LEGACY HCFA-1500 (576) 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
3
MAX NUMBER LINES
4
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
1
LENGTH
80
SHORT DESCRIPTION
MAILING ADDR FULL (FORM LN 3)
