UB-04 (1556) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
4
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
17
LENGTH
9
SHORT DESCRIPTION
BILL PROVIDER ZIP (FL-1/3/3)
