IB 837 TRANSMISSION (65)    IB FORM FIELD CONTENT (364.7)

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.