LEGACY UB-92 (631) 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
7
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
32
LENGTH
49
SHORT DESCRIPTION
PATIENT SHORT ADDRESS (FL-13)
