CMS-1500 (1410)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 11
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 50
LENGTH 29
SHORT DESCRIPTION INSURED'S NAME (BX-4)