IB 837 TRANSMISSION (363)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-OTH INSURED NAMES SUFF
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=""
FORMAT CODE DESCRIPTION
Other Insurance Subscriber name Suffix.