CMS-1500 (1479) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	CMS-1500
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	41
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	50
LENGTH	29
SHORT DESCRIPTION	PRIOR AUTH NUMBER (BX-23)