IB 837 TRANSMISSION (1577)    IB FORM FIELD CONTENT (364.7)

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 N Z,Z0,SEQ K IBXSAVE("OTH_PAY_ADDR") I $O(IBXSAVE(1,0)) S (Z,Z0)=0 F S Z=$O(IBXSAVE(1,Z)) Q:'Z S Z0=Z0+1,SEQ=IBXSAVE(1,Z),IBXSAVE("OTH_PAY_ADDR",Z0)=$$ADD^IBCNADD(IBXIEN,SEQ)
FORMAT CODE DESCRIPTION
The IBXSAVE input array should still exist from the piece 2 call to
 
Output:
IBXSAVE("OTH_PAY_ADDR",1)=address string for other payer#1
IBXSAVE("OTH_PAY_ADDR",2)=address string for other payer#2
 
Address string format:
  [1] address line 1
  [2] address line 2
  [3] address line 3
  [4] city
data element N-OTH INSURANCE SEQUENCE.
  [5] state ien ptr to file 5
  [6] zipcode
 
Utility call $$ADD^IBCNADD(IBXIEN,SEQ) to pull the payer address for the
payer at the specified payer sequence.
 
Input:
IBXSAVE(1)=current payer sequence letter
IBXSAVE(1,Z)=other payer sequence letters where Z is the payer sequence
number of the other payers
 
Loop through this to produce the output IBXSAVE array.