LEGACY HCFA-1500 (292)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CURR INSURED GROUP NAME
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE I $$WNRBILL^IBEFUNC(IBXIEN) S IBXDATA=""