CMS-1500 (1471) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
37
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
61
LENGTH
9
SHORT DESCRIPTION
PURCHASED SVC CHARGE (BX-20/B)
CALCULATE ONLY OR OUTPUT
OUTPUT
