LEGACY UB-92 (626) 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
5
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
56
LENGTH
5
SHORT DESCRIPTION
NON-COVERED DAYS (FL-8)
