CMS-1500 (1445)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 25
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 1
LENGTH 28
SHORT DESCRIPTION OTH INS EMPLR (BX-9C)