LEGACY HCFA-1500 (997) IB FORM FIELD CONTENT (364.7)
Name
Value
FORM FIELD REFERENCE
LEGACY HCFA-1500
SECURITY LEVEL
NATIONAL,NO EDIT
DATA ELEMENT
N-HCFA 1500 BOX 13
PAD CHARACTER
NO PAD REQUIRED
FORMAT CODE
S IBXDATA=$J("",6)_IBXDATA
