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