LEGACY HCFA-1500 (542) 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	33
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	68
LENGTH	10
SHORT DESCRIPTION	DT UNABLE TO WRK TO (BX-16/2)