IB 837 TRANSMISSION (1659)    IB FORM FIELD CONTENT (364.7)

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:"")