UB-04 (1732) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
60
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
53
LENGTH
16
SHORT DESCRIPTION
OPERATING NAME (FL-77/2/1)
