| 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 | I $$INPAT^IBCEF(IBXIEN),$$FT^IBCEF(IBXIEN)=3,+$P($G(^DGCR(399,IBXIEN,"U1")),U,15) S IBXDATA="DR" |
| FORMAT CODE DESCRIPTION | CL1A-13 - Inpatient, UB claims only. If field# 170 exists and is a valid pointer to file 80.2, then the value of this field is the qualifier "DR". |