| Name | Value |
|---|---|
| FORM FIELD REFERENCE | LEGACY HCFA-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-OTH INSURED EMPLOYR INFO |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA="" I $O(IBXDATA("")) N Z S Z=$G(IBXDATA(1)) K IBXDATA S IBXDATA=$P(Z,U) |
| FORMAT CODE DESCRIPTION | Use the first occurrence of other insured employer information. The first '^' piece is the employer's name. |