CMS-1500 (1462) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
34
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
30
LENGTH
2
SHORT DESCRIPTION
REF PROV OTH ID QUAL (17A/1)
CALCULATE ONLY OR OUTPUT
OUTPUT
