CMS-1500 (1412) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	CMS-1500
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	13
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	33
LENGTH	1
SHORT DESCRIPTION	PT REL TO INSURED=SELF (BX-6)