LEGACY UB-92 (737)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY UB-92
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-ALL INSURANCE GROUP NUMBER
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z,Z0 S Z0=$$COBN^IBCEF(IBXIEN) F Z=1:1:3 I $D(^DGCR(399,IBXIEN,"I"_Z)),Z0=Z,$$WNRBILL^IBEFUNC(IBXIEN,Z) S IBXDATA(Z)=""
FORMAT CODE DESCRIPTION
If the insurance is MEDICARE WNR, do not output the group number.