwise. |