| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-NON-INSTITUTIONAL CLAIM TYPE |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | I $$FT^IBCEF(IBXIEN)=3 K IBXDATA |
| FORMAT CODE DESCRIPTION | If an institutional bill or data element's value is null, no output. |