LEGACY HCFA-1500 (497) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	LEGACY HCFA-1500
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	11
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	31
LENGTH	10
SHORT DESCRIPTION	PATIENT DOB (BX-3/1)