IB 837 TRANSMISSION (1927)    IB FORM FIELD CONTENT (364.7)

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