CMS-1500 (1502) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
59
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
50
LENGTH
29
SHORT DESCRIPTION
BILLING PROVIDER NAME (BX-33/LN 2)
