| 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=$P($$GETPRV^IBCEF83(IBXIEN,,4,"A1"),",",1) |
| FORMAT CODE DESCRIPTION | Attending Providers last name |