File: 364.6, IEN: 1088 (370)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE File: 364.6, IEN: 1088
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-GET FROM PREVIOUS EXTRACT
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z0 K IBXDATA S Z0=0 F S Z0=$O(IBXSAVE(Z0)) Q:'Z0 S IBXDATA(Z0)=$P(IBXSAVE(Z0),U,5)
FORMAT CODE DESCRIPTION
OI3-9
2330C/REF(2)/01
Other payer patient secondary ID qualifier #2