| 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
|