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)