| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-MEDICARE INPT CLAIM COB AMTS |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | K IBXSAVE("MIA45") M IBXSAVE("MIA45")=IBXDATA K IBXDATA |
| FORMAT CODE DESCRIPTION | Move the IBXDATA array to the IBXSAVE array for later use. |