CMS-1500 (1404)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 9
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 50
LENGTH 29
SHORT DESCRIPTION INSURED ID # (BX-1A)