| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-BILL SUBMISSION STATUS |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA=$S(1[IBXDATA:"00",1:"15") |
| FORMAT CODE DESCRIPTION | Converts bill submission status from DHCP to X12 format. '00' is original submission, '15' is any subsequent submission of this bill. |