| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-RECORD ID |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA="CI1A" |
| FORMAT CODE DESCRIPTION | Record ID CI1A (Sequence# 28) piece 1. Hard code "CI1A" as the first piece. IB patch 320 - the CI1A segment is a new segment basically replacing the PRV1 segment. Billing provider secondary ID's. |