UB-04 (1758) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
UB-04
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
11
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
74.9
SHORT DESCRIPTION
CLEAN UP IBXSAVE OCCS
CALCULATE ONLY OR OUTPUT
CALCULATE ONLY
