LEGACY HCFA-1500 (499)    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 47
LENGTH 1
SHORT DESCRIPTION PATIENT SEX=FEMALE (BX-3/2B)