LEGACY HCFA-1500 (595) 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
57
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
72
LENGTH
7
SHORT DESCRIPTION
TOT CHRG-PRIOR PYMNTS (BX-30)
