| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | D INS12^IBCEF2 |
| FORMAT CODE DESCRIPTION | INS-12 for UB service line detail data. This is a group data element so more than 1 occurrence of a value is possible for the data element in the previously extract IBXSAVE array. If any service line data is found, the data is formatted as a numeric including cents, without the decimal. |