LEGACY HCFA-1500 (572) 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
61
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
23
LENGTH
27
SHORT DESCRIPTION
FAC CITY/ST/ZIP (BX-32/LN 3)
