UB-04 (1551) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	UB-04
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	1
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	35
LENGTH	35
SHORT DESCRIPTION	PRINT STAT (UB-04 TOP LINE)