IB 837 TRANSMISSION (551)    IB FORM FIELD CONTENT (364.7)

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
REQUIRED NO
FORMAT CODE K IBXDATA D OTHPAYC^IBCEF71(IBXIEN,.IBXSAVE,.IBXDATA,2,"72")
FORMAT CODE DESCRIPTION
HARD CODE "72" OTHER PAYER OPERATING PROVIDER NAME QUALIFIER