LEGACY HCFA-1500 (566) 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
59
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
23
LENGTH
26
SHORT DESCRIPTION
FACILITY NAME (BX-32/LINE 1)
