LEGACY UB-92 (617) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
LEGACY UB-92
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
3
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
58
LENGTH
20
SHORT DESCRIPTION
PATIENT CONTROL NUMBER (FL-3)
