UB-04 (1757) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
41
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
46
LENGTH
6
SHORT DESCRIPTION
CREATION DATE (FL-45/23)
