LEGACY HCFA-1500 (357)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY HCFA-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-ASSIGN OF BENEFITS INDICATOR
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z S Z=$S(IBXDATA=""!("Nn0"'[IBXDATA):1,1:6) S IBXDATA=$J("X",Z)
FORMAT CODE DESCRIPTION
Print indicator of ASSIGNMENT OF BENEFITS.  Check Yes if data element value
returned is null or is not 0,'n', or 'N', otherwise check No.