LEGACY HCFA-1500 (276)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-OTH INSURED GRP NUMBER
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N A,IBZ S A=$$WNRBILL^IBEFUNC(IBXIEN) K:A IBXDATA I 'A M IBZ=IBXDATA K IBXDATA,IBXSAVE("OINUM") D:$G(IBZ(1))="" F^IBCEF("N-OTH INSURED ID","IBZ") S:$E($$OTHINS1^IBCEF2(IBXIEN)) (IBXDATA,IBXSAVE("OINUM"))=$G(IBZ(1))
FORMAT CODE DESCRIPTION
Save the value of other insured group number in IBXSAVE variable for later
use.  Use the first occurrence of other insured group number for this
field's value.  If the other insurance is a medigap (MEDICARE WNR is
before this insurance on the bill), the group # is preceeded by 'MG'
on output.  If no other insured group number is found, use the other
insured's policy id number instead.