LEGACY UB-92 (714)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY UB-92
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-GET FROM PREVIOUS EXTRACT
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE K IBXDATA D DATE45^IBCF33(IBXIEN,.IBXDATA,$G(IBXSAVE("DATE")))
FORMAT CODE DESCRIPTION
This data element is a group data element where more than one occurrence
extracted from positions 36-42.
Since only 23 lines of service line can appear on one form, if there
are more than 23 lines, subsequent pages are forced for the remaining data
lines after 23.
might be expected.  It relies on the presence of data in array
IBXSAVE("REV",n) extracted previously.  The first '^' piece of the array
indicates whether this is a 'normal' service data line (=1) or a text line
(=2 or =3).   For a normal service line, output the OUTPATIENT from date that
was previously extracted into IBXSAVE("DATE"). For text line where the first
piece = 2, the text is assumed to start in column 1, so the data is
extracted from positions 41-47.  For text line where the first piece = 3,
the text is assumed to start in column 6, so the data for this field is