IB 837 TRANSMISSION (807)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-CURR INS CO FULL ADDRESS
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE K IBXSAVE("CADR") I $D(IBXDATA) N Q,Y,Z S Q="CADR",Y=$G(IBXDATA(6)) D ZIPOUT^VAFADDR S:Y'="" $P(IBXSAVE(Q),U,6)=Y F Z=1:1:5,7 I $D(IBXDATA(Z)) S $P(IBXSAVE(Q),U,Z)=IBXDATA(Z)
FORMAT CODE DESCRIPTION
Data element extracts address data into IBXDATA array
Save the data in IBXSAVE("CADR")=Street addr 1^Street addr 2^Street addr 3^
City^State^Zip^claim office id # for later use.