LEGACY HCFA-1500 (590)    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 49.8
SHORT DESCRIPTION AGENT CASHIER STATE EXTRACT
CALCULATE ONLY OR OUTPUT CALCULATE ONLY