LEGACY HCFA-1500 (555) 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	44
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	10
LENGTH	9
SHORT DESCRIPTION	DATE OF SERV TO (BX-24A/B)