LEGACY UB-92 (739)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE LEGACY UB-92
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-ALL INSURED EMPLOY STATUS
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z,Z0,A,IBZ S A="OIEMP" M Z0=IBXDATA K IBXSAVE(A),IBXDATA D F^IBCEF("N-ALL INSURED EMPLOYER INFO","IBZ") M IBXSAVE(A)=IBZ I $O(IBXSAVE(A,0)) F Z=1:1:3 I $S(Z=1:1,1:$D(^DGCR(399,IBXIEN,"I"_Z))) S IBXDATA(Z)=$S(Z0(Z)="":9,1:+Z0(Z))