| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| REQUIRED | NO |
| FORMAT CODE | N Z K IBXDATA F Z=1,2 I $D(^DGCR(399,IBXIEN,"I"_(Z+1))) S IBXDATA(Z)="B" |
| FORMAT CODE DESCRIPTION | Other insurance patient signature source code. 2320/OI/04. This is group data element for the other insurances. Currently, hard code a "B" for all other insurances. |