LEGACY HCFA-1500 (601) 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
37
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
60
LENGTH
10
SHORT DESCRIPTION
LAB CHARGES (BX-20/B)