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)
