CMS-1500 (1436)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 21
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 68
LENGTH 1
SHORT DESCRIPTION INSUREDS SEX=MALE (BX-11A/2A)