UB-04 (1564) 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	46
LENGTH	5
SHORT DESCRIPTION	Pay-to Provider Zip (FL-2/3/3)