IB 837 TRANSMISSION (1724)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-OTHER PAYER REF NUM
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z,IBZ M IBZ=IBXDATA K IBXDATA F Z=1,2 I $G(IBZ(Z))'="" S IBXDATA(Z)=IBZ(Z)