UB-04 (1446) 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
K IBXDATA D UB047879^
IBCEF83
(IBXIEN,.IBXDATA) S IBXSAVE("BOX 78")=IBXDATA(1),IBXSAVE("BOX 79")=IBXDATA(2) K IBXDATA S IBXDATA=$P(IBXSAVE("BOX 78"),U,4)
FORMAT CODE DESCRIPTION
Other provider NPI if available