| 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 |