IB 837 TRANSMISSION (1599) IB FORM FIELD CONTENT (364.7)
Name
Value
FORM FIELD REFERENCE
IB 837 TRANSMISSION
SECURITY LEVEL
NATIONAL,NO EDIT
DATA ELEMENT
N-HCFA J430D SERV LINE (EDI)
PAD CHARACTER
NO PAD REQUIRED
FORMAT CODE
I $$FT^
IBCEF
(IBXIEN)=7 D DEN2^
IBCEF12
