| Name | Value |
|---|---|
| FORM FIELD REFERENCE | LEGACY UB-92 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-AGENT CASHIER STREET ADDRESS |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N IBZ D F^IBCEF("N-AGENT CASHIER MAIL SYMBOL","IBZ",,IBXIEN) I $G(IBZ)'="" S IBXDATA=IBXDATA_" "_IBZ |
| FORMAT CODE DESCRIPTION | Concatenate Agent Cashier Mail Symbol to the end of Agent Cashier Street Address. |