IB 837 TRANSMISSION (1461)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-ORTHO TX MTHS COUNT
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE I $$FT^IBCEF(IBXIEN)'=7 K IBXDATA
FORMAT CODE DESCRIPTION
Ortho Treatment Months count for Dental Claim