CMS-1500 (1504) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
58
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
23
SHORT DESCRIPTION
GET BILL PROV/SVC FAC - CALC ONLY
CALCULATE ONLY OR OUTPUT
CALCULATE ONLY
