| 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 |