| 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 | S IBXDATA(1)="",IBXDATA(2)="",IBXDATA(3)="",IBXDATA(4)="" |
| FORMAT CODE DESCRIPTION | Not currently used. This field is for overflow codes or externally maintained codes. |