| Name | Value |
|---|---|
| FORM FIELD REFERENCE | LEGACY HCFA-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-REFERRING PROVIDER ID |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA=$S(IBXDATA'="":"Ref:"_IBXDATA,$O(^DGCR(399,IBXIEN,"PRV","B",1,0)):"Ref:VAD000",1:"") |
| FORMAT CODE DESCRIPTION | ID of Referring Physician |