IB 837 TRANSMISSION (901)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-OTH INS POL TYPES
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE N Z,IBZ M IBZ=IBXDATA K IBXDATA F Z=1,2 I $P($G(IBZ),U,Z)'="",$D(^DGCR(399,IBXIEN,"I"_(Z+1))) S IBXDATA(Z)=$P(IBZ,U,Z)
FORMAT CODE DESCRIPTION
This is the X12 interpretation of the 'other' insurance plan types
               CI = COMMERCIAL  (default if none defined),1,2
               15 = INDEMNITY
(see codes below or refer to the 837 v4010 field 2000B/SBR/09.)
    X12 CODES: MA = MEDICARE PART A    3
               MB = MEDICARE PART B    3
               HM = HMO
               MC = MEDICAID    4
               12 = PPO
               CH = TRICARE     5
               WC = WORKERS COMP