IB 837 TRANSMISSION (555)    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 N Z K IBXDATA F Z=1,2 S IBXDATA(Z)=$P($G(IBXSAVE("LAB/FAC",IBXIEN,"O",Z,3)),U,1)
FORMAT CODE DESCRIPTION
OP3-9
Lab/Facility, Other Payer, Qualifier #3