LEGACY HCFA-1500 (350)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CURRENT INS POLICY TYPE
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z S Z=IBXDATA D F^IBCEF("N-CURRENT INSURANCE CO TYPE") S IBXDATA=$J("",$S(Z=16!(Z="MB")!(Z="MA"):0,Z="TV"!(Z="MC"):7,Z="CH":14,$$CHAMPVA^IBCEU3(IBXIEN)&($P($G(^DIC(36,+$$CURR^IBCEF2(IBXIEN),0)),U,2)="Y"):23,IBXDATA=5:30,1:44))_"X"
FORMAT CODE DESCRIPTION
Check appropriate box for type of insurance