LEGACY HCFA-1500 (522) 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	21
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	75
LENGTH	1
SHORT DESCRIPTION	INSURED SEX=FEMALE (BX-11A/2B)