IB 837 TRANSMISSION (1904)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-COB CLAIM LEVEL AMOUNTS
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE M IBXSAVE("CCOB")=IBXDATA N Z,Z0,IBZ K IBXDATA S (IBZ,Z0)=0 F S IBZ=$O(IBXSAVE("CCOB",IBZ)) Q:'IBZ S Z0=Z0+1,Z=0 F S Z=$O(IBXSAVE("CCOB",IBZ,Z)) Q:'Z I $P($G(IBXSAVE("CCOB",IBZ,Z,1)),U,2) S IBXDATA(Z0)="EAF"