CMS-1500 (1459)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 33
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 37
LENGTH 10
SHORT DESCRIPTION DATE OF SIMLAR ILLNESS (BX-15)