LEGACY HCFA-1500 (513) 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
17
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
15
LENGTH
16
SHORT DESCRIPTION
PATIENT TELEPHONE (BX-5/3B)
