IB 837 TRANSMISSION (454)    IB FORM FIELD CONTENT (364.7)

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="OI5 "
FORMAT CODE DESCRIPTION
Other Insurance Subscriber Information, LOOP 2330