CMS-1500 (1419) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
15
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
26
LENGTH
2
SHORT DESCRIPTION
PATIENT STATE (BX-5/2B)
