IB 837 TRANSMISSION (949)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-PURCHASED SERVICE TYPE
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE I '$$SUB1OK^IBCEP8A(IBXIEN) K IBXDATA
FORMAT CODE DESCRIPTION
The data element calls N-PURCHASED SERVICE TYPE which extracts the NON-VA 
or 2 then Austin populates the purchased service loop 2310C.
 
Invoke the $$SUB1OK function to determine if this claim is for purchased 
services.  If $$SUB1OK is true, then leave the value of IBXDATA alone as 
extracted from the data element.  But if $$SUB1OK is false, then kill 
IBXDATA to make this field blank.
CARE TYPE field from the claim (399,233).
 
1:FEE BASIS, NON-LAB
2:FEE BASIS, LAB
3:NON-FEE BASIS, NON-LAB
4:NON-FEE BASIS, LAB
 
Austin uses this field for professional claims only.  If the value is 1