LEGACY HCFA-1500 (598) 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
27
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
30
LENGTH
20
SHORT DESCRIPTION
BOX 10D HCFA 1500