CMS-1500 (1465) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
35
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
33
LENGTH
16
SHORT DESCRIPTION
REFERRING PROV NPI# (BX 17B)