LOCAL UB-92 (AUTO-ADDED) (10001) BILL FORM TYPE (353)

Name	Value
NAME	LOCAL UB-92 (AUTO-ADDED)
BASE FILE	BILL/CLAIMS
FORMAT TYPE	PRINTED FORM
FORM LENGTH	66
NATIONAL FORM	NO
PARENT FORM	LEGACY UB-92
SHORT DESCRIPTION	LOCAL UB-92 (AUTO-ADDED)