| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-OTH INSURANCE PRIOR PAYMENT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N Z,Z0,IBZ M IBZ=IBXDATA K IBXDATA F Z=1,2 I $D(^DGCR(399,IBXIEN,"I"_(Z+1))),$D(IBZ(Z)) S IBXDATA(Z)=$$DOLLAR^IBCEFG1(IBZ(Z)) |
| FORMAT CODE DESCRIPTION | This is a group data element so more than 1 occurrence of a value is possible for the data element in the IBXDATA array. If any other insurance prior payment data is found, the data is formatted as a numeric including cents, without the decimals. |