CMS-1500 (1518)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 62
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 62
LENGTH 17
SHORT DESCRIPTION BILLING PROV OTH ID# (BX-33B)