CMS-1500 (1507) 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	50
LENGTH	29
SHORT DESCRIPTION	BILLING PROVIDER ADDR (BX-33/LN 3)