LEGACY HCFA-1500 (331)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-GET FROM PREVIOUS EXTRACT
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z S Z=$$STATE^IBCEFG1($G(IBXSAVE("ACSTATE")))_" "_$G(IBXSAVE("ACZIP")),IBXDATA=$E($G(IBXSAVE("ACCITY")),1,26-2-$L(Z))_", "_Z F Z="ACCITY","ACSTATE","ACZIP" K IBXSAVE(Z)
FORMAT CODE DESCRIPTION
This data relies on the existence of the IBXSAVE("ACCITY"),
IBXSAVE("ACSTATE") and IBXSAVE("ACZIP") variables previously extracted.
The data consists of the city concatenated with a , and space, the state
abbreviation, a space and the zip code.  The city name is shortened to fit
in the whole state and zip in the space allowed.