UB-04 (1663) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
47
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
30
LENGTH
20
SHORT DESCRIPTION
INSUREDS UNIQUE ID (FL-60A:C)
CALCULATE ONLY OR OUTPUT
OUTPUT
