UB-04 (1574) 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
76
LENGTH
7
SHORT DESCRIPTION
NOT USED (FL-7/1)
