| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-AR BILL NUMBER |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE DESCRIPTION | If data element's value is null, do not output. If this is a request for an MRA, append the batch number as the 3rd '-' piece of the patient control number. |