LEGACY HCFA-1500 (317)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-FACILITY NAME FOR BILLING
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N IBZ D F^IBCEF("N-EDI SITE CONTACT PHONE","IBZ") S IBZ=$$EXPAND^IBTRE(350.9,2.11,IBZ) D:IBZ="" F^IBCEF("N-AGENT CASHIER PHONE","IBZ") S:$L(IBZ)>12 IBZ=$E($$NOPUNCT^IBCEF(IBZ),1,12) S IBXDATA=$E(IBXDATA,1,18)_($J("",30-$L(IBZ)-$L(IBXDATA)))_IBZ
FORMAT CODE DESCRIPTION
This is the constant we will use as the name of the billing entity.