LEGACY HCFA-1500 (564)    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 57
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 23
LENGTH 14
SHORT DESCRIPTION PATIENT ACCT NUMBER (BX-26)