CMS-1500 (1491)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 44
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 68
LENGTH 11
SHORT DESCRIPTION RENDERING PROVIDER ID (BX-24J)