LEGACY HCFA-1500 (584) 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	60
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	22.8
SHORT DESCRIPTION	FACILITY STR ADDR 1 EXTRACT
CALCULATE ONLY OR OUTPUT	CALCULATE ONLY