| Name | Value |
|---|---|
| FORM FIELD REFERENCE | LEGACY HCFA-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-STATEMENT COVERS FROM DATE |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S IBXDATA=$$FMTE^XLFDT(IBXDATA,"5D") |
| FORMAT CODE DESCRIPTION | Format data element in MM/DD/CCYY date format. |