
| 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. |