LEGACY HCFA-1500 (791) IB FORM FIELD CONTENT (364.7)

Name	Value
FORM FIELD REFERENCE	LEGACY HCFA-1500
SECURITY LEVEL	NATIONAL,NO EDIT
DATA ELEMENT	N-CURR INSURED FULL ADDRESS
PAD CHARACTER	NO PAD REQUIRED
FORMAT CODE	I '$G(IBXSAVE("IBSAME")) S IBXSAVE("IADR")=IBXDATA