| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | K IBXDATA I $$FT^IBCEF(IBXIEN)=7 N Z S Z=0 F S Z=$O(IBXSAVE("OUTPT",Z)) Q:'Z S IBXDATA(Z)=$P(IBXSAVE("OUTPT",Z),U,3) |
| FORMAT CODE DESCRIPTION | Code List Qualifier Code - will always be JP for Dental claim. |