UB-04 (1360) IB FORM FIELD CONTENT (364.7)
Name
Value
FORM FIELD REFERENCE
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
DATA ELEMENT
N-ALL INSURANCE CO PROV NUM
PAD CHARACTER
NO PAD REQUIRED
FORMAT CODE
K:'$$PRTLID^
IBCEF77
(IBXIEN,$G(IBXSAVE("NPIBILL"))) IBXDATA K IBXSAVE("NPIBILL")
