
| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-DISABILITY DATE QUALIFIER |
| PAD CHARACTER | NO PAD REQUIRED |
| REQUIRED | NO |
| FORMAT CODE | S IBXDATA=$S($$FT^IBCEF(IBXIEN)=3:"",IBXDATA=360:IBXSAVE("DIS ST DT"),IBXDATA=361:IBXSAVE("DIS END DT"),IBXDATA=314:IBXSAVE("DIS ST DT")_"-"_IBXSAVE("DIS END DT"),1:"") |