| Name | Value |
|---|---|
| FORM FIELD REFERENCE | File: 364.6, IEN: 1082 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-RECORD ID |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA="OI3 " |
| FORMAT CODE DESCRIPTION | Record ID for LOOP 2330, Other Payer Patient Information. One record per 2320 record |