| 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=$$GETPRV^IBCEF83(IBXIEN,,2,"B1") |
| FORMAT CODE DESCRIPTION | Operating provider legacy ID if needed |