LEGACY UB-92 (643) 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	9
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	54.9
SHORT DESCRIPTION	EXTRACT CONDITION CODES
CALCULATE ONLY OR OUTPUT	CALCULATE ONLY