| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-HCFA 1500 BALANCE DUE BOX |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S:$$FT^IBCEF(IBXIEN)=7 IBXDATA="" S IBXNOREQ='$$REQ^IBCEF1(2,"",IBXIEN) S IBXDATA=$$DOLLAR^IBCEFG1(IBXDATA) |
| FORMAT CODE DESCRIPTION | Format data element so it is numeric including cents, without the decimal. If data element's value is null, do not output. |