CMS-1500 (1457) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
31
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
56
LENGTH
23
SHORT DESCRIPTION
INSUREDS SIGNATURE (BX-13)