LEGACY HCFA-1500 (574) 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	62
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	1
LENGTH	21
SHORT DESCRIPTION	BLOCK 31 CHR 43-63 (BX-31/LN3)