| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| REQUIRED | NO |
| FORMAT CODE | N Z K IBXDATA S Z=0 F S Z=$O(IBXSAVE("OTH_PAY_ADDR",Z)) Q:'Z S IBXDATA(Z)=$$STATE^IBCEFG1($P($G(IBXSAVE("OTH_PAY_ADDR",Z)),U,5)) |
| FORMAT CODE DESCRIPTION | Other payer state code in a multi-valued array. Use of the state code conversion utility. |