Name | Value |
---|---|
FORM FIELD REFERENCE | IB 837 TRANSMISSION |
SECURITY LEVEL | NATIONAL,NO EDIT |
DATA ELEMENT | N-OTH INS FORM LOC 64 |
PAD CHARACTER | NO PAD REQUIRED |
FORMAT CODE | N Z,Z1,IBZ M IBZ=IBXDATA K IBXDATA Q:$$COBN^IBCEF(IBXIEN)=1 F Z=1,2 Q:Z=2&($$COBN^IBCEF(IBXIEN)=2) I $D(^DGCR(399,IBXIEN,"I"_(Z+1))),$G(IBZ(Z))'="" S IBXDATA(Z)=IBZ(Z) |
FORMAT CODE DESCRIPTION | This is a group data element so more than 1 occurrence of a value is also be made to OI6-6.9 as a calculate only field. possible for the data element in the IBXDATA array. If any other insurance form locator 64 data is found, the data is output. This is OI1A-03 also known as the ICN/DCN for the MRA secondary claims. If there is data here in OI1A-03, then we cannot transmit the Other Payer secondary ID and qualifier #2. This is in the OI6 segment, pieces 7 and 8. For this calculation, OI6-6.9 is set-up very similar to this OI1A-03 piece to see if there is an ICN/DCN present. So any changes here should |