UB-04 (1424)    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 N DIFF S IBXSAVE("UBFL2")=$$PRVDATA^IBJPS3(IBXIEN),DIFF=$$DIFF^IBJPS3(IBXIEN,0) S:'DIFF IBXSAVE("UBFL2")=""
FORMAT CODE DESCRIPTION
UB-04 FL-2 pay-to provider data gathering
 
Retrieve the pay-to provider string and save it into IBXSAVE.  If there 
are NO differences between the pay-to provider and the billing provider, 
then suppress the pay-to provider data here in FL-2 and don't output 
anything.