UB-04 (1669) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
8
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
72
LENGTH
11
SHORT DESCRIPTION
NOT USED (FL-30/1)
