CMS-1500 (1506) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	CMS-1500
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	60
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	23
LENGTH	26
SHORT DESCRIPTION	SERVICE FAC ADR LINE 1 (BX-32/LN 2)