| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-OTHER INSURED AUTH CODES |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N Z,IBZ M IBZ=IBXDATA K IBXDATA F Z=1,2 I $G(IBZ(Z))'="" S IBXDATA(Z)=IBZ(Z) |
| FORMAT CODE DESCRIPTION | This is a group data element so more than 1 occurrence of a value is possible for the data element in the IBXDATA array. If any other insurance company data is found, these authorization codes are output. |