| 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. |