UB-04 (1569) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
3
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
78
LENGTH
4
SHORT DESCRIPTION
TYPE OF BILL (FL-4)
