CMS-1500 (1463) 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
33
LENGTH
16
SHORT DESCRIPTION
REF PROV OTH ID# (BX 17A/2)
CALCULATE ONLY OR OUTPUT
OUTPUT
